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% 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 the five stars, Kevin! We really appreciate you taking the time to support our team at Dental by Design in Hammersmith, London. 💙
09/17/2026
From start to finish they couldn't do enough made sure there was no pain and explained every detail which other companies did not do. I'm very happy with results thanks you
Response from Dental By Design
Thank you, Tracy! We’re so pleased you’re happy with your results and felt comfortable throughout your treatment. It’s lovely to hear that having every step explained made a difference. Your kind words mean a lot to our team at Dental by Design in Hammersmith, London. 💙
09/16/2026
Always friendly smiley reception both in Reception and in the surgery. The issues with teeth and gums are always carefully explained with the aid of a current X-Ray photo. Joe Flight is exceptionally caring and accommodating of personal circumstances with structured payment plans. Altogether PERFECT. THEY SAY THAT PRACTISE MAKES PERFECT. THIS PRACTICE IS PERFECT. THANK YOU. NICK
Response from Dental By Design
Thank you, Nick! Your “practise makes perfect” line certainly made us smile. 😊 It’s lovely to hear that you feel so well looked after by Joe and the team, and that everything is explained clearly. We really appreciate your thoughtful words and look forward to welcoming you back!
09/16/2026
Dr. Yasser El-Ali at Dental by Design did something truly priceless: he healed my fear and changed my life. People often focus on the cost of implants, but money was the last thing on my mind after what I went through. Four previous dentists left me so traumatised that I ended up in the hospital twice with dangerous blood pressure. I never thought I could face this surgery. Dr. Yasser changed everything. His incredible skill and calming nature completely erased years of trauma. You cannot put a price tag on a doctor who restores both your smile and your peace of mind.
Response from Dental By Design
Thank you so much, Xhevahir, for sharing such a deeply moving review. We are truly honoured that Dr Yasser El-Ali helped you overcome years of dental fear and made you feel safe throughout your implant treatment. Knowing that he restored not only your smile but also your peace of mind means more to our entire team than words can express. Thank you for placing your trust in Dr Yasser and Dental by Design in Hammersmith, London. We wish you many happy and confident years with your new smile.
09/14/2026
Finished treatment at Dental by Design and have been very well looked after throughout the process. Dr Yasser and Mr Ledio have been amazing and supportive every step of the way and I'm super happy with the end result of treatment. Thank you.
Response from Dental By Design
Thank you so much, Luke! We’re delighted that you felt well looked after throughout your treatment and that you’re so happy with the final result. Dr Yasser, Ledio and the entire team really appreciate your kind words. It was a pleasure caring for you at Dental by Design in Hammersmith, London!
09/12/2026
Are you better and cheaper than Bannings please?
Response from Dental By Design
Hi Peter, it’s difficult to compare without knowing which treatment you need. At Dental by Design in Hammersmith, London, we focus on high-quality care and transparent, competitive pricing. You’re welcome to book a free consultation so we can assess your needs and provide an accurate quote.
09/12/2026
Excellent results and experience. The treatment was very quick and effective thank you
Response from Dental By Design
Thank you so much, Rashna. We’re delighted to hear that you’re pleased with both the results and your experience, and that your treatment felt quick and effective. We really appreciate your kind review and look forward to welcoming you back to Dental by Design in Hammersmith, London.
09/09/2026
I found Dental By Design with the help of our friend Google. I did a thorough ChatGPT search on the practice, and Dr. Yassa and the results were outstanding. My experience with Dr. Yassa was always one of kindness respect. He was always very helpful and understanding his nurse.Ms Adriana was always very kind always make me feel welcome. I have nothing but praise for the practice Dr. Yassa and ms Adriana whenever I arrived at the practice, the receptionist were Alsoso very kind and helpful I look forward to seeing them again when I need to go in for further appointments I Have recommend this practice To my family and friends, I wouldn’t hesitate to recommend it to anybody needing help with their teeth. Overall, my experience has been outstanding.
Response from Dental By Design
Thank you so much for this wonderful review and for choosing Dental by Design in Hammersmith, London. We’re delighted that Dr Yasser, Adriana and our reception team made you feel welcome, respected and well cared for throughout your visits. Your recommendation to your family and friends means a great deal to us. We look forward to welcoming you back and continuing to support you with your dental care!
09/08/2026
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