Dental-Implant Maintenance: A Critical Factor in Long-Term Treatment Success

Abstract

ABSTRACT-Initially when dental implants were first introduced their success was assumed to be dependent mostly on the surgical technique and later their placement. However, without a regular program of clinical reevaluation, plaque control, oral hygiene instruction, and reassessment of biomechanical factors, the benefits of treatment often are lost and inflammatory disease in the form of recurrent periodontitis or peri-implantitis may result. Maintenance of the periodontal health is a critical factor in the long-term success of dental implant therapy. This article reviews the goals