Thin gums area major cause of gum recession and can cause problems with dental implants too. You are genetically given the thickness of your gums. When it comes to dental implants…the thicker the gums the better. This is also true for natural teeth. This video explains some of the important issues.
When someone has receding or thin gums, I can surgically correct this by a gum graft. So if the gum is too thin, it can be thickened. Here is a photo of a gum graft I did to cover the root of this long tooth.
There are a couple of main issues associated with thin, fragile gums and dental implants.
- The implant shows through the gums as a grey or grayish tint. This does not look good.
- The gums can recede causing the bone to recede too. If this happens, the threads of the implant can show. This becomes a long term issue.
- Gum and/or bone grafting before or during the implant procedure to thicken the gums
- Use of a custom abutment made of zirconia or titanium
- Proper implant design
- Proper crown design
- Precise placement of the implant to begin
- At the time that I place implants, if possible, I move some of your existing gum from the palate side to the outside of your implant.
- Platform switching design
As you can see, there is A LOT to dental implant success. It is not just a screw put in the jaw! Many dentists don’t bother with the gums and just put the implant in. That is fine for the short term, but in time, you will probably develop problems.
Ramsey A. Amin, D.D.S.
Diplomate of the American Board of Oral Implantology /Implant Dentistry
Fellow of the American Academy of Implant Dentistry