Question: Do implants get gum disease? Do dental implants give pain?
Answer: Yes. Dental implants can get gum disease and give pain. Gum disease results from local inflammation. Plaque accumulation and trauma can cause this inflammation. The plaque inflammatory responses can cause periimplantitis and bone resorption. Bone resorption can result from: Direct action of plaque products on progenitor cells to differentiate in osteoclasts. Plaque products act directly on bone through a non cellular mechanism. They can stimulate gingival cells, causing them to release mediators which in turn induce bone progenitor cells to differentiate into osteoclasts. Plaque products cause gingival cells to release agents that can act as cofactors in bone resoption.
The connective tissue around an implant has low differentiating capabilities. It has low resistance against plaque and bacterial by-products. It also does not respond well to physiologic and occlusal stimulation. Once inflammation occurs, it will advance apically along the connective tissue layer and junctional epithelium. With progressive inflammation, inflammatory cells can infiltrate and obstruct circulation. Occlusal stimulation then create bone resorption and fibrous connective tissue proliferation resulting to a very mobile implant.
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Jesus Lecitona+, DMD, MScD-Prosthodontics