{"id":74671,"date":"2026-08-24T10:02:29","date_gmt":"2026-08-24T09:02:29","guid":{"rendered":"https:\/\/www.clinicalvor.pt\/controlled-periodontitis-can-i-get-implants\/"},"modified":"2026-08-26T09:34:13","modified_gmt":"2026-08-26T08:34:13","slug":"controlled-periodontitis-can-i-get-implants","status":"publish","type":"post","link":"https:\/\/www.clinicalvor.pt\/en\/controlled-periodontitis-can-i-get-implants\/","title":{"rendered":"Controlled periodontitis: Can I get implants?"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"74671\" class=\"elementor elementor-74671 elementor-74524\">\n\t\t\t\t<div class=\"elementor-element elementor-element-505e75b e-flex e-con-boxed e-con e-parent\" data-id=\"505e75b\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-693e6cc e-con-full e-flex e-con e-child\" data-id=\"693e6cc\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4bf5ddf uael-heading-align-left elementor-widget elementor-widget-uael-table-of-contents\" data-id=\"4bf5ddf\" data-element_type=\"widget\" data-settings=\"{&quot;scroll_offset&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:25,&quot;sizes&quot;:[]},&quot;content_between_space&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:4,&quot;sizes&quot;:[]},&quot;scroll_offset_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;scroll_offset_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;heading_text_align&quot;:&quot;left&quot;,&quot;heading_bottom_space&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;heading_bottom_space_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;heading_bottom_space_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;separator_bottom_space&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;separator_bottom_space_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;separator_bottom_space_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;content_between_space_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;content_between_space_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\" data-widget_type=\"uael-table-of-contents.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"uael-toc-main-wrapper\" data-headings=\"h4\" >\n\t\t\t<div class=\"uael-toc-wrapper\">\n\t\t\t\t<div class=\"uael-toc-header\">\n\t\t\t\t\t<span class=\"uael-toc-heading elementor-inline-editing\" data-elementor-setting-key=\"heading_title\" data-elementor-inline-editing-toolbar=\"basic\" >Table of contents<\/span>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"uael-toc-toggle-content\">\n\t\t\t\t\t<div class=\"uael-toc-content-wrapper\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<ul data-toc-headings=\"headings\" class=\"uael-toc-list uael-toc-list-none\" data-scroll=\"800\" data-scroll-offset=\"25\" ><\/ul>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"uael-toc-empty-note\">\n\t\t\t\t\t<span>Add a header to begin generating the table of contents<\/span>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dfbb405 elementor-widget elementor-widget-text-editor\" data-id=\"dfbb405\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p data-pm-slice=\"1 1 []\">For those who have lost teeth due to <a href=\"https:\/\/www.clinicalvor.pt\/en\/dental-medicine\/periodontics\/\">periodontitis<\/a>, the idea of getting implants may raise a very legitimate question: if the disease destroyed the support for the natural teeth, what prevents something similar from happening around the implants?<\/p>\n<p>This question requires some caution. A person with a history of periodontitis can, in many cases, receive dental implants. But there is one essential condition: the periodontal disease must be treated and clinically stable before beginning <a href=\"https:\/\/www.clinicalvor.pt\/en\/dental-medicine\/implantology\/\">implant<\/a> treatment.<\/p>\n<p>This does not mean that the risk becomes the same as that of someone who has never had periodontitis. A history of the disease remains a factor. It means that this risk can be identified, reduced, and monitored through proper planning and rigorous maintenance.<\/p>\n<p>The difference lies precisely here: placing the implant is only part of the treatment. Preserving it over the years begins long before surgery.