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In case the gum disease is very advanced, additional treatments might be necessary.  The type of treatment varies from individual to individual and can require a number of different actions, like gum plastic surgery.  We always offer an individual solution to resolve any dental problems, including periodontal issues.  In case there is a periodontal problem when one would like to have dental implants, we always start with resolving the original problem.  Oral hygiene has to be optimal before tooth replacement can take place, because if the foundations are not good, then we can’t build on them.  If you have periodontal problems, please go and see a periodontologist as soon as possible.