Dental Implant Bump On Gum

Hi everyone! Are you struggling with a broken tooth at the gum line? Maybe you’ve had root canal treatment, posts, and crowns, but the tooth has become weak and has broken off at the gum level. If so, you’re probably wondering about your options for replacing this front tooth with an implant. But have you considered that an implant at the front is different from one at the back? Let’s dive into this topic and explore the differences between front and back implants, using a recent case as an example.

Dental Implant Bump On Gum
Dental Implant Bump On Gum

The Importance of the Gum-Tooth Junction

Before we discuss the specifics, let’s talk about the junction where the gum and the tooth meet. This junction plays a crucial role in the cosmetic appearance of your teeth. When a tooth is removed, the bone surrounding it starts to disappear, particularly in the front. This bone loss affects the overall look of the tooth and the surrounding gum area. Although there may still be enough bone to support an implant, simply placing the implant can lead to a couple of problems.

The Difference Between Front and Back Implants

When an implant is placed at the front of the mouth, there is a significant difference compared to the back. The junction where the tooth originally emerged from the gum moves up a few millimeters after the tooth is removed. This can create the illusion that the implant tooth is longer than the surrounding teeth. Additionally, the gum at the neck of the tooth may become thinner, revealing the metal component of the implant or abutment, resulting in a grayish appearance.

Fixing the Issues: Gum and Bone Grafts

To address these problems and achieve an aesthetically pleasing result, there are two main options: gum grafting and bone grafting. Gum grafting involves taking gum tissue, usually from the back of the mouth, and placing it under the gum at the front to increase its thickness and volume. This technique aims to recreate the natural emergence profile of the tooth.

On the other hand, bone grafting focuses on thickening the volume of the bone. This can be done using the patient’s own bone, typically taken from elsewhere in the mouth, or with a bone grafting material derived from animals. The goal of bone grafting is to provide a solid foundation for the implant and achieve a natural-looking tooth.

A Complex Case: A Young Lady with Gum Exposure

Let’s look at a case involving a young lady who had a broken front tooth. Due to her profession and active social life, she needed a temporary solution that didn’t involve removable dentures. The dentist took the same tooth that was removed, trimmed it, and used it as a temporary measure while the implant process was underway. As the bone had shrunk, tissue grafting was performed during the implant placement to increase volume. However, a second tissue graft was necessary to further enhance the aesthetics and achieve symmetry.

The End Result: Achieving Aesthetically Pleasing Teeth

After the tissue grafts and implant placement, the patient underwent the process of creating temporaries before moving on to porcelain crowns. The final result was improved gum thickness and a natural-looking emergence profile. Although there were slight differences in color and the appearance of scar tissue, the patient was satisfied with the outcome.

The Delayed Method vs. Immediate Implant Placement

The case discussed above is an example of the delayed method, which involves removing the tooth, allowing for bone shrinkage, and then addressing the defect with grafting techniques before implant placement. This method ensures a predictable outcome but can be time-consuming. However, if the root of the tooth is still intact, there is an alternative option called immediate implant placement, which provides quicker results.


Replacing a broken front tooth with an implant requires careful consideration and expertise. Different techniques, such as gum and bone grafting, can be utilized to achieve optimal results. It’s essential to work with a skilled dentist who understands the intricacies of front tooth implants and can tailor the treatment plan to your specific needs. If you’re interested in learning more about dental implants or wish to schedule a consultation, visit Make You Smile for more information. Take care of your dental health and enjoy a confident smile!