Gaps Between Dentures and Gums After Implant Surgery

There is a gap between the dentures and the gums?

After I just had a dental implant and received the crown, I noticed that I could see the metal cylinder both in front and behind.
After taking it back for adjustments, the cylinder is no longer visible from the front, but I can still see it from the inside.
There seems to be a gap of more than 1mm between the crown and the gum.
Is this a problem?

Mingzhi, 30~39 year old female. Ask Date: 2021/09/23

Dr. Zeng Guanghui reply Dentistry

It is recommended that if there is still a gap of 1mm or more on the lateral side of the tongue, you should return for a follow-up appointment with your dentist for further examination.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2021/09/23

More Info

After undergoing dental implant surgery and having a denture placed, it is not uncommon to notice some gaps between the denture and the gums. This can be particularly concerning if you can see the metal post of the implant or if there is a noticeable space of about 1mm between the denture and the gums.
Firstly, it is important to understand that the healing process following dental implant surgery can vary significantly from person to person. The gums may take time to adjust to the new implant and denture, and during this period, some gaps may appear. However, a gap of more than 1mm is generally considered significant and should be evaluated by your dentist.

The presence of a gap can lead to several potential issues. One of the primary concerns is the risk of food particles getting trapped in the space, which can lead to plaque buildup and, subsequently, gum disease. If the gap is large enough, it may also affect the stability of the denture, leading to discomfort or difficulty in chewing. Additionally, if the metal post is visible, it may not only be an aesthetic concern but could also indicate that the denture is not fitting properly.

In terms of what can be done about this situation, it is advisable to return to your dentist for a thorough examination. Your dentist will likely assess the fit of the denture and the condition of the gums. They may recommend adjustments to the denture to ensure a better fit, which could involve reshaping the denture or adding material to fill the gap. In some cases, if the gap is due to improper placement of the implant or if the gums have not healed correctly, further intervention may be necessary.

Moreover, maintaining good oral hygiene is crucial during this period. It is essential to clean the area around the implant and denture thoroughly to prevent any potential infections or complications. Using a soft-bristled toothbrush and possibly an interdental brush can help in cleaning the areas that are hard to reach.

In summary, while some gaps between dentures and gums can be normal after implant surgery, a gap of more than 1mm warrants attention. It is crucial to consult with your dentist to evaluate the situation and determine the best course of action. Regular follow-ups and good oral hygiene practices will help ensure the longevity of your dental implants and overall oral health.

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