Periodontal Health and Dental Implants
Build a stable foundation first,
and every step above it stands firm
Periodontal health underlies all dental treatment — whether you need veneers, dentures or implants. This page explains what Taiwan's National Health Insurance covers, where self-paid care begins, and how to keep implants in good shape for the long term.
Sequence
Why periodontal health comes before aesthetic treatment
The position of the gums determines how much tooth is visible when you smile and where restoration margins are placed. When periodontal tissues are inflamed, the gumline can move—a margin made today may become exposed after the inflammation subsides.
Support is even more fundamental. The alveolar bone and periodontal ligament form the foundation of each tooth. When that foundation is lost, teeth loosen and shift, changing the bite. Veneers or dentures placed under these conditions may bear forces differently from their original design.
We therefore assess periodontal health before aesthetic treatment. This is not intended to add another charge—most basic periodontal treatment is covered by Taiwan's National Health Insurance, and the boundary is explained below.
National Health Insurance Coverage
Our clinic participates in the Integrated Periodontal Care Program
This is a Ministry of Health and Welfare National Health Insurance Administration program, not a clinic promotion. Our clinic is a contracted medical institution (contracted since 2021) and participates in the program. You can verify this in Administration records using medical institution code 3701028607.
Who Is Eligible
According to the Ministry of Health and Welfare announcement, eligible patients must have “periodontal inflammation around 16 or more teeth across the full mouth, with periodontal pocket depths of ≧ 5mm at 6 or more teeth”.
Eligibility requires a complete periodontal examination, including X-rays and pocket probing tooth by tooth. It cannot be determined from symptoms alone or simply by whether the gums bleed.
How Long It Takes
The complete treatment takes 180 days and consists of three stages of integrated care.
This treatment is measured in half-years, not completed in one visit. Completing the full course often affects the outcome more than the choice of clinic—the next section explains why.
| Item | Coverage |
|---|---|
| Stages One and Two：Complete periodontal and X-ray examinations, advanced plaque-control instruction, an integrated-care handbook and hygiene guidance, and complete root planing (full-mouth subgingival scaling). | Covered |
| Stage Three：Post-treatment follow-up assessment. | Covered |
| Periodontal Antibiotic Gel | Not covered (self-paid) |
| Periodontitis Gel | Not covered (self-paid) |
| Cosmetic periodontal procedures performed for aesthetic purposes | Not covered (self-paid) |
| Guided periodontal tissue regeneration surgery, including bone graft material and regenerative membranes | Not covered (self-paid) |
| Periodontal Desensitization Treatment | Not covered (self-paid) |
This boundary is worth remembering. Clinics may not separately charge patients for periodontal treatment covered by Taiwan's National Health Insurance. The self-paid items listed above may be performed and charged only after they have been explained and you have consented. If someone tells you that “all periodontal treatment is self-paid,” you can use this section to check that claim.
Source: Ministry of Health and Welfare announcement, “Improving Periodontal Disease Care: National Health Insurance Introduced the Integrated Periodontal Care Program in Year 99 (改善牙周病 健保 99 年推出牙周病統合性照護計畫)” (mohw.gov.tw/cp-3162-27004-1.html), verified 2026-08-14. If program terms or coverage requirements change, the latest National Health Insurance Administration announcement applies.
What the Literature Says
Regular follow-up is what helps preserve teeth
After periodontal treatment, patients enter “supportive periodontal therapy,” meaning regular maintenance visits. It may sound minor, but its effect can be quantified.
A systematic review and meta-analysis published in the Journal of Dental Research, covering 8 studies with at least 5 years of follow-up, compared patients with regular and irregular maintenance: the regular-maintenance group had a significantly lower risk of tooth loss, with a pooled risk ratio of 0.56 (95% confidence interval 0.38–0.82).
In plain terms, people who attend follow-ups on schedule have roughly half the risk of tooth loss compared with irregular attendees. This effect comes not from expensive materials or equipment, but from returning for care.
This is why we first confirm whether regular follow-up is feasible before discussing higher-cost treatment. If the sequence is wrong, the expense may provide less value.
Source: Lee CT, Huang HY, Sun TC, Karimbux N. J Dent Res 2015;94(6):777-786 (doi:10.1177/0022034515578910). These are aggregate literature statistics, not outcomes for individual patients at our clinic, and do not guarantee treatment results.
Dental Implants
After implant placement, maintenance decides the outcome
A dental implant replaces the root of a missing tooth and supports a prosthetic tooth. It addresses tooth loss — and the tissues around an implant, like natural teeth, need daily cleaning and regular check-ups.
The literature is consistent on this point: long-term implant performance is closely tied to periodontal control and regular maintenance. Control periodontal disease before placement, and keep up maintenance visits afterwards — do both well and an implant can serve for a long time.
Our clinic follows the same order: assess and control periodontal health first, then proceed to implant treatment, with regular check-ups built into the plan afterwards.
This is general information; individual situations must be assessed by the dentist through in-person examination and imaging.
Long-term survival figures in the literature
A systematic review of 32 studies reports a five-year survival of 95.6% and ten-year survival of 93.1% for implants supporting fixed prostheses; prospective data in another systematic review and meta-analysis put twenty-year survival at 92%. The shared premise behind these figures is good oral hygiene and regular check-ups. These are aggregate literature statistics, not individual outcomes, and no result is guaranteed.
