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Question:
Gum Recession and Implants: I had 3 implants put in 3 years ago along with caps. The middle
implant is not settling correctly after 2 treatments of bone additives.
I recently had an infection. My dentist has now suggested removing the one implant and allowing the bone to heal and then possibly reinstalling it. From the onset, I loved the functionality of the implants but never liked the caps or gum line after the implants.
I now can see all the stem of the implants, the gum does not cover it. This is upsetting since with a bridge, the gum meet the false tooth, with the implant there is a gap and now all I see is metal. Can you please advise what my next step should be. ... Visitor from NJ
Answer:
Getting an esthetic result with implants in the front of the mouth can be difficult with patients whose lip line is high and they show the junction of where the crown or bridge meets the gum.
Usually this must be planned for at the start of a case and of course, as you've experienced, some recession may be expected which can make this more difficult.
Grafting bone and gum tissue is one way to achieve a more natural looking result as well as the use of pink porcelain shaded to blend with your own gum tissue coloring. Sometimes the metal that shows on the implant can be prepared or shaped in the mouth the same as a tooth, with the new crown or bridge covering this part to just at or below the current gumline.
Editorial Staff
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