<\/p>\n<h4>Controlled periodontitis does not mean that the disease never existed<\/h4>\n<p>Periodontitis is a chronic inflammatory disease that affects the tissues supporting the teeth. Bacterial biofilm acts as the primary trigger of the inflammatory response, and in susceptible individuals, this inflammation can lead to progressive destruction of the periodontal ligament and alveolar bone.<\/p>\n<p>It doesn\u2019t always hurt. In fact, one of the characteristics that makes periodontitis particularly insidious is that it can progress for quite some time with only mild symptoms. Gum bleeding, gum recession, persistent bad breath, tooth mobility, or changes in the position of the teeth may occur as the disease progresses.<\/p>\n<p>The treatment aims to control inflammation, reduce bacterial buildup, and create the conditions that allow the patient to maintain good oral hygiene on a daily basis.<\/p>\n<p>After this stage, we speak of periodontal stability when clinical parameters indicate that the disease is under control. This does not erase the history of periodontitis. A person who has already lost periodontal support continues to require lifelong monitoring and maintenance care.<\/p>\n<p>This distinction is particularly important when considering implants.<\/p>\n<h4>First, treat the periodontitis; then consider implants<\/h4>\n<p>Placing an implant in the context of active periodontal disease is not a good strategy.<\/p>\n<p>Before surgery, it is necessary to evaluate the entire mouth, treat any areas of inflammation, and verify that the patient is able to adequately control biofilm. Gums that bleed frequently, active periodontal pockets, or significant plaque buildup are signs that there is still work to be done before proceeding.<\/p>\n<p>European clinical guidelines for the prevention of peri-implant diseases are clear on this point: gingivitis and periodontitis must be treated until clinical stability is achieved before implants are placed, and the patient must subsequently adhere to a maintenance care program.<\/p>\n<p>This isn&#8217;t about creating a barrier to treatment. It&#8217;s about improving the conditions under which the implant will begin its functional life.<\/p>\n<p>It is also necessary to assess how much bone remains available. Periodontitis can cause significant bone loss, and depending on the location and extent of this loss, bone regeneration procedures or other implant planning strategies may be necessary.<\/p>\n<p>Therefore, the question should never be simply \u201cIs periodontitis under control?\u201d It should also be \u201cWhat is the current condition of the tissues, bone, and oral hygiene?\u201d<\/p>\n<h4>An implant does not have periodontal tissue, but it can still lose support<\/h4>\n<p>An implant does not develop periodontitis in the strict sense, because it does not have the same periodontal ligament as a natural tooth. This does not mean, however, that it is protected against inflammatory diseases.<\/p>\n<p>The gum tissue and bone surrounding the implant can also become inflamed.<\/p>\n<p>Peri-implant mucositis is an inflammation of the soft tissues surrounding the implant, without progressive loss of the supporting bone. When the inflammation is associated with progressive bone loss, it is referred to as peri-implantitis.<\/p>\n<p>This distinction helps us understand why follow-up care remains so important after rehabilitation is complete.<\/p>\n<p>A person who has lost teeth due to periodontitis is at a higher risk of developing biological complications around implants compared to someone with no history of the disease. Systematic reviews continue to identify an association between a history of periodontitis, a higher incidence of peri-implantitis, greater peri-implant bone loss, and a higher risk of implant loss.<\/p>\n<p>This does not mean that implants are doomed to fail. It means that we should not treat all patients as if they had the same risk profile.