Black Gums from Dental Implants?

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Margeret from Australia asks us:
I had six dental implants in December in top jaw and
denture screwed in same day.

The denture did not fit on the dental implants properly and after many visits I am having a new denture made. However, two of the implants have turned really black on my gum and I am now wondering if that is a sign that all is not right. The denture was fine on four dental implants and seemed to be twisted on the two that are now black. Will an xray show if they haven´t taken properly? What is the best way to approach this? Thanks for any help?

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7 Responses to “ Black Gums from Dental Implants? ”

• Anonymous May 16th, 2006

  
  

  Hi,

  To the person who is having problems with black gums, I am having the same problems and my dentist just tells me that it will eventually go away. i don’t believe it. It is the same dentist who does not believe me when I tell him I have pain where there implants were implanted (front two teeth).

  What a nightmare!

  Diana

• Alejandro Berg May 16th, 2006

  
  

  Dear Margaret, actually the dark colouring is not an indicative of failure. Pain or mobility would be clearer ones.
  Normally that colour has more relation abutments and thin gums, or in some odd cases to the use of poor quality alloys on top of the implants. I think that the use of zirconia abutments by procera or gingihue abutments by 3i could help in your problem. Also there is the possibility of gingival graftig to get a thicker gum so abutments would dissapear.
  good luck.

  To Diana,the dark colour will never go away by itself and if you have pain and your surgeon doesnt believe you… change surgeon.
  Good Luck too

• Anonymous May 16th, 2006

  
  

  Thank you Mr. Berg.I will. - Diana

• Anonymous May 16th, 2006

  
  

  By the way, can you tell me whether special cleanings are required and when they should be done regarding implants?

  One dentist told me it is not necessary, but when he had to remove the abutment, a horrible smell of metal and whatnot eminated from the impant. He said he found a piece of cotton in there and that it was possible a previous dentist (i had several) had left it in there.

  In any case, in addition to a regular monthly cleaning, should a special cleaning be conduct re: the implant teeth?

  Thanks again,
  Diana

• Alejandro Berg May 16th, 2006

  
  

  Diana:
  Implant cleaning is a touchy subject still today…
  my position is simple:
  to clean implants one just needs to remove the prosthesis and abutments, use an ultrasonic cleaning bath on them, and never ever touch the implants themselves, they could be scratched…even with special instruments and that means trouble in the long run(plaque retention, gum inflamation and peri implantitis even implant loss). The only thing to be cleaned is the rehab on top of implants.
  The cotton pellet was used in the past to protect the head of the screw so cement would not get in the groove so one could retrieve the screw and so the abutment.Dont worry some guttapercha would do the same effect with no long term smell or complication. The metally smell is pretty normal whe opening implants, it can be avoided by placing some ophtalmic antibiotic on the screw so it will stay inside the implant threads, preventing any decomp, so no smell.
  By the way , Monthly cleaninig?????? is something wrong with your health (perio problems, diabetes)? if not, there is no reason for that.
  have a nice day

• Anonymous May 17th, 2006

  
  

  Diana, You have a big problem! First, get a new dentist. Second, the smell is caused by a microgap at the implant abutment junction. This microgap harbors periodontal bacteria that can and will affect your total health. The dentist used the wrong impant. Look at the study done by Dr Charles Cobb at the University of Kansas City. Now, as to the black gums. This is due to the thin gums. Gum grafting can’t be done over a piece of metal(the Implant) GOOD LUCK!!

• Anonymous May 18th, 2006

  
  

  Diana: mirogaps between implant and abutment has been there since the first branemark implant and still, it is the most used and the most succesful type… unless there is a clear miss adjustment nothing will happen, since casted UCLA abutments are widely used and those have the biggest microgap of all abutments, and still are succesful so wouldnt worry about the mirogap too much.
  In relation to the black gums, thin gums, change the abutment for ceramic ones and presto.
  grafting is much more complicated but is possible.
  luck

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