Can You Get Dental Implants If You Have Gum Recession?

Gum recession is a common dental concern, particularly among adults over 40. If you have noticed your gums pulling away from your teeth, you may be wondering whether dental implants are still a viable option for replacing missing teeth.

The good news is that gum recession does not automatically disqualify you from implant treatment. However, it does require careful assessment and, in some cases, preparatory treatment before implants can be placed safely.

Can You Get Dental Implants If You Have Gum Recession?

Yes, in many cases dental implants can be placed even with gum recession. The key factor is whether the underlying jawbone is sufficient to support the implant. Assessment of your candidacy involves a thorough clinical and radiographic examination.

What Causes Gum Recession?

• Periodontal (gum) disease — the most common cause, where bacterial infection destroys gum and bone tissue
• Aggressive brushing — using a hard-bristled toothbrush or brushing too forcefully
• Genetics — some people are more susceptible to gum recession regardless of oral hygiene
• Grinding and clenching (bruxism) — excessive force on teeth can cause gums to recede
• Tobacco use — smoking significantly increases the risk of gum disease and recession
• Hormonal changes — particularly during pregnancy and menopause

How Gum Recession Affects Implant Treatment

Gum recession itself does not prevent implant placement, but the associated bone loss can. When gums recede, the underlying bone often deteriorates too. Dental implants require a minimum volume and density of bone for stable placement.

Your dentist will use CBCT scanning to assess bone levels precisely. If bone loss has occurred, bone grafting or soft tissue grafting may be recommended before implant surgery.

Preparatory Treatments Before Implant Placement

Gum Disease Treatment

Active periodontal disease must be stabilised before any implant procedure. This may involve deep cleaning (scaling and root planing), antibiotic therapy, or periodontal surgery.

Soft Tissue Grafting

A gum graft can help rebuild receded gum tissue, providing better coverage around the implant site and improving aesthetics, particularly in visible areas like the aesthetic zone.

Bone Grafting

Where bone loss is significant, a bone graft restores the foundation needed for implant stability. Healing from a bone graft typically takes 3 to 6 months before implant placement can proceed.

Maintaining Implants with a History of Gum Recession

• Use a soft-bristled electric toothbrush with gentle pressure
• Clean around implants daily with interdental brushes or a water flosser
• Attend regular hygiene appointments every 3 to 4 months
• Stop smoking to reduce the risk of peri-implantitis
• Consider wearing a nightguard if you grind your teeth

Frequently Asked Questions

Can receding gums cause dental implants to fail?

Gum recession around an existing implant can expose the metal post and increase infection risk. Regular monitoring and good hygiene help prevent this. If recession occurs post-placement, soft tissue grafting may be considered.

Will my gums recede around a dental implant over time?

With proper care, the risk of gum recession around implants can be reduced. Risk factors include poor oral hygiene, smoking, and a history of periodontal disease. Your dentist will advise on a personalised maintenance plan.

How long do I need to wait after gum treatment before getting implants?

This depends on the extent of treatment needed. After gum disease stabilisation, your dentist will typically reassess within 4 to 8 weeks. Understanding the full dental implant procedure timeline helps set realistic expectations.