Aa
A
A
A
Close
Oral and Maxillofacial Surgery Forum
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Avatar universal

Gum grafting on an exposed implant

I'm very concerned.  I had an implant that failed, it was removed and I had bone grafting, then I had another implant surgery.  The bone and gum on the out-facing side of the implant receded and a good portion of the implant is exposed. It was recommended that I have gum surgery prior to having the crown placed on the implant because so much of the implant is exposed - it is very ugly looking.  The other option is to have a special crown made that extends up over the implant with a fake gum line.
What would you recommend?  What is the success rate for gum surgery over a metal implant? What is the success rate of using connective tissue vs tissue out of a jar for gum grafting?
Thank you so much!
4 Responses
373693 tn?1324485502
MEDICAL PROFESSIONAL
A free gingival graft will not work to cover the implant unless there is bone between the implant and the gum tissue.

My suggestion is to have a bone graft with guided tissue and bone regeneration to cover the implant.  This would not only yield the best cosmetic results, but would strengthen the implant by better bone contact.

The other prosthetic option may be to have pink porcelain cover the exposed implant.  I do not like this option.  Maintenance is very difficult and worsening of gum tissue can occur.

Information contained within this reply is intended solely for general educational purposes and is not intended nor implied to be a medical diagnosis or treatment recommendation.  This is not a substitute for professional medical advice relative to your specific medical condition or question. Always seek the advice of your own doctor for medical condition. Only your doctor can provide specific diagnoses and therapies.
Avatar universal
if as described, do bone grafting the the outerside of the implant, if using patient's real bone: marrow which is taken from patient's knee, will that part of bone grafting will finally grow as patient's own bone and integrated with the implant? Thanks.
Avatar universal
A related discussion, bone transplant. was started.
Avatar universal
A related discussion, Porcelaine In Plants was started.
Popular Resources
If you suffer from frequent headaches, jaw clicking and popping ear pain, you may have TMJ. Top dentist Hamidreza Nassery, DMD, has the best TMJ treatments for you.
For people with Obsessive-Compulsive Disorder (OCD), the COVID-19 pandemic can be particularly challenging.
A list of national and international resources and hotlines to help connect you to needed health and medical services.
Here’s how your baby’s growing in your body each week.
These common ADD/ADHD myths could already be hurting your child
This article will tell you more about strength training at home, giving you some options that require little to no equipment.