Dental Implants with Gum Disease:
Yes, It's Possible
Gum disease doesn't mean you can't have implants. It means the disease needs treating first. Once your gums are healthy, implant success rates are excellent.
93-97%
success rate after periodontal treatment
3-6 mo
typical treatment-to-implant timeline
From £28
per month with finance
The honest answer about gum disease and implants
If you've been told you have gum disease and you're wondering whether dental implants are still an option, the answer is yes, with the right preparation.
Active gum disease and implants don't mix. Placing an implant into infected tissue would be setting it up to fail. But once the disease is treated and your gums are stable, implants work just as well as they do for anyone else.
The process takes a bit longer because we treat the gum disease first, let everything heal, and then place the implants into healthy tissue. It's a sequential approach, not a compromise. If you also smoke, that's another factor we address as part of the plan.
The Path from Gum Disease to Implants
Treatment happens in phases. Here's what to expect.
Assessment and diagnosis
We assess the severity of your gum disease with a full examination, X-rays, and probing measurements. This tells us exactly what level of treatment is needed before implants can be considered.
Periodontal treatment
For mild to moderate cases, deep cleaning (scaling and root planing) removes bacteria below the gum line. More advanced cases may need gum surgery to access deeper pockets. The goal is to eliminate active infection completely.
Healing and stabilisation
Your gums need time to heal and demonstrate stability. We monitor your progress with follow-up appointments. Good oral hygiene during this phase is critical for long-term success.
Implant planning
A 3D CBCT scan assesses your bone levels. If gum disease caused bone loss, we plan accordingly. All-on-4 techniques often work without separate grafting.
Implant placement
Implants are placed into healthy, disease-free tissue. The procedure is the same as for any other patient. With Vivo Bridge, permanent teeth can be fitted within 48 hours.
Ongoing maintenance
Regular hygiene appointments (typically every 3-4 months rather than 6) help prevent peri-implantitis. Good maintenance is especially important for patients with a history of gum disease.
Total estimated treatment time: 6-12 months from first visit to final teeth, depending on disease severity
93-97% implant success rate in patients with treated periodontal disease
A systematic review in the Journal of Clinical Periodontology found that implants placed after successful gum disease treatment have high success rates. The critical factor is eliminating active disease before implant placement, not whether you ever had gum disease.
Source: Journal of Clinical Periodontology
Concerns Specific to Gum Disease Patients
"I lost teeth because of gum disease. Won't the same thing happen to implants?"
This is a reasonable worry. If gum disease destroyed natural teeth, it's logical to wonder whether implants would face the same fate.
Implants can develop peri-implantitis, but it's preventable. The key differences: we treat the underlying disease before placing implants, we provide a tailored maintenance schedule (typically 3-4 monthly hygiene visits), and implants don't have the same vulnerabilities as natural teeth. With proper care, they last decades.
"I've been told I have significant bone loss"
Advanced gum disease erodes the bone that supports teeth. Some patients have been told by other dentists that they don't have enough bone for implants.
Bone loss is manageable. Techniques like All-on-4 use angled implants to work with available bone. Bone grafting can rebuild lost bone where needed. Even patients told 'no' elsewhere often qualify with us. A 3D scan gives us the definitive answer.
"How do I stop gum disease from affecting my implants?"
Patients with a history of gum disease are at higher risk of peri-implantitis if maintenance is neglected.
A structured maintenance programme is the answer. We schedule hygiene appointments every 3-4 months (rather than the standard 6). We teach you targeted cleaning techniques for around your implants. Patients who follow the programme have excellent long-term outcomes. If you also have diabetes, maintenance is especially important as both conditions affect gum health.
"The gum treatment itself sounds painful"
Deep cleaning and gum surgery sound intimidating. Many patients have avoided treating their gum disease because they're worried about the discomfort.
Modern periodontal treatment is far more comfortable than you'd expect. Deep cleaning is done under local anaesthesia. Sedation is available for patients who feel anxious. Most patients say the anticipation was worse than the reality.
UK's Top Rated Dentists
Dr Sunil Mangla
BDS (Liverpool), PG Cert Sed and Pain Management (Lon)
Dr. Yasser El-Ali
DDS (GBG Sweden) 2001, GDC Nr: 79231
Dr. James Bodonyi
M.B.M.S (Adel), M.A.
