Can you have dental implants with gum disease?
Yes, you can get dental implants if you have gum disease, but not right away.

If your gums are sick, the area isn’t ready for implants yet. The gums need to be healthy so they can hold the implant strong. If there’s swelling, bleeding, or infection, the implant might not work well. But once your gums are cleaned and healed, you can still get dental implants. You just need to fix the gum problem first, and then your dentist will guide you from there.
How do you know if you have receding gums?
Receding gums don’t shout; they whisper. But if you know what to look for, you’ll catch it early.
Your teeth might look a little longer, like they’re peeking out more than before. That’s a classic sign. You might also feel more sensitivity to cold water, hot soup, or even brushing, which can feel sharp near the bottom of the tooth.
Run your tongue along your teeth. Feel a little dip or edge where the gum used to be? That’s another clue. Your gums might look uneven, thinner in some spots, or a bit redder than usual.
Bleeding when brushing or flossing? That’s not “normal”, even if you’re brushing hard. Healthy gums don’t bleed. Other little signs:
- Bad breath that doesn’t go away
- A loose feeling in one or two teeth
- Food getting stuck in weird places
Does something feel just a bit “off”? That’s your sign to check it out.
When are dental implants not recommended?
- If you have gum disease that’s not treated yet.
- If your jawbone is too thin or too weak.
- If you smoke a lot and don’t plan to quit.
- If your diabetes isn’t under control.
- If you grind or clench your teeth often.
- If you’re getting chemo or radiation in the head or neck.
- If your immune system is very weak.
- If you’re still growing (like kids or teens).
- If you don’t take care of your teeth and gums well.
What happens if I get gum disease after an implant?
If you develop gum disease after an implant, you'll likely experience minor symptoms. Maybe your gums bleed a little when you brush your teeth. Or you'll feel a little swelling near the implant. You might think, "It's nothing." But there's something wrong.
This early stage is a warning. It means your gums are irritated. If you act fast and get good cleaning and a dentist visit, it can go away. No harm done.
But leave it too long? It can get worse. The infection can reach the bone under the implant. And that’s the part holding it in place. The implant can get loose. It might even fall out.
The tricky part? It doesn’t always hurt. That’s why people don’t notice until it’s too late.
Your implant is like a tree in the ground. Healthy soil (your gums and bone) keeps it strong. If the soil gets weak, the tree starts to wobble. So, if your gums feel off, or your breath smells weird, don’t wait. A quick fix now saves a big problem later. Your smile’s worth it.
When is periodontal disease treatment necessary?
When your gums bleed while brushing, feel puffy, or look red, it’s a sign. Don’t ignore it.
Do you have persistent bad breath? Another clue.
Teeth feel a little loose? That’s your gums asking for help.
And no pain. Gum disease doesn’t always hurt at first. But the damage adds up fast if you leave it.
So, if your mouth feels off, even just a little, don’t wait. A simple check now can save your teeth later.
How long does it take to recover from periodontal disease?
The recovery time from periodontal disease varies depending on the case.
If you detect your periodontal disease early, your gums will begin to heal in just a few weeks. The bleeding will stop, the swelling will go down, and you'll feel fresher. All it takes is good daily care and maybe a dental cleaning.
But if it’s been there for a while, recovery takes longer. You might need deep cleaning and a few months of steady care. And you’ll have to stay on top of your brushing and flossing at home.
Think of your gums like a cut on your hand. Clean it, care for it, leave it alone, and it heals. Ignore it? It gets worse. So, the sooner you treat gum problems, the quicker you bounce.
Do gums grow back after surgery?
Your gums may grow back after surgery, but this is largely up to you.
Surgery gives your gums a fresh start. But if you go back to bad habits like rough brushing, skipping floss, or not showing up for check-ups, some problems can start again.
But take care of them? They’ll stay strong. Gums don’t ask for much. Just a little love every day. Keep it up, and they’ll stick with you.
Post-operative care and maintenance
- Brush gently with a soft toothbrush.
- Avoid the surgical area for the first few days.
- Don’t spit or rinse forcefully.
- Use the mouthwash your dentist gives you.
- Take all prescribed meds on time.
- Stick to soft foods for a few days.
- Avoid hot drinks and alcohol.
- Don’t smoke—it slows healing.
- Sleep with your head slightly raised.
- Go to all follow-up appointments.
- Keep up daily oral care once healed.
Is periodontal disease painful?
In the beginning, periodontal disease does not cause significant pain.
Your gums might bleed a bit when you brush. Maybe they look red or feel a little swollen. But there’s no real pain, so most people don’t think much of it.
That’s the problem; it hides well.
If it gets worse, then yes, you might feel some soreness. Chewing might not feel right. A tooth could even feel slightly loose.
However, how does it initially feel? It’s quiet. There is no pain or warning.
That’s why it’s easy to miss. And why checking your gums now and then is a smart move even if they don’t hurt.
Frequently Asked Questions
Can a dental implant hurt years later?
Yes, it can, but it shouldn’t.
If you feel pain years later, something’s not right. It could be gum infection, bone loss, or pressure from grinding your teeth.
Tooth implants aren’t supposed to hurt. If they do, please don't hesitate to have it checked. Early care can save it.
Why does my implant suddenly hurt?
It could be a few things. Maybe food got stuck, maybe you bit down hard, or the gum around it is inflamed. Sometimes even stress or grinding your teeth can cause pain. If the pain doesn’t go away in a day or two, it’s best to let your dentist take a look. Better safe than sorry.
Can you have implants for severe gum disease?
Yes, but not right away. First, the gum disease needs to be treated and under control. Once your gums are healthier and there’s enough bone, implants can be possible. It’s not a no! You can have but it just takes a bit of prep.
Can a dental implant get infected after years?
Although it's not common, a dental implant can become infected years later.
Think your implant is safe forever once it heals? Not exactly. Even years later, an infection called peri-implantitis can show up. It’s like gum disease, but around your implant.
Plaque doesn’t care if it’s a real tooth or an implant. If you don’t clean well, bacteria builds up. Your gums get inflamed. Then bone loss can start, and that’s serious.
It usually starts slow. Maybe your gums look red or bleed a little when brushing. Maybe there’s a weird taste or smell. Sometimes, you feel nothing until the damage is done.
What causes it?
Poor oral hygiene is the big one. But clenching, smoking, or even health issues like diabetes can raise the risk too.
Why Acardent Turkey Dental Clinic?
At Acardent Clinic in Antalya, Turkey, we do things a little differently. We take time to listen, explain clearly, and make sure you feel safe and understood from the first step to the last. No rush, no pressure, just honest care.
We use modern technology, high-quality materials, and thoughtful planning to give you the best results, whether it’s a small touch-up or a full smile makeover.
Got questions? Want to talk things through?
You can always contact Dt. Meltem Başaran Acar.