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A diagram of dental implant at Periodontal Associates. Dental implants are a highly effective solution for lost teeth. Crowns mimic natural teeth in their form and function and titanium posts bond with and stimulate your jaw bone, allowing the Dental Implants to act just like a natural tooth would.

Unfortunately, implants can occasionally fail, and if this happens we will need you to come in so we can repair or replace them.

The Structure of an Implant


Most dental implants are made of a titanium post that is embedded in the jaw bone, a ceramic crown that acts as a replacement tooth and an abutment that connects the post and the crown. If one of these parts loosens or breaks, all three can become compromised.

Titanium is usually chosen for implants because it bonds with the jaw bone in a process known as osseointegration. If this process doesn't occur properly then you'll end up with an implant that isn't firmly in place. This will lead to problems later on.

Signs that an Implant May Fail


If the bone doesn't grow around the implant in the right way, mobility is often the primary signal that the implant may fail. This mobility is often very slight at first and usually only a dentist can see it, but as time goes on an implant that hasn't integrated properly can shift when you chew or speak. Implants that have failed completely with frequently.

Other warnings signs of impending failure include pain, inflammation, and infection, but these do not always occur. If Dr. Eshraghi notices that your implant is moving, he may conduct an x-ray to make sure the bone is growing. If the implant is failing, the x-ray may reveal considerable bone loss around the metal area.

Repair and Replacement


In cases where the implant crown becomes cracked or detached, it is an easy matter for us to attach a new, or make any other repairs if necessary. However, if the damage to the implant is too severe, we will need to remove and replace it.

It is easy for us to remove a failed dental implant, but we will need to use a local anesthetic for this procedure. Once the implant is removed Dr. Eshraghi will carefully clean the area. Then we can begin the process of inserting a new implant, making careful note of what went wrong the first time. If there is enough healthy bone in the same area, we won't need a bone graft.

However, in cases of significant bone loss, we may need to place a bone graft to improve the site of the removed implant before placing a new one. Once the bone graft is complete, your mouth may need several months to heal before we can put in a new implant. During the healing period, Dr. Eshraghi may ask you to quit smoking, postpone cancer treatment or make other lifestyle adjustments that will reduce the risk of the next implant failing as well.

Always remember to take good care of your implants by brushing and flossing daily. Also take care to eat a balanced diet and abstain from using your teeth as tools, as this can chip them. If you experience any problems with your Dental Implants, contact us right away.

If you have any other questions or concerns, please give us a call at (503) 620-2807.
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Home Treatment for Peri-Implantitis

Treatment for Peri-Implantitis



Dentist explaining a same-day crown procedure to a female patient using a digital 3D imaging screen in a modern dental office.Peri-implantitis is a progressive infection and inflammation affecting the soft and hard tissues surrounding dental implants. If left untreated, it can lead to bone loss and ultimately implant failure. At Periodontal Associates, our team is experienced in diagnosing and treating peri-implantitis, helping patients preserve their investment in implant dentistry.



What Is Peri-Implantitis?



Peri-implantitis refers to a condition where the gum and bone around a dental implant become infected and inflamed due to bacterial buildup. Over time, this leads to tissue destruction and bone loss.

It’s important to distinguish this from peri-implant mucositis—a reversible inflammation that affects only the soft tissue. Peri-implantitis, however, progresses to affect both the soft tissues and the supporting bone, risking the stability of the implant itself.

This condition arises when plaque and bacteria accumulate on the implant surface. The immune system responds by triggering inflammation, which, if unchecked, leads to progressive bone resorption. Recognizing and managing inflammation around dental implants early is crucial for long-term success.



Common Causes and Risk Factors



Identifying the root causes of peri-implantitis can help prevent its progression and recurrence.

•  Poor Oral Hygiene - Plaque buildup around implants encourages bacterial growth and inflammation.

•  Smoking - Reduces blood flow and impairs healing, significantly increasing the risk of infection.

•  Diabetes and Systemic Conditions - Conditions that impair immune response can contribute to peri-implant inflammation.

•  Improper Implant Placement - Poor angulation or positioning can hinder hygiene and increase plaque retention.

•  Lack of Maintenance - Skipping regular cleanings and checkups can allow issues to go unnoticed.

•  Genetic Susceptibility - Some individuals may be predisposed to inflammatory conditions around implants.

Dental implant infection causes often involve a combination of local and systemic factors, making early detection and prevention key.



Signs and Symptoms to Watch For



Early recognition of peri-implantitis symptoms allows for faster, more effective intervention.

•  Red or Swollen Gums - Inflammation around the implant site.

•  Bleeding When Brushing - A common sign of soft tissue inflammation.

•  Bad Breath or Metallic Taste - Caused by bacterial infection around the implant.

•  Pus Discharge - Indicates an active infection.

•  Implant Mobility - Suggests significant bone loss or implant failure.

•  Bone Loss on X-Rays - A clinical indicator that the implant is losing support.

While discomfort may be minimal at first, these signs should prompt an immediate evaluation to prevent irreversible damage.



