Peri-implantitis is an infection of your dental implant. 

Peri-implantitis: Symptoms, Questions & Treatment

Whilst dental implants are usually impervious to dental infections, the tissues around the implant are still prone to infection.

Therefore, here at the Gentle Dental, we know that proper post-treatment care is crucial for any implant treatment to ensure the longevity of the procedure.

If you’re worried you’re experiencing peri-implantitis, don’t wait – book an appointment for an assessment now.

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Symptoms of peri-implantitis

An infected dental implant will often present the following signs:

  • Bleeding or pus
  • Fever and throbbing pain
  • Redness and swelling in the gums
  • Bad breath or difficulty chewing your food
  • The implant feels loose

If you are experiencing any of the above symptoms then please let your dentist know or get in touch with us straight away on: 020 8224 7562 – we can help save your implant.


  • Poor oral hygiene
  • Ill-fitting crowns or over the bulbous prosthesis
  • A loose screw-retained crown (plaque trap)
  • Excess cement that had not been removed during the crown fitting
  • Incorrect implant position
  • Incorrect implant design
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Peri-implant mucositis vs peri-implantitis

Peri-implant mucositis is like gingivitis and can be treated and prevented through good oral hygiene and professional cleaning.

Those patients who have lost teeth to periodontitis before might be susceptible but should know that implants are much less resistant to the development of gum disease.

Once the peri-implant mucositis progresses, it turns into peri-implantitis, and several treatment approaches can often be adopted depending on the severity of bone loss surrounding the implant.


When an implant becomes infected quickly after being inserted, then treatment is often simple, and antibiotics are prescribed to fight the infection. In extreme cases, the implant will need to be replaced altogether.

For those experiencing later infections to their implants, they will also be prescribed antibiotics; however, if the surgery is too severe then surgery is often a recommendation.

The treatment will involve removing and debriding the infected tissue, which can be carried out under local anaesthesia. Often it does not always involve the surgery of the gums.

Laser therapy, however, can also be used to facilitate better healing and bio-stimulation of the bone.

Talk to us about your options.

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Why you need to understand plaque

Gums attach to the teeth at a lower point. This forms a space called the sulcus, where food often gets trapped.

When the food is not cleaned away, it becomes trapped in this space and then causes a gum infection (gingivitis).

Plaque is a very thin film of bacteria which constantly forms on the surface of the teeth.

As this plaque advances, it gets harder and turns into tartar. This cannot be removed through cleaning alone.

Left unchecked and ignored, gingivitis can quickly cause the gums to separate from the teeth, which leaves the tooth vulnerable as it becomes unstable, loose and wobbly.

This is often a sure sign of receding gums. If the infection progresses, you will ultimately lose your teeth.


Peri-implant mucositis, which is similar to gingivitis, can transform into per-implantitis if no action is taken to reverse the signs in the earlier stages. It’s a serious complication that will require the assistance of a dental professional to try and reverse.

Often, it is the result of insufficient dental care and is primarily caused by bacteria and food particles that accumulate around the implants and gum lines.

Consistent dental care will be required to minimise and eliminate any harmful pathogens, which are found in plaque and tartar. Some treatment suggestions include laser treatments and open flap debridement/some guided bone regeneration.

Research tells us that 40% of five-year-old implants might be vulnerable to the condition, which if left untreated can lead to the loss of the implant. More.

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Preventing peri-implantitis

Preventative care is possible and peri-implantitis can be avoided with normal oral hygiene routines performed at home. Dental implants do not require any special care or maintenance, and the best way to keep them safe and clean include brushing, flossing and using mouthwash.

It can also be an idea to periodically have the implant cleaned by a professional. At least here, you can trust that the cleaning will be thorough and include scaling the implant’s surface.

This should typically take place every six months.

Patients can also avoid infection immediately after having the implant inserted by avoiding disturbing the implant, rinsing 2-3 times with salt water, applying cold or hot compresses and being gentle when brushing.

