Peri-implantitis is infection and inflammation of the gum and bone around a dental implant. Left alone it destroys the bone the implant depends on. Peri-implantitis treatment aims to clear the infection and keep the implant. We assess the extent of the bone loss and tissue damage at your first visit and give you a realistic timeline.
Led by Dr Ope Sodeinde, GDC-registered specialist periodontist, at our Primrose Hill practice.

Bleeding, swelling, recession or a feeling of movement around an implant are warning signs, and the worry that a costly implant is at risk is understandable. A precise diagnosis comes first: we probe the pocket and x-ray the site to see how much bone has gone. Within our periodontics in London, non-surgical periodontal therapy is the first line, removing the deposits and bacteria from the implant surface below the gum line.
The earlier peri-implantitis is treated, the more bone is kept and the better the chance of retaining the implant. Depending on the diagnosis, we may use laser gum therapy to decontaminate the site or crown lengthening to reshape the gum line around the restoration.
We work diagnosis first, so you only pay for the treatment the site needs, with an itemised breakdown of fees before we begin. Dr Ope Sodeinde assesses whether the implant is viable at that first visit.
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An implant that starts to fail is distressing, and we treat these cases without judgement. Whether you have inflammation or need gum abscess drainage, we assess the stability of the fixture to decide whether it can be saved. Some patients also ask about gummy smile correction around their restorations.
Every case of peri-implantitis differs, so Dr Ope Sodeinde sets your suitability and timeline at a clinical assessment. Costs and what can be expected of the result are explained once we have mapped the bone loss. Implants carry their own warranty terms.
We examine the implant and surrounding tissue to establish the extent of the infection, and whether the implant can be saved or other options are needed, before explaining the proposed treatment.
We remove plaque and bacteria from the implant surface, concentrating on the junction between implant and gum, so the disease stops progressing and the tissue can heal.
In some cases we perform pocket reduction surgery to remove the deep gaps where bacteria hide. If gum surgery feels daunting, tell us; local anaesthetic and sedation options are discussed beforehand.
We monitor the site as the gum settles against the implant. This takes time, and we confirm the inflammation has subsided before moving to long-term care.
To keep the infection away, you are enrolled in the periodontal maintenance programme. Regular professional cleaning protects the supporting bone.
Treatment is led by Dr Ope Sodeinde, specialist periodontist (GDC No. 104071), who examines your gums and reviews your medical history to plan your care. Non-surgical care comes first wherever it can work: subgingival cleaning and debridement, and laser gum therapy to decontaminate the implant surface.
The wider range includes scaling and root planing, gingivitis treatment, gum abscess drainage, crown lengthening and gum irrigation. Follow-up appointments are scheduled to check healing, because maintenance is what keeps the result.
Fees depend on the extent of the infection and the approach needed. We give you a full cost breakdown at your consultation after assessing your dental implants.
It depends on the severity of the bone loss. Some cases need guided tissue regeneration to rebuild support, which extends the healing period.
The area is numbed with local anaesthetic, and sedation is available if you are anxious. Most patients find the treatment manageable.
Anyone with an implant showing bleeding, pocketing or bone loss on x-ray. Keeping the result depends on strict adherence to a maintenance programme, which is essential for those with implants when gum disease is present.
Read next: dental implants.
Saving an implant starts with a precise clinical assessment of whether the bone and tissue can be recovered. Dr Ope Sodeinde carries out this evaluation at our Primrose Hill practice and decides whether the implant can be retained. You can learn what happens at your first periodontal consultation and how to book.
Dr Ope Sodeinde sets the path at your assessment. It may include laser gum therapy to remove bacteria or gum abscess drainage for acute infection, and where needed:
Dr Ope Sodeinde provides a written plan and itemised quote that is yours to keep and use at any other practice. Arrange your assessment with the specialist periodontist to find out what your implant needs, or call 020 7589 7792.

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111 Regent's Park Road, Primrose Hill, London NW1 8UR
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