Gum Tissue Growth Around Implant Healing Cap?

What prompts gum tissue to grow up on the sides of a dental implant healing cap? I had a flapless implant surgery on #19 with a surgical guide 4 months after extraction. I have had no gum or bone grafting and no diagnosis of periodontal disease. Is this new tissue growth up the sides of the healing cap or just the way surgically-impacted tissues heal? It certainly looks like more tissue than I’ve ever had there and with no cutting in the surgery, I was surprised to see my gums so high up the cap. Is this normal?

6 Comments on Gum Tissue Growth Around Implant Healing Cap?

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Dr. Jeffrey Brook
11/9/2015
I agree with Dr. Tischler's assessment. The only other point I might consider would be to have your implant surgeon evaluate the overgrown tissue to be sure that it is healthy gum responding as Dr. Tischler stated rather than an tissue enlargement caused by a problem related to the implant. Good luck with your implant. Dr. Jeffrey Brook
Dr. Michael Tischler
11/9/2015
When tissue grows above or around a healing cap, it is usually because the height of the healing cap placed is not tall enough. This could be from the implant being placed lower than the initial original height of bone at surgery.When this occurs it usually doesn't have negative effect on the implant success. The role of a healing cap is to guide the tissue and form its shape. The healing cap can easily be changed to a taller one. Dr. Michael Tischler
Jane
7/8/2016
I have exactly this same situation, on the same tooth #19. I had extraction, bone graft, tissue regeneration, and implant placed all in one session, two days ago. My # 19 had a root canal 12 years ago, after which I hadn't visited a dentist until last month, when x-rays showed a dark shadow below the root of #19 (only on the front root of #19, the root toward the front of my mouth). I believe the infection had been there for at least 6 months, possibly even two years. Now on the 2nd day of recovery, my gums are growing up over the cap, and my surgeon said by email not to worry, and that it's probably fine, and we'll look at it in 2 weeks. Should I be worried about the implant being placed immediately in an area that was infected? And should I seek a second opinion about the gum growth? I did suggest that I should pop in to get a taller cap, but my surgeon brushed it aside. (I am a completely healthy female in 30s, non-smoker or drinker, no allergies, athletic). Thanks in advance for the feedback.
Megan
4/25/2018
I had a dental implant placed 2 months ago. The gums have not covered it like I was told they should. The next step is to place a screw on the end so a crown can be attached. Is there a problem with my gums?
George
11/2/2019
I am having a problem with my new upper snap in dentures staying in place when eating almost anything. I have complained ever since I started wearing them. At first my dentist said it was a defective o-ring and changed it out and said your good to go. First time I ate something they came loose. I'm not talking about eating a steak but eating salad or sandwich will make them come loose. My dentist has just given up and saying I'm not chewing right and that's just the way they are. When I first considered snap in dentures my dentist said I would be able to eat whatever I wanted. Had no problems with oral surgeon placing the inserts or temporary caps. The dentist screwed in the four upper implant studs and had the upper denture made and that's when my problem started. With my dentures out I can feel with my tongue that the back right implant is barely clearing my gums but the other the are stick out noticeably more. I am thinking that's why there not staying in due the back right implant is not completely snapping into my denture. Have lost faith in my dentist and looking for a solution. Could another dentist add a longer implant stud or is it a gum issue? Any suggestions would be appreciated.
Grv2190
9/12/2020
I had an implant done and also my dentist removed the gum and had put a very tall big crown and told me that gums will come over the implant crown but it's not coming yet

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