The same literature also shows: with thorough periodontal control and maintenance, patients with a history of periodontal disease can reach similarly high long-term survival — the difference lies mainly in needing closer maintenance and follow-up. Different starting points, same workable path.
The first few years after implant treatment are the golden window for follow-up
The literature shows that changes in the bone around implants mostly begin in the first years after completion, so regular follow-up in this period is the most valuable — found early and treated early, most issues need only simple care.
This is why our clinic builds check-ups into the treatment plan: true completion is not the day the crown goes on, but every smooth follow-up visit after it.
Is there anything here you can do yourself?
Yes, and it comes with a number. The literature shows that cleaning between the teeth with floss or an interdental brush carries an odds ratio of 0.27 for peri-implant disease — roughly 70% lower odds. Your own daily cleaning is the best care an implant can get.
A separate meta-analysis points the same way: patients attending supportive care regularly had an odds ratio of 0.42 for peri-implant disease. All of these are pooled figures from the literature and do not represent individual outcomes.
Risk Information
Treatment Risks and Limitations
Every medical procedure has indications and risks. Please read the following before deciding:
- After periodontal treatment, gum recession, exposed roots, and sensitivity may occur. Alveolar bone already lost will not regenerate by itself after basic treatment.
- Periodontal conditions may recur, particularly if follow-ups stop, oral hygiene is inadequate, the patient smokes, or blood glucose is poorly controlled.
- Dental implant treatment is a surgical procedure with possible risks including bleeding, swelling, infection, and damage to nerves or adjacent structures. It requires a complete assessment and imaging.
- An implant may experience failed osseointegration, peri-implant mucositis, or peri-implantitis during use, requiring treatment or even removal.
- Systemic diseases, medications such as antiresorptive drugs, and smoking can affect indications and prognosis. Please disclose them fully at your first visit.
- The literature figures cited on this page are aggregate statistics from international studies. They do not represent an individual patient’s outcome or guarantee any treatment result.
Common questions
The five things most often asked about gums and implants
Can periodontal disease be treated at home?
Does periodontal disease ever fully resolve?
How many years does an implant last?
What happens if a missing tooth is not replaced?
Will receded gums grow back?
Official sources you can check yourself
All of the following are public documents from the Ministry of Health and Welfare and the National Health Insurance Administration. Where program content or coverage conditions have been revised, the latest announcement by the competent authority prevails.
- 衛生福利部：改善牙周病 健保 99 年推出牙周病統合性照護計畫收案條件與療程
- 衛生福利部：重申屬健保給付項目內牙周病治療，院所不得向民眾收費給付與收費界線
- 全民健康保險法（全國法規資料庫）§51 不給付範圍
Studies cited on this page
The links below go to the original abstracts on PubMed. All figures on this page are pooled statistics from international research; they do not represent the outcome of any individual patient at this clinic and constitute no guarantee of results.
- Pjetursson BE 等：植體支撐固定假牙的五年與十年存活率、以及「完全無併發症」的比例Clin Oral Implants Res 2012
- Roccuzzo M 等：依牙周病史分組的十年植體結果與所需處置比例Clin Oral Implants Res 2014
- Derks J 等：植體周圍炎骨喪失的發生時間曲線（瑞典全國隨機世代）J Clin Periodontol 2016
- Romandini M 等：植體周圍炎的危險因子與保護因子（含牙線／牙間刷）Clin Oral Implants Res 2021
- Carra MC 等：支持性照護與植體周圍疾病風險（系統性回顧與統合分析）J Clin Periodontol 2023
- Suvan J 等：非手術牙周治療的囊袋深度減少量與囊袋關閉比例J Clin Periodontol 2020
- Kupka JR 等：植體二十年存活率（系統性回顧與統合分析）Clin Oral Investig 2024
- Tan WL 等：拔牙後齒槽骨的尺寸變化（系統性回顧）Clin Oral Implants Res 2012
Ask first
Ask until it is clear, then decide whether to go ahead
You're welcome to ask questions by text on LINE. Assessing the actual condition of your teeth requires an in-person examination, so please book an appointment.
No sales pitch, and we will not phone you.
認明藍色認證標章，別加錯帳號
君漾美的 LINE 官方帳號已通過 LINE 企業審核，帳號名稱旁會顯示藍色認證標章。
此認證是 LINE 對「帳號企業身分」的驗證，與醫療品質、療效或本站立場無關。
By appointment ｜ registration fee NT$150
Other pages
Get it clear first, then decide
What the fee is made of, what to watch out for, and what happens at the first visit.
Our dentists
Education, specialist training, professional associations and treatment scope of the four dentists — every item independently verifiable.
The clinic and its equipment
Space, equipment and infection control; the clinic participates in the NHI enhanced infection control program, with official records to verify.
Veneers and aesthetic restoration
How treatment proceeds, long-term survival figures in the literature, and the questions worth asking before deciding.
Licensed & Registered
Government approval comes before opening
In Taiwan, a dental clinic may only open after it has been approved and registered by the local health authority and issued a practice license under the Medical Care Act, and every practicing dentist must hold a physician certificate issued by the Ministry of Health and Welfare. 君漾美牙醫診所 (JYM Dental Clinic) is a legally established, government-approved medical institution (medical institution code 3701028607), a National Health Insurance contracted clinic (contracted since 2021), and a participant in the NHI Administration's Integrated Periodontal Care Program and Enhanced Infection Control Program for Dental Outpatient Clinics. Every item above can be verified in official public records.