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-c231230 e-con-full e-flex e-con e-parent\" data-id=\"c231230\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-c73c35b e-con-full e-flex e-con e-child\" data-id=\"c73c35b\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0a9a6e7 elementor-widget elementor-widget-image\" data-id=\"0a9a6e7\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1200\" height=\"675\" src=\"https:\/\/www.clinicalvor.pt\/wp-content\/uploads\/2026\/08\/periodontite-controlada-ainda-posso-colocar-implantes1.png\" class=\"attachment-full size-full wp-image-74532\" alt=\"periodontite controlada ainda posso colocar implantes?1\" srcset=\"https:\/\/www.clinicalvor.pt\/wp-content\/uploads\/2026\/08\/periodontite-controlada-ainda-posso-colocar-implantes1.png 1200w, https:\/\/www.clinicalvor.pt\/wp-content\/uploads\/2026\/08\/periodontite-controlada-ainda-posso-colocar-implantes1-300x169.png 300w, https:\/\/www.clinicalvor.pt\/wp-content\/uploads\/2026\/08\/periodontite-controlada-ainda-posso-colocar-implantes1-1024x576.png 1024w\" sizes=\"(max-width: 1200px) 100vw, 1200px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\"><\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-e5c5792 e-flex e-con-boxed e-con e-parent\" data-id=\"e5c5792\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-40483bc elementor-widget elementor-widget-text-editor\" data-id=\"40483bc\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4 data-pm-slice=\"1 1 []\">Success begins long before the implant is placed<\/h4>\n<p>In a patient with a history of periodontitis, treatment planning should take into account more than just the area where the tooth is missing.<\/p>\n<p>It is important to assess the periodontal stability of the remaining teeth, the patient\u2019s ability to maintain oral hygiene, the available bone volume, the ideal position of the future implant, and how the prosthesis will allow for its cleaning.<\/p>\n<p>A prosthesis that is difficult to clean can become a problem even when the surgery went perfectly. The design of the restoration should allow adequate access for a toothbrush and interdental cleaning devices, as well as facilitate professional assessment of the peri-implant tissues.<\/p>\n<p>Other factors also come into play. Smoking, for example, is associated with an increased risk of periodontal and peri-implant complications. Metabolic control in people with diabetes, oral hygiene habits, and adherence to follow-up appointments should also be evaluated.<\/p>\n<p>That is why there is no answer based solely on an X-ray or a number.<\/p>\n<p>Two people with the same amount of bone may have very different prognoses if one has good periodontal stability and excellent plaque control, while the other has active inflammation and persistent difficulty with oral hygiene.<\/p>\n<h4>Maintenance is not optional after implants<\/h4>\n<p>There is a misconception that needs to be corrected: getting implants does not mean leaving periodontitis behind and starting over with structures that no longer require the same care.<\/p>\n<p>In fact, anyone with a history of periodontal disease should view maintenance as an integral part of implant treatment.<\/p>\n<p>During routine checkups, the tissues surrounding the teeth and implants are examined, as well as the presence of plaque, bleeding, the depth of the peri-implant tissues, and other signs that may indicate inflammation. When necessary, X-rays help monitor bone levels.<\/p>\n<p>The frequency of these visits should not be the same for everyone. It should be tailored to each person\u2019s individual risk, medical history, oral hygiene, and stability over time.<\/p>\n<p>Home care is just as important. Proper brushing technique, effective cleaning between teeth and implants, and the use of the recommended devices for each type of prosthesis are all part of preventive care.<\/p>\n<p>For a patient with previously treated periodontitis, this routine is not just extra care. It is what allows the patient to maintain the control achieved during periodontal treatment.<\/p>\n<h4>Having had periodontitis changes the plan, but it doesn&#8217;t necessarily rule out the option<\/h4>\n<p>There is an important difference between a contraindication and an increased risk.<\/p>\n<p>A history of periodontitis does not, in and of itself, constitute an absolute contraindication for implant placement. The evidence shows, however, that these patients are at higher risk for certain biological complications and, therefore, require more rigorous patient selection, treatment, and follow-up.<\/p>\n<p>It is also important to recognize that not all cases of periodontitis are the same. The extent of periodontal destruction, the rate at which the disease has progressed, the number of affected teeth, and other factors influence the prognosis.<\/p>\n<p>In some patients, it may be preferable to stabilize the situation for a while before proceeding. In others, it may be necessary to regenerate bone or modify the initially planned treatment. And there are situations in which a different form of rehabilitation may offer a more appropriate solution.