Dr Vikas Bajaj
BDS, Invisalign Platinum Certified
Dr Sunil Mangla
BDS (Liverpool), PG Cert Sed and Pain Management (Lon)
Dr. Yasser El-Ali
DDS (GBG Sweden) 2001, GDC Nr: 79231
Dr. James Bodonyi
M.B.M.S (Adel), M.A.
Dr Vikas Bajaj
BDS, Invisalign Platinum Certified
Dr Sunil Mangla
BDS (Liverpool), PG Cert Sed and Pain Management (Lon)
Dr. Yasser El-Ali
DDS (GBG Sweden) 2001, GDC Nr: 79231
Dr. James Bodonyi
M.B.M.S (Adel), M.A.
Dr Vikas Bajaj
BDS, Invisalign Platinum Certified
From Gum Disease to a New Smile
Hear from patients who overcame gum disease and received dental implants
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Gum Disease and Implants: Your Questions Answered
Can you get dental implants if you have gum disease?
Yes, but not while gum disease is active. The infection must be treated and stabilised first. Once your gums are healthy, implant success rates are comparable to patients who never had gum disease. The key is proper treatment sequencing.
How long after gum disease treatment can I get implants?
Typically 3-6 months after periodontal treatment, depending on the severity. Mild cases may only need a deep clean and a few weeks of healing. More advanced cases may require gum surgery followed by a longer stabilisation period. We monitor your progress and place implants only when conditions are right.
Will gum disease come back after I get implants?
Implants can develop peri-implantitis, which is similar to gum disease around natural teeth. However, with proper oral hygiene and regular maintenance visits, this risk is very manageable. We provide a personalised maintenance plan to protect your investment.
What if I've already lost teeth from gum disease?
Tooth loss from gum disease is one of the most common reasons patients come to us. The bone loss that accompanies gum disease can be addressed with techniques like All-on-4, which uses angled implants to maximise available bone.
Is the implant procedure different for gum disease patients?
The implant placement itself is the same. The difference is in the preparation: we ensure your gums are completely healthy before proceeding. Some patients also need bone grafting if gum disease has caused significant bone loss. Your treatment plan is tailored to your specific situation.
How much do implants cost for gum disease patients?
Implant costs are the same regardless of gum disease history. Single implants from £1,695, full arch from £6,995. You may have additional costs for periodontal treatment beforehand (deep cleaning, gum surgery). We provide a full cost breakdown at your consultation. 0% APR finance from £28/month. See our funding options.
What Our Patients Say
Real stories from real patients who transformed their smiles with Dental By Design
Response from Dental By Design
Thank you for your five-star rating, Janis! ⭐ We really appreciate your support and look forward to welcoming you back to Dental by Design. 💙
11/09/2026
⭐⭐⭐⭐⭐ An Exceptional Experience at Dental by Design I honestly cannot recommend Dental by Design highly enough. My experience with the whole team has been exceptional from start to finish. A special thank you to Dr. Yasser, who has been absolutely outstanding throughout my treatment. His professionalism, expertise, patience and incredible attention to detail have made such a difference. He genuinely cared about achieving the best possible result for me, and I am extremely grateful for all his hard work. I would also like to give a huge thank you to Mrs. Lisa and Adriana, who supported me throughout the treatment. They were always kind, professional and reassuring, and their care made the whole experience so much easier and more comfortable. The final set of bridges that Dr. Yasser and the team have completed for me has genuinely changed my life. The result has completely transformed my smile and, more importantly, my confidence. It is difficult to put into words just how much of a difference this has made to me personally. I am incredibly grateful to Dr. Yasser, Lisa, Adriana and the entire team at Dental by Design for giving me a result that I could only have hoped for. Thank you for giving me my confidence back and for changing my life with your incredible work. If you are considering dental treatment, I would wholeheartedly recommend Dental by Design. You will be in excellent hands. ⭐⭐⭐⭐⭐ Five stars without hesitation!
Response from Dental By Design
Thank you so much for your wonderful review. We are delighted to hear that everything went well with your surgery and that you felt supported throughout your journey with us. Dr Yasser El-Ali, Adriana, Livi and the whole Dental by Design team will be so happy to read your kind words. It means a lot to know that we could help make this dream come true for you. We wish you a smooth recovery and look forward to seeing your final results!
11/07/2026
Total professionals from start to finish. The Dr's and even receptionists made me feel welcome and looked after. Highly recommend. Thank you
Response from Dental By Design
Thank you, Will! We’re so pleased you felt welcome and well looked after throughout your visits. We’ll share your kind words with our clinicians and reception team. Thank you for recommending us!
