Space Between Implant and Gum: Is this Common?

Last Updated: Nov 12, 2015

I received a dental implant 2 years ago and paid for it without the help of insurance. Since then, I have seen the periodontist twice because he told me there is some space between the implant and the gum, and have been charged for these after-care visits (each time he says to come back just one more time).I am wondering, is it common for there to be a space between the implant and the gum? Does this mean it was placed incorrectly? Also, do most periodontist charge for after-care services like this? Shouldn’t this be part of the surgical fee? Please advise.

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Dr. Carlos Boudet

11/12/2015

Whenever there is a problem with the surgical placement of an implant it becomes obvious during the first 6 months after placement. The gums adapt tightly around an implant, and normally there is no discernible space. When inflamation, infection or bone loss causes a space to develop, it should be properly treated. There are other things that can cause problems with the implant, such as a badly designed restoration on top of the implant, residual cement that has not been removed, peri-implantitis from inadequate cleaning around the implant, excessive forces such as clenching, etc... I believe that the periodontist is not going to be able to offer periodontal services for the implant ot "after care" without charging for those services. Hope this helps, and good luck!! Carlos A. Boudet, DDS, DICOI

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