Thin Receding Gums And Dental Implants – What’s Important? Video by Ramsey Amin, DDS

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.

Before Gum Graft 

There are a couple of main issues associated with thin, fragile gums and dental implants.

  1. The implant shows through the gums as a grey or grayish tint. This does not look good.
  2. 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.

This picture says it all:
Implant_failure Solutions I use: (much more detail in the video)

  1. Gum and/or bone grafting before or during the implant procedure to thicken the gums
  2. Use of a custom abutment made of zirconia or titanium
  3. Proper implant design
  4. Proper crown design
  5. Precise placement of the implant to begin
  6. 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.
  7. 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
Burbank, California
http://www.burbankdentalimplants.com

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14 Responses to Thin Receding Gums And Dental Implants – What’s Important? Video by Ramsey Amin, DDS

  1. Azhar Keenoo says:

    I would really like to know the approximate pricing gum grafting in the frontal area of my upper jaw…slight gum loss has started…please help regarding

  2. Hi Azhar,
    Gum grafts are usually done on a “per tooth” basis. The average cost is about $1100 per tooth as of 2011.
    Ramsey A. Amin, D.D.S.
    Diplomate of the American Board of Oral Implantology /Implant Dentistry
    Fellow of the American Academy of Implant Dentistry
    Burbank, California
    http://www.burbankdentalimplants.com

  3. Sarah Martin says:

    I am 29 years old and I had a bone graft done in early April on my #7 tooth that I have never had (I have had a marilyn bride in that place for 17 years. My Dentist used mineross as the grafting material. When he opened my gums for the implant a few days ago he was shocked to see that the graft did not work. He said instead of bone it looked like gristle. He said he hasn’t seen anything like this in 24 years of doing grafts and implants. Have you ever encountered a situation like this? I don’t know where we go from here.
    Thanks,
    Sarah, Tulsa OK

  4. Hi Sarah,
    Complications can and do occur, but that doesnt mean it is the fault of your dentist or you. He will probably “re-graft” the area and place the implant in a few months.
    Be patient and it will more than likely work out.
    Ramsey A. Amin, D.D.S.
    Diplomate of the American Board of Oral Implantology /Implant Dentistry
    Fellow of the American Academy of Implant Dentistry
    Burbank, California
    http://www.burbankdentalimplants.com

  5. Samuel says:

    this is amazing, gum issues is is really a lifelong problem though.

  6. Waseem says:

    Thanks. This is useful. My new periodontist has recommended subepithelial tissue grafts on 20/21, 28/29 so I was googling around to find info about this and ran into your site.

    Any thoughts on if platelet growth factor if required or not for this procedure? Its an optional procedure not covered by insurance so trying to figure out if I should go for it. Articles imply that it does seem to help but not sure if it is worth it?

    thanks

    • Hi Wassem,

      Grafting those particular teeth is very common. Growth factors are helpful and can improve results. The worse the recession is, the more inclined I would be to use growth factors and/or PRP. If the recession is mild and you are very healthy, it may not be needed.

      Does this help you?

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry
      818-846-3203

  7. Linda Thomas says:

    Thank you for posting this information. I had a gum graft at two of my bottom front teeth. I’m very nervous because my periodontist cannot guarantee that this will work. I am 46 with Type ! diabetes and the recession is actually exposing bone. This is due to two different abscesses in my early twenties when my diabetes was not well controlled and flossing was a thing of the future. Fortunately my teeth are not loose but if this doesn’t work they will be some day. I found you as I was looking into whether I could get implants if I did lose those teeth in the future. Also, I’m sorry I didn’t know about you before, I work in Burbank…
    Thanks, Linda

    • Hi Linda,

      Yes, implants can be done in that area. Let me know how I can help.
      Gum grafts usually heal very well. Have faith!

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry

  8. Rod G. says:

    Very informative article and video! It’s nice to see that you take the possible aesthetic issues into account when performing a dental implant.

  9. Dawn steityeh says:

    I recently did three implants , two of which were fine but the third one looks like it hasn’t been angled properly and will show at the top of the tooth when the new crown is fitted ,what can I do about this , please help.

    • Ramsey Amin DDS says:

      Hi Dawn,

      The abutment will correct most minor changes in angulation. Natural teeth are not straight in the bone either. Sometimes implants are purposely angulated too!

      Respectfully,

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry

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  11. sara dolby says:

    Excellent article. Keep writing such kind of info on your blog.

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