Diagnosis – How Peri-Implantitis Is Detected



A professional diagnosis is critical for assessing the extent of the infection and creating a treatment plan.

•  Clinical Exam - Dentists use a periodontal probe to assess bleeding, pocket depth, and pus.

•  Digital X-Rays - Reveal bone loss that cannot be seen with the naked eye.

•  Bacterial Testing - May be used to identify specific pathogens responsible for infection.

•  Implant Health Check - Regular implant evaluations can catch early signs of peri-implantitis.

Early detection significantly increases the likelihood of saving the implant and avoiding surgery.



Non-Surgical Peri-Implantitis Treatment Options



For mild to moderate cases, non-surgical peri-implantitis treatment can often halt the disease's progression.

•  Mechanical Debridement - Special tools clean bacterial biofilm off implant surfaces.

•  Localized Antibiotics - Gels or microspheres deliver medication directly into infected pockets.

•  Antimicrobial Rinses - Help reduce bacterial load during the healing process.

•  Laser Therapy - Disinfects soft tissue with minimal discomfort and enhances healing.

•  Ultrasonic and Air Abrasion - Gently remove biofilm from complex implant surfaces.

These therapies aim to control the infection and maintain the implant’s structural integrity without surgery.



Surgical Treatments for Advanced Cases



When conservative treatment is not enough, surgical intervention may be necessary to restore oral health.

•  Flap Surgery - Opens the gums to access and thoroughly clean the implant area.

•  Bone Grafting - Restores lost bone and helps regenerate support for the implant.

•  Implantoplasty - Smooths the implant surface to discourage bacterial buildup.

•  Implant Removal - Reserved for cases where the implant cannot be salvaged.

Though more invasive, peri-implantitis surgery can often preserve the implant if performed in time. Recovery times vary, but early treatment often leads to better outcomes.



Can Peri-Implantitis Be Cured?



The term “cure” depends on how far the condition has progressed. In many cases, peri-implantitis can be managed successfully.

If caught early, inflammation can be reversed and bone loss minimized. However, advanced cases require lifelong maintenance to prevent recurrence. Think of it like managing chronic gum disease—stabilization is achievable, even if full bone regeneration is not.

Patient compliance with hygiene and follow-up care plays a crucial role in long-term success.



Prevention & Maintenance After Treatment



Once peri-implantitis is treated, preventing recurrence becomes a top priority.

•  Daily Oral Hygiene - Use soft toothbrushes and non-abrasive toothpaste designed for implants.

•  Interdental Cleaners - Water flossers or implant-specific brushes help clean around implants.

•  Professional Cleanings - Regular dental visits remove buildup that at-home care may miss.

•  Quit Smoking - Tobacco increases your risk of infection and slows healing.

•  Control Systemic Conditions - Managing diabetes or other illnesses supports gum health.

Dental implant care after treatment should be lifelong and adapted to each patient’s unique oral environment.



When to See a Specialist



Timely evaluation can make the difference between saving or losing a dental implant.

•  Bleeding or Swelling - Any inflammation around an implant should be evaluated.

•  Pus or Bad Taste - Signals an active infection that needs prompt treatment.

•  Implant Mobility - Requires immediate specialist intervention.

•  Persistent Discomfort - Even mild discomfort could indicate deeper issues.

•  Routine Checkups - Schedule evaluations even if symptoms aren’t present.

A periodontist or implant specialist can provide advanced care when needed, often collaborating with your general dentist to create a comprehensive treatment plan.



Ready to Address Peri-Implantitis?



If you’re experiencing symptoms of peri-implantitis or are concerned about your implant’s health, don’t wait. Our team at Periodontal Associates is equipped with the expertise and technology to provide effective implant infection treatment.

Call (503) 620-2807 today to schedule an evaluation and learn which treatment options are best suited for your condition.



FAQs



Can a dental implant infection go away on its own?


No, a dental implant infection will not resolve without treatment. Peri-implantitis is a progressive condition that requires professional intervention to stop the infection and prevent further bone loss.


How long does it take to treat peri-implantitis?


Treatment timelines vary depending on the severity of the infection. Mild cases may resolve with non-surgical treatment over a few weeks, while advanced cases requiring surgery could take several months to fully stabilize.


Is it possible to save an implant with peri-implantitis?


Yes, many implants affected by peri-implantitis can be saved, especially if the condition is caught early. Treatments aim to eliminate infection, regenerate lost bone, and preserve implant stability.


What happens if peri-implantitis is left untreated?


If left untreated, peri-implantitis can lead to significant bone loss and ultimately result in the failure and loss of the dental implant. It can also spread infection to nearby teeth and tissues.
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Treatment for Peri-Implantitis – Causes & Best Options
Discover effective treatment for peri-implantitis, including surgical and non-surgical options to reverse infection and restore dental implant health.
Periodontal Associates, 17895 NW Evergreen Pkwy, #150, Beaverton, OR 97006 - (503) 620-2807 - portlandimplantdentistry.com - 12/11/2025 - Page Terms:dental implants Beaverton OR -