Specialist peri-implantitis treatment in London

Helping to protect the health and longevity of your dental implants

Dental implants can last for many years, but healthy gums and bone are essential for their stability. Early diagnosis and treatment of infection help prevent damage and reduce the risk of implant failure.

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What It Is

Understanding peri-implantitis

Dental professional pointing to a patient's smile as she checks it in a hand mirror

Peri-implantitis is an inflammatory condition that affects the gums and bone surrounding a dental implant.

It begins when bacteria accumulate around the implant, causing inflammation of the surrounding tissues. In its early stage, known as peri-implant mucositis, only the gums are affected. If left untreated, the condition may progress to peri-implantitis, resulting in bone loss around the implant.

Because bone loss often develops gradually and without significant discomfort, regular monitoring is important for early diagnosis and treatment.
Dr Payvand Menhadji provides comprehensive assessment and specialist peri-implantitis treatment to control infection, preserve supporting bone and maintain the long-term health of your dental implants.

Signs of peri-implantitis

Peri-implant disease may not cause noticeable symptoms in its early stages.

Common signs may include:

  • Bleeding around the implant during brushing
  • Swollen or tender gums
  • Redness around the implant
  • Persistent bad breath or an unpleasant taste
  • Gum recession around the implant
  • Pus or discharge
  • Changes in how the implant feels
  • Loosening of the implant in advanced cases

If you notice any of these symptoms, professional assessment is recommended, as early treatment can help prevent further damage.

What causes peri-implantitis?

Peri-implantitis usually develops due to a combination of factors rather than a single cause.

Contributing factors may include:

  • Inadequate plaque control
  • A history of gum disease
  • Smoking
  • Poorly controlled diabetes
  • Irregular professional maintenance
  • Excess cement around implant restorations
  • Implant positioning that makes cleaning difficult

Identifying the underlying cause is an important part of successful long-term treatment.

Peri-implantitis treatment

Treatment follows a staged, conservative approach, escalating only where needed, with the aim of preserving your implant wherever possible.

The staged approach involves:

  • Initial non-surgical treatment and risk-factor management
  • Optimising plaque control and oral hygiene
  • Assessing and modifying contributing restorative factors, including implant crown contour, emergence profile, and residual cement where required
  • Surgical treatment if conservative measures are insufficient – regenerative or resective
  • Ongoing supportive maintenance
Early Treatment

Why early treatment is important

Peri-implantitis does not usually improve without professional treatment.

As the disease progresses, increasing amounts of bone can be lost around the implant, making treatment more complex and potentially affecting the implant's long-term prognosis.

Early assessment offers the best opportunity to control the disease, preserve supporting tissues and protect your investment in implant treatment.

Specialist Care

Support from a Specialist Periodontist

Managing peri-implantitis requires specialist knowledge of dental implants, gum tissues and supporting bone.

As a Specialist Periodontist, Dr Menhadji provides comprehensive assessment and personalised treatment for patients experiencing implant infection, bone loss and other implant-related complications.

Care is focused on preserving healthy tissues, maintaining implant stability and supporting long-term oral health through evidence-based periodontal treatment.

Protect the health of your dental implants.

Early assessment can help identify implant infection and provide the most appropriate treatment before more extensive damage occurs.

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What to Expect

A planned, staged pathway.

Wherever possible, treatment aims to preserve your implant. Care is staged and conservative, escalating only if needed – removal is considered only when the implant cannot be predictably maintained.

01

Non-surgical treatment and risk-factor management

02

Optimising plaque control and oral hygiene

03

Reviewing restorative factors (crown contour, emergence profile, residual cement)

04

Surgical treatment if conservative care is insufficient (regenerative or resective)

05

Ongoing supportive maintenance
Common Questions

Frequently asked questions

Can an infected dental implant be saved?
Many implants affected by peri-implantitis can be successfully treated, particularly when the condition is diagnosed early. Results depend on how much bone has been lost, and ongoing maintenance is needed because the condition can return.
Is peri-implantitis the same as gum disease?
They are similar conditions, but peri-implantitis affects the tissues surrounding dental implants, while gum disease affects the tissues around natural teeth.
What causes peri-implantitis?
The condition is most commonly associated with bacterial plaque, although factors such as previous gum disease, smoking and inadequate implant maintenance may also contribute.
Is peri-implantitis treatment painful?
Treatment is carried out under local anaesthetic, so it should not be painful. Some tenderness for a few days afterwards is normal. The type of treatment depends on the severity of the condition.
Can peri-implantitis be prevented?
Good oral hygiene, regular professional maintenance and early management of inflammation around implants can significantly reduce the risk of peri-implant disease.
When should I seek treatment?
If you notice bleeding, swelling, discomfort or changes around your dental implant, it is important to arrange a professional assessment as soon as possible.
Will I need surgery?
Not always. Early cases may be managed with non-surgical treatment, while more advanced cases may require surgical therapy to effectively control the disease.
Why should I see a Specialist Periodontist?
A Specialist Periodontist has advanced expertise in diagnosing and treating complex implant complications, helping to preserve healthy tissues and support the long-term success of your dental implants.

Concerned about a dental implant?

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Contact

Get in Touch.

Whether you are a patient, a referring dentist or a professional contact, tell us a little about what you need and we will make sure your message reaches the right person.

For rapidly spreading facial swelling, or difficulty breathing or swallowing, call 999 or go to A&E. For urgent advice out of hours, call NHS 111.

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