Have new symptoms checked
If pain develops after months or years of comfortable use, arrange an assessment. Do the same for bleeding during cleaning, swelling, an unpleasant taste or a feeling that something is moving.
You do not need to wait for every symptom to occur. Problems with the tissues around implants can be difficult to detect yourself. Having no severe pain does not replace check-ups.
What inflammation around an implant means
Inflammation can affect the soft tissues around an implant. This is called peri-implant mucositis. When the problem also involves loss of supporting bone, it is called peri-implantitis.
Distinguishing these requires an examination, often with comparisons of images and previous measurements. Swelling or a gum photograph alone cannot establish whether bone has been affected or by how much.
A loose crown and a loose implant are different problems
The restoration has several components. A problem may involve a crown, bridge, screw or connecting component, or the tissues supporting the implant. The distinction affects treatment.
Do not keep testing movement or try to tighten or glue anything. Describe what you have noticed and ask the practice what to do until your appointment. “The implant feels loose” alone is not a diagnosis.
What to prepare for the appointment
Note when symptoms started and whether pain occurs on its own or while eating. Mention bleeding, swelling, an unpleasant taste and when you last had a check-up.
Bring implant records, earlier images or restoration details if you have them. Do not delay contact because documents are missing. Tell the practice immediately about fever or a rapidly worsening condition.
Treatment depends on the cause and extent
Inflammatory problems require appropriate professional cleaning and a suitable home-care routine. More advanced bone loss may need further stages, including surgery. A damaged restoration component calls for a different approach.
Mouthwash cannot replace assessment and treatment of the cause. Do not choose an antibiotic yourself. Ask about the aim, limitations and timing of reassessment. Some implants cannot be retained, so the same outcome cannot be promised to everyone.
When urgent help is needed
Increasing swelling, fever, severe pain or feeling significantly unwell need urgent contact with a dentist. Difficulty breathing or swallowing requires urgent medical help.
When calling, describe the symptoms and how long they have lasted. Mention any movement of the implant or restoration; this helps plan the assessment.
Agree a plan for ongoing care
Ask for the cleaning method around your restoration to be demonstrated and choose tools you can use. Agree the next review date and how to report returning symptoms.
Regular appointments help detect changes earlier. Their frequency should reflect your condition, previous problems and ability to maintain cleaning.
Sources and further reading
- European Federation of Periodontology — Peri-implant diseases
- European Federation of Periodontology — Peri-implant disease: prevention
- European Federation of Periodontology — Peri-implant disease: treatment
- Cambridge University Hospitals — Dental implants in restorative dentistry
- Scottish Dental Clinical Effectiveness Programme — Bacterial infections and antibiotic prescribing
This article provides general information. Treatment decisions require an examination and a conversation with your dentist.