Jun 3, 2025
Can Dental Implants Get Cavities? A Smyrna Dentist Explains
By Dr. Leslie Patrick, DMD
It's a logical question we often hear from our patients at Smyrna Dental Studio after they've received a new dental implant: "Since my new tooth is artificial, can it still get a cavity?" It’s a great question that gets to the heart of how to properly care for this incredible, long-term investment in your smile.
The straightforward answer is no, a dental implant cannot get a cavity. But that is only half the story. While the implant is immune to decay, it faces a different kind of threat. This guide will explain why your implant is cavity-proof but also reveal the real risk to its longevity, and the simple steps you need to take to protect it for a lifetime.
Why Your Dental Implant is Cavity-Proof
Dental cavities, also known as tooth decay, are caused by acids produced by bacteria that eat away at a tooth's natural enamel. A dental implant restoration is made of three main parts, none of which are natural enamel:
The Titanium Implant Post: This is the "root" that is surgically placed in your jawbone. It's made of a biocompatible metal.
The Abutment: A connector piece, also made of metal.
The Crown: The visible "tooth," which is typically crafted from high-grade porcelain or zirconia.
Since these materials are artificial, the bacteria that cause cavities simply cannot break them down. Your implant will never decay or need a filling.
The Real Threat to Your Implant: Peri-Implantitis
While your implant is safe from cavities, it can fail if the foundation supporting it, your gums and jawbone, becomes unhealthy. The number one threat to a dental implant is a condition called peri-implantitis.
What is Peri-Implantitis? Peri-implantitis is an inflammatory condition caused by a buildup of bacterial plaque around a dental implant. It is essentially gum disease for an implant.
How it Starts: The same plaque that causes cavities on natural teeth can accumulate around the base of the implant crown where it meets the gumline.
How it Progresses: If not removed, this plaque hardens into tartar, infecting the gums and causing them to become inflamed and pull away from the implant.
The Danger: As the infection worsens, it begins to destroy the jawbone that the implant is fused to. This bone loss can cause the implant to become loose and, if left untreated, eventually fail completely.
Protecting Your Investment: The Right Way to Care for Your Implant
The key to preventing peri-implantitis and ensuring your implant lasts a lifetime is a commitment to excellent oral health.
Daily Brushing: Brush for two minutes, twice a day, paying close attention to the area where the implant crown meets your gums.
Daily Cleaning Between Teeth: This is critical. A water flosser is the most highly recommended tool for implants, as it can effectively flush out bacteria from the small crevices around the implant. Implant-specific floss or interdental brushes are also great tools.
Regular Professional Cleanings: Your six-month dental checkup is non-negotiable. Our hygienists use specialized instruments made of a material that will safely clean your implant and its crown without scratching them, removing any tartar buildup that you can't remove at home.
FAQs: Your Implant Care Questions Answered
Q1: So I don't need to worry about sugar with my implant? While sugar won't cause your implant crown to decay, it can still fuel the bacteria that lead to plaque buildup and gum inflammation around the implant. Sugar also, of course, affects your remaining natural teeth. Maintaining a healthy, low-sugar diet remains crucial for your overall oral health.
Q2: What are the warning signs of peri-implantitis? You should call our Smyrna office immediately if you notice any of the signs of gum disease around your implant, such as:
Red, swollen, or bleeding gums when you brush.
Bad taste or pus coming from the implant area.
Pain or discomfort when you chew.
A feeling that the implant or its crown is loose.
Q3: Can my natural teeth next to the implant still get cavities? Yes, absolutely. Your natural teeth remain just as vulnerable to decay. Your daily hygiene routine must be excellent for your entire mouth, not just the implant. This comprehensive dental care is essential.
Q4: Is peri-implantitis treatable? Yes, especially when caught in its early stages. Early-stage treatment may involve a specialized deep cleaning around the implant. More advanced cases might require minor surgery to access and clean the implant surface and potentially place a bone graft. This is why your regular dental exams are so critical for early detection.
A Cavity-Proof Tooth Still Needs Excellent Care
While it's a relief to know your dental implant can never get a cavity, it's crucial to understand that its lifelong success is completely dependent on the health of the gums and bone that support it.
The best way to protect your investment is through a dedicated partnership: your diligent at-home care and our professional maintenance and oversight.
If you have a dental implant or are considering one, contact Smyrna Dental Studio today to schedule your next cleaning and checkup. Let's work together to keep your entire smile healthy for a lifetime!
