5 Early Signs of Peri-Implantitis and What to Do About Them

Simply put, peri-implantitis is bone loss that develops around a dental implant. It begins with gum inflammation (called peri-mucositis) and, if ignored, can lead to further bone loss and implant failure.

Think of it as similar to gum disease but specifically affecting the area around your implant. But unlike gum disease it often starts quietly, without obvious symptoms. So staying vigilant, especially in the first few years after getting an implant, is key. 

Patients in Wilmington, NC, should stay aware of early warning signs and reach out to their prosthodontist for guidance if they spot anything unusual.

1. Redness and Swelling Around the Implant

One of the very first signs that something might be wrong is noticeable redness or swelling around the implant. Redness and swelling are your body’s way of responding to infection or inflammation, much like how skin reacts to an injury.

Why It Happens

When bacteria begin to accumulate around the implant, your body responds by sending more blood to the area, which causes that telltale redness and puffiness. This reaction is your body’s way of fighting off what it perceives as a threat.

What to Do About It

If you notice any unusual redness or swelling, especially if it’s accompanied by discomfort, it’s time to give us a call. 

Early intervention could be as simple as a professional cleaning or a round of antibiotics to keep the infection from spreading. As always, maintaining good oral hygiene habits—like brushing gently but thoroughly around the implant—goes a long way.

Tip: If brushing feels uncomfortable, consider switching to a soft-bristle toothbrush to avoid irritating the inflamed area.

2. Gum Bleeding

Healthy gums don’t bleed, period. If you’re noticing blood when brushing or flossing near your implant, it’s time to take note. Bleeding is often one of the earliest signs of gum inflammation, which can quickly escalate if left untreated.

Why It’s Important

Bleeding gums, even if mild, can be an early indicator of peri-implantitis. In fact, studies have shown that consistent bleeding around an implant is often one of the first symptoms of underlying issues.

What to Do About It

Make an appointment for a professional cleaning and ask about specialized hygiene tips. We often recommend using interdental brushes or water flossers, as they’re gentle yet effective at cleaning around implants without causing further irritation. 

A quick, proactive cleaning and adjustment to your home care routine can prevent minor inflammation from becoming a bigger issue.

3. Bad Breath or Unpleasant Taste

Persistent bad breath or a metallic or unpleasant taste in your mouth might be easy to dismiss, but it’s often a red flag. When bacteria collect around the implant, they can produce an odor or taste that’s hard to ignore.

Why It Matters

This bad breath or taste indicates that there’s an active bacterial presence around the implant. If left unchecked, this bacteria buildup can lead to more serious infection and, eventually, bone loss.

What to Do About It

Start by rinsing with an antimicrobial mouthwash and make sure to floss gently but consistently around the implant. Then, book an appointment with your prosthodontist in Wilmington, NC, for a thorough check. If the issue has progressed, treatments like scaling and root planing (a deep cleaning) may be recommended to remove bacteria below the gumline.

4. Gum Recession Around the Implant

Have you noticed that your implant appears longer or more exposed than before? This could be a sign of peri-implantitis. As the infection progresses, the gum tissue can start to pull away, making the implant more visible.

Why It Happens

As bacteria invade the gum tissue around the implant, they weaken the attachment between the gums and the implant. This leads to the gums pulling back and exposing more of the implant.

What to Do About It

This is one of those times when prompt care is essential. Gum recession not only impacts the appearance of your smile but can also lead to further complications. Your prosthodontist may suggest treatments such as deep cleaning, antimicrobial therapy, or even soft tissue grafting to restore the gums around the implant.

Quick Tip: Keeping up with regular dental visits (ideally every six months) can help catch gum recession early before it becomes noticeable.

5. Loose Implant

If you ever feel that your implant is loose or unstable, don’t wait to get it checked. A loose implant is often a sign that peri-implantitis has progressed and is now affecting the surrounding bone structure.

Why It’s Serious

The success of a dental implant relies on its stability in the jawbone. When it starts to loosen, it’s often because the infection has already compromised the bone, which may require more extensive treatment to repair.

What to Do About It

If your implant feels loose, immediate action is needed. In Wilmington, NC, your prosthodontist can evaluate the situation and determine the best course of action, which may include additional treatments like bone grafting to restore stability.

How Can You Prevent Peri-Implantitis?

Preventing peri-implantitis boils down to consistent and mindful oral care. Here are some tips to keep your implants healthy and free of infection:

1. Practice Excellent Oral Hygiene
   Brush twice daily with a soft-bristle toothbrush, and make sure to floss carefully around your implant. Plaque buildup can lead to infection if left unchecked.
2. Use Specialized Cleaning Tools
   Interdental brushes or water flossers can make it easier to clean around the implant, especially in areas that are tough to reach with traditional floss. These tools are designed to be gentle and are often recommended for those with implants.
3. Visit Your Dentist for Routine Check-Ups
   Regular check-ups aren’t just about cleaning; they’re about spotting early signs of trouble. If you’re in Wilmington, NC, routine visits to J. Pan Prosthodontics can help catch any early signs of inflammation before they develop into something more serious.

By staying proactive, you can reduce the risk of peri-implantitis and keep your implants healthy and long-lasting.

Early Detection is Key to Prevention

Peri-implantitis is a serious, but preventable condition. By keeping an eye out for early warning signs—like redness, swelling, gum recession, or a loose implant—you can protect your investment and keep your smile looking its best.

If you’re noticing any of these symptoms or need assistance maintaining your dental implants, reach out to J. Pan Prosthodontics in Wilmington, NC. Our team is here to provide expert care and guidance. Don’t wait—early treatment can make all the difference in preserving your smile for years to come.