A Proposed Protocol for Ordinary and Extraordinary Hygienic Maintenance in Different Implant Prosthetic Scenarios

Abstract

Prevention of peri-implantitis involves the early diagnosis of peri-implant mucositis. This article presents a protocol of hygienic maintenance in different implant prosthetic scenarios: single crown, fixed partial prosthesis, fixed full-arch, and overdentures. Others clinical conditions have to be taken into consideration: patient compliance; history of periodontitis; implants placed in augmented bone; short, zygomatic, pterygoid, and tilted implants; and complex prosthesis with false gingiva. Two levels of implant maintenance are described: ordinary, performed by dental hygienist, and extraordinary, carried out by both dentist and hygienist. Extraordinary maintenance also involves the removal and decontamination of the prosthetic structure. To obtain an effective prevention of peri-implantitis, one must plan ordinary and extraordinary hygiene in relation to the type of rehabilitation and clinical parameters.

A 5-Year Satisfaction Outcome Study of Patients Receiving Six-Implant-Supported Fixed Prosthesis

“…Investigating the factors controlling satisfaction is tedious work due to the multiple variables that might contribute, such as the level of education, age, medical health, type of surgical intervention, patience tolerance level, pain tolerance level, and the expertise of the treating team, including the postoperative maintenance plan [ 21 , 23 , 24 ]. In our series, a few of the aforementioned factors were considered, such as the expertise of the team, the constant recall plan, the surgical design, and the prosthetic design.…”

Medication-Related Osteonecrosis of the Jaw: A Case Report of an Unusual Side Effect of Adalimumab

“…Some studies have shown that localized periodontal or dental disease may precede the onset of MRONJ [23]. Dentists, as part of a multidisciplinary team, have a critical role in preventing MRONJ because the development of this condition can be reduced through prophylactic dental care and the maintenance of good oral hygiene [24][25][26][27]. The importance of prevention is also critical in patients who have to take adalimumab, as this study poses the need to further investigate the association between it and the adverse reaction of MRONJ.…”

Hygienic maintenance in patients with maxillae atrophy and in oncological patients with maxillary resection rehabilitated with zygomatic implants: A nested monocentric prospective cohort study

“…The palatal implant emergences position often causes a prominent prosthetic profile, creating food impaction and difficulties in plaque removal. A preoperative implant planning guided by the prosthetic plan 10 and based on anatomical landmarks, 11 or static surgical guides 12 or dynamic 11 navigation systems could address this problem but not completely solve it due to the limited residual bone 13 . The soft tissue condition is an essential requirement for implant success, but few studies investigate this topic.…”

“…A preoperative implant planning guided by the prosthetic plan 10 and based on anatomical landmarks, 11 or static surgical guides 12 or dynamic 11 navigation systems could address this problem but not completely solve it due to the limited residual bone. 13 The soft tissue condition is an essential requirement for implant success, but few studies investigate this topic. The present study, by monitoring over time soft tissue clinical parameters, could suggest if a systematic hygiene maintenance program guarantee high zygomatic implant success in oncologic patients.…”