Dawn SwansonDawn Swanson
10:27 24 Nov 22
I have been with the Gentle Dental Practice for 8 years, the care and service I have received has always been 5 star. I have recently used their new hygienist Nicky who is great. Looking for a new dentist just contact their very friendly and proffessional team.
George HorseyGeorge Horsey
18:54 15 Nov 22
Dental Impant Surgery:I had my dental implants fitted recently and I am extremely happy with the outcome. Ali and the team have done an amazing job since I lost my 2 front teeth over 6 years ago. I had to wait for the surgery for a long time due to my age and the issues surrounding having implants at a young age.I finally had the surgery 12 weeks ago and had my two new crowns fitted last week. They look absolutely amazing and the whole procedure was way less painful than I ever thought it would be.I would highly recommend getting your implants done at the Gentle Dental Practice, you won't regret it!A massive thank you to everyone at the practice!
Deeban SkandalingamDeeban Skandalingam
12:06 03 Nov 22
Fantastic work on my teeth and I would highly recommend! My teeth turned out better than I had even hoped for. If you are in need of any dental work, you would be doing a great disservice if you didn't speak to this practice first. The staff were extremely friendly, there were text updates and all in all an excellent service from start to finish. If you haven't guessed already, I am thoroughly pleased with The Gentle Dentle. Thank you!
Pippa HarveyPippa Harvey
14:54 26 Oct 22
Like many people, I have an immense fear of dentistry, and dentists, due to previous experiences.I had two broken teeth and one that had been treated incorrectly by an NHS dentist. I had been in daily pain for about 18 months, and had been put on a 6 month waiting list by my NHS dentist.I called gentle dental to explain my problem and they offered me a same day appointment. They were kind, compassionate, understanding, patient and validating. I’m not sure anybody ever feels completely comfortable in the chair, but It’s the closest I’ve ever come!The work needed was carried out, all of the staff were kind and welcoming, and it showed me that the dentist doesn’t have to be a dreaded place!Thank you so, so much gentle dental! I will definitely be returning.
Tilesh PTilesh P
15:45 14 Sep 22
Dental Implants - 3 New Teeth - June 2022I had the most professional and pain free experience when getting my new tooth implants at Gentle Dental. Honestly I put it off for some many years because I just didn't want to go through the pain. But my experience was totally the opposite. Ali and the wonderful girls were there every step of the way. All my questions got answered and I was reassured everything would work out well. And it did. I was worried for no reason.I did think about going abroad to have it done but when you consider the risk factor, time and professional standards - it made no sense to me. I have known Ali for a long time and knew I would be in the best hands and if there were any issues these would could be resolved easily.If you are thinking of having dental implants at Gentle - don't waste any more time. Just book and get it done.Was it painful ? No, uncomfortable for a few days, yes for sure.I just wish I had it done sooner. Thanks guys, love my new teeth 🙂
Edward CrameEdward Crame
13:43 04 Dec 21
Very happy with all aspects of the work they have done. Very clean, professional and well run business.
Lynn HuddartLynn Huddart
12:43 24 Nov 21
Dr Ali Rifai was professional and I am very pleased with the outcome of my Invisalign's. I have been with this practice for many years and would highly recommend. The staff are very friendly and nothing is an issue.
Jonathan PlumbJonathan Plumb
11:52 24 Nov 21
Can't thank this practice enough for all their help. I don't post reviews very often, so when I do, it's because an impression has been left! Dr Ali saw me at short notice to help fix a broken tooth. The nurse (I think her name was Danni) was so helpful and kind, as were the rest of the team. Thank you for being there for me in my hour of need (the same day i asked for an appointment!)
Eva AugustEva August
07:11 06 Nov 21
I’m so happy to find this practice. I suffer from anxiety and high sensitivity to pain. It was very stressful for me going to dentist after years of fear. The team not only make me calm and welcome but I FELL ASLEEP during treatment with Dr Marshall ! So understanding and caring. Thank you!
Marc NevittMarc Nevitt
11:35 11 Oct 21
I have been using this dentist for well over a decade and can honestly say my teeth would be in a far worse situation if wasn’t for the Gentle Dental practice.My most recent visit was for a filling .. barely felt the injection!I would highly recommend this dentist to anyone, but especially if you’re teeth require a high level of care like mine.
Emma BrauerEmma Brauer
08:44 04 Aug 21
This place was recommended to me by family and for a nervous patient the best experience. The reception welcome is cheerful and friendly, beautifully modern area with hot drinks and water on offer.I needed implants, crowns and bridges followed by whitening, so lots of appointments. My dentist Mr Ali Rafai was superb from start to finish, so professional and personable. Throughout the whole process I was cared for wonderfully plus lots of laughs along the way. The constant care during appointments was very comforting, no rushing, and I knew I my needs were Mr Rafai's priority. Plus check up call the next day without fail to make sure everything was going well.Absolutely deserves five stars!
Alan SamuelAlan Samuel
13:30 14 Jul 21
Fantastic experience with Ali. It took 18 months including bone grafting, removing and replacing failed dental implants, invisaline for my bottom teeth which were all over the place and some veneers but now I'm delighted with the outcome.Ali was always very clear about how this wasn't an overnight solution in an honest and forthright manner which gave me confidence that he would deliver results.I was offered several overnight solutions from other dentists locally at a fraction of the cost but when I see how much effort and detail that went into my plan, I know i made the right choice.
Kurt JohnsonKurt Johnson
17:48 14 May 21
I have got no complaints about this Dental Practice. They were all very friendly and accommodating and always professional.My dental treatment was also really good, everything went according to plan and the results are great!I am VERY happy with the outcome and would recommend them anytime!

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