<\/p>\n<p>Implant dentistry does not begin with the choice of implant. It begins with the diagnosis.<\/p>\n<h4>The goal isn&#8217;t just to place implants; it&#8217;s to keep them in place.<\/h4>\n<p>Once periodontitis is under control, the question is no longer simply \u201cCan I get implants?\u201d but rather \u201cAre the conditions right to place and maintain them in a predictable manner?\u201d<\/p>\n<p>That&#8217;s an important difference.<\/p>\n<p>At Clinicalvor, the integration of periodontics and implantology allows us to first assess the health of the supporting tissues and only then determine the rehabilitation strategy. In cases where a three-dimensional evaluation of the bone is necessary, 3D radiology can provide relevant information for treatment planning.<\/p>\n<p>For those who have had periodontitis, treatment does not end on the day they receive their new teeth. Periodontal and peri-implant maintenance continues to be part of the process.<\/p>\n<p>Treated and stable periodontitis may be compatible with implant-based rehabilitation. However, the patient\u2019s medical history of the disease should continue to be taken into account in clinical decisions\u2014not to prevent treatment, but to make it safer and more sustainable in the long term.<\/p>\n<h4>Refer\u00eancias<\/h4>\n<ul>\n<li><a href=\"https:\/\/www.efp.org\/education\/continuing-education\/clinical-guidelines\/guideline-on-treatment-of-stage-i-iii-periodontitis\/\">https:\/\/www.efp.org\/education\/continuing-education\/clinical-guidelines\/guideline-on-treatment-of-stage-i-iii-periodontitis\/<\/a><\/li>\n<li><a href=\"https:\/\/www.efp.org\/education\/continuing-education\/clinical-guidelines\/guideline-on-treatment-of-peri-implant-diseases\/\">https:\/\/www.efp.org\/education\/continuing-education\/clinical-guidelines\/guideline-on-treatment-of-peri-implant-diseases\/<\/a><\/li>\n<li><a href=\"https:\/\/www.efp.org\/for-patients\/dental-implants\/faqs\/\">https:\/\/www.efp.org\/for-patients\/dental-implants\/faqs\/<\/a><\/li>\n<li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/26381260\/\">https:\/\/pubmed.ncbi.nlm.nih.gov\/26381260\/<\/a><\/li>\n<li><a href=\"https:\/\/www.clinicalvor.pt\/en\/dental-medicine\/periodontics\/\">https:\/\/www.clinicalvor.pt\/medicina-dentaria\/periodontia\/<\/a><\/li>\n<li><a href=\"https:\/\/www.clinicalvor.pt\/en\/dental-medicine\/implantology\/implantologia-2\/\">https:\/\/www.clinicalvor.pt\/medicinadentaria\/implantologia<\/a><\/li>\n<\/ul>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>For those who have lost teeth due to periodontitis, the idea of getting implants may raise a very legitimate question: if the disease destroyed the support for the natural teeth, what prevents something similar from happening around the implants?<\/p>\n","protected":false},"author":1,"featured_media":74531,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_seopress_robots_primary_cat":"none","footnotes":""},"categories":[27],"tags":[153,540,334],"class_list":["post-74671","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-dental-medicine","tag-implants","tag-periodontal-disease","tag-periodontitis"],"_links":{"self":[{"href":"https:\/\/www.clinicalvor.pt\/en\/wp-json\/wp\/v2\/posts\/74671","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.clinicalvor.pt\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.clinicalvor.pt\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.clinicalvor.pt\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.clinicalvor.pt\/en\/wp-json\/wp\/v2\/comments?post=74671"}],"version-history":[{"count":1,"href":"https:\/\/www.clinicalvor.pt\/en\/wp-json\/wp\/v2\/posts\/74671\/revisions"}],"predecessor-version":[{"id":74672,"href":"https:\/\/www.clinicalvor.pt\/en\/wp-json\/wp\/v2\/posts\/74671\/revisions\/74672"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.clinicalvor.pt\/en\/wp-json\/wp\/v2\/media\/74531"}],"wp:attachment":[{"href":"https:\/\/www.clinicalvor.pt\/en\/wp-json\/wp\/v2\/media?parent=74671"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.clinicalvor.pt\/en\/wp-json\/wp\/v2\/categories?post=74671"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.clinicalvor.pt\/en\/wp-json\/wp\/v2\/tags?post=74671"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}