It is great that you got your deep cleaning which will help you arrest the disease process. Unfortunately, bone and gums don't grow back. Occasionally in some instances you may be able to get a bone graft or a gum graft. However, black triangles between teeth cannot be grafted, but in some instances can be filled in with the help of restorative dentistry (crowns, veneers, fillings). A Board Certified Periodontist will be the best reference for you on whether you are a candidate. Best, Dr. Aalam
The inflammation of the gums can be taken care of with a professional and cleaning and great Oral Hygiene home routine. This step is essential prior to addressing the gum recession, as surgery outcome greatly depends on it. You should see a Board Certified Periodontist to assess and treat your gums
Mini implants were designed for temporary use. In some cases during the healing phase of regular dental implants, some patients prefer to have temporary prosthesis which is where mini dental implants are great. They frequently fail within 1 year. If you are looking for a permanent option, my recommendation is to go with a well-researched and guaranteed brand of dental implants such as Nobel Biocare, 3i, Straumann, or AstraTech. I know you may find contradicting information online, but I encourage you to look into the research studies (i.e. Pubmed) rather than company-driven advertisements.
Most importantly, you must be sure that you eradicate all active periodontal disease. Once all the infection is gone, and disease is arrested (where it doesn't get worse) you will need to have your Board Certified Periodontist evaluate how stable your periodontal status is. Lumineers can be bulky and may be more difficult for you to perform proper oral hygiene, which is the opposite of the goals of periodontal disease treatment. Implants are definitely a great option. However, patients with periodontal disease have higher failure rates and may require bone augmentation prior to implants placement which may increase the length and cost of treatment. Longevity of both Lumineers and dental implants is directly proportional to patient's compliance and oral hygiene, as well as good overall health. Bottom line, make sure your disease activity is arrested prior to any option you choose.
If you have a sufficient bone amount for dental implant placement, it is absolutely okay to have all implants placed on the same day. However, loading these implants on the same day with a prosthesis attached to them may increase chances of failure. Waiting 4-6 months for healing in the upper jaw is a safe protocol. If you are getting a temporary removable prosthesis that will not be attached to the implants, then this is a very safe route to go. You are very fortunate that after trauma, you don't need any grafting.
