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
Best dental practice in the world. From the outset total honesty great pricing and the warmest welcome ever. All information given well in advance and surgey advice aftercare excellent. Do not hesitate to contact them for a full examination where you get to see your own scans for an honest proffesional conversation about your dental needs. They are in the profession as they care about their paitents not how much they charge. The reception staff and practice manager are stars.
Response from Dental By Design
Thank you for your wonderful review. We are really glad you felt welcomed, well informed, and supported with clear advice and aftercare. Your kind words about our reception team and practice manager mean a lot to us.
10/17/2026
I spent the whole day with Dr Yasser and team, watching him work his magic on a patient who was having full mouth surgery. I am an implant dentist with over 25 years of experience. He is very approachable, It was a real pleasure chatting. He has a great knowledge with regards to implants. Thank you for sharing your experience and knowledge. Dr Thomas Olivelle
10/16/2026
What I loved was the expertise and honesty shown by the dentist who advised me.
Response from Dental By Design
Thank you, Sarah. We’re so pleased you appreciated Dr Yasser’s expertise and honest advice. Taking the time to explain your options clearly is important to us. We appreciate you sharing your experience at Dental by Design.
10/14/2026
Good Service Good Attitude with the Custome
Response from Dental By Design
Thank you, Manuel! We’re pleased you enjoyed the service and our team’s friendly approach. We look forward to welcoming you back to Dental by Design in Hammersmith, London!
10/14/2026
I was initially devastated when I discovered that one of my front teeth was becoming loose. Therefore, I was concerned about getting an implant that was not only strong and reliable but also looked as natural as possible. Despite my case being particularly challenging, Dr Yasser went above and beyond to achieve the best possible result, making sure I felt comfortable throughout the entire process. I genuinely cannot thank him and the entire Dental by Design team enough for their care. They turned what was initially a devastating situation into a much more positive experience. I honestly couldn’t have chosen a better dentist or clinic!
Response from Dental By Design
Thank you for such a heartfelt review! 💙 We’re so pleased Dr Yasser and the team helped turn a difficult and worrying situation into a positive experience, and that you felt comfortable throughout your care.
Thank you for placing your trust in us. We’ll make sure Dr Yasser and the whole team hear your lovely words!
The Dental by Design Team
10/10/2026
I had an excellent experience at Dental by Design with Luis, who is without doubt the best hygienist I have ever had. He was extremely professional, caring and gentle, and took the time to make sure I felt completely comfortable throughout my appointment. I am sending my entire family to him now. Thank you
Response from Dental By Design
Thank you for your lovely review, Mehrnaz! 💙 We’re delighted that Luis’s gentle, caring approach helped you feel comfortable throughout your appointment. We’ll be sure to share your kind words with him.
Recommending us to your whole family means so much. We look forward to welcoming them too!
The Dental by Design Team
10/07/2026
Response from Dental By Design
Thank you for taking the time to leave us a rating Robert. We appreciate your feedback here at Dental by Design in Hammersmith, London!
10/07/2026
I saw Rob Jung this morning, he was highly professional and their dental practice is state of the art. Their X ray machine is the best I have experienced so far. No biting into metal objects in your mouth just a simple putting your chin on something and the machine takes a picture of your entire mouth in seconds. Very impressed and looking forward to having my implant. Highly recommend this practice.
Response from Dental By Design
Thank you, Naz. We are glad you had such a positive visit with Dr Rob Jung and that you were impressed by the technology and how comfortable the scan was. We look forward to supporting you with your implant and we appreciate the recommendation.Thank you, Naz. We are glad you had such a positive visit with Dr Rob Jung and that you were impressed by the technology and how comfortable the scan was. We look forward to supporting you with your implant and we appreciate the recommendation.
10/07/2026
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