The Dental By Design team
11/06/2026
I cannot praise Dental by Design highly enough! Yesterday, I had my final upper and lower zirconium implant bridges fitted, and I couldn’t be happier with the care and professionalism I’ve received throughout my treatment! My final fitting was originally scheduled for November 13th, but unfortunately, my temporary acrylic bridge cracked while I was eating on Sunday. Rather than leave me struggling until my scheduled appointment, Dr Yasser went above and beyond, rearranging his busy schedule to accommodate me and complete my final fitting yesterday. That level of dedication, flexibility and genuine concern for a patient’s wellbeing is something truly special. It’s one thing to provide excellent dental treatment, but quite another to demonstrate such exceptional personal commitment to your patients. Dr Yasser has done both, and I am enormously grateful. I must also give a special mention to the wonderful Nurse Adriana, who, as always, has been an absolute delight. She is consistently friendly, welcoming, professional and reassuring. Her warmth and kindness make every visit a pleasure, and she is a tremendous asset to the practice. Having undergone such extensive dental treatment, I know just how important it is to feel confident in the people looking after you. At Dental by Design, I’ve felt that confidence every step of the way. The combination of clinical expertise, genuine compassion and outstanding customer service really does set this practice apart. A heartfelt thank you to Dr Yasser, Adriana and the entire team at Dental by Design. You have made a tremendous difference, and I am incredibly grateful. I wouldn’t hesitate to recommend Dental by Design to anyone considering dental implant treatment. Five stars simply aren’t enough!
Response from Dental By Design
Thank you so much for sharing such a heartfelt review. It is wonderful to hear that your full mouth restoration with implant-supported bridges was far more comfortable than expected and that you felt supported throughout the entire journey.
Dr Yasser and Adriana will be delighted to know how much their care, reassurance and attention to detail meant to you. We are especially pleased that seeing your new smile for the first time was such an emotional and confidence-building moment!
11/03/2026
All was nice and friendly. Thank you
Response from Dental By Design
Thank you, Fred! We’re glad you enjoyed your visit and found our team friendly. We look forward to welcoming you back!
10/30/2026
Great friendly service would recommend
Response from Dental By Design
Thank you, Marc! We’re so pleased you enjoyed the friendly service. Your recommendation means a lot to our team! 💙 The Dental by Design team
10/25/2026
Very beautiful clinic and the staff were all very friendly and professional. A lot of time and effort was put into my consultation. They wanted to do the best they could for me to keep my teeth with a smile makeover rather than all implants. I would highly recommend this clinic for their honesty and professionalism. They really do care about their patients.
Response from Dental By Design
Thank you for your thoughtful review, Robert! We’re delighted you felt welcomed and that the time and care taken during your consultation made a difference. Helping you understand your options and giving honest advice are so important to our team. Your recommendation means a great deal to us! 💙 The Dental by Design team
10/23/2026
A really good experience, everything fully explained. No pressure at all. Thank you for your help
Response from Dental By Design
Thank you for your lovely review, Janice! We’re so pleased everything was clearly explained and you felt comfortable making decisions without any pressure. It was a pleasure to help you. 💙 The Dental by Design team
10/22/2026
After a lot of research and disappointing overpriced quotes, I ended up at Dental by Design clinic, and immediately felt like home. I met with Dr. Yasser and drive me through the all process paying attention to my complicated health conditions and risks of potential failure. After the consultation, I met lovely Livy and arranged the financial and appointment details for the surgery. I decided to have cautious sedation and honesty time of operation pass so quickly , and never felt a thing. I didn't have any pain or significant swelling post-surgery, exactly as Dr. Yasser promised me. Now I have a diamond smile and the most natural result I ever seen before. I can't recommend less Dental by Design clinic with the amazing staff, and the superstar specialist Dr. Yasser that I honestly consider as a friend after all. Special thanks to Mr. Ledio for his precious assistance during my appointments , by being Dr. Yasser's right hand. A million thanks and my forever appreciation for bringing happiness into my life again.
Response from Dental By Design
Thank you, Spy, for such a heartfelt review! We’re so pleased you felt at home with us and that you’re delighted with your new smile. Dr Yasser, Livy and Ledio will be especially happy to read your kind words. Hearing how much this has meant to you is the best thank-you our team could receive. Thank you for your trust and recommendation, we look forward to seeing you again! 💙
10/20/2026
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Gum Disease Doesn't Have to Be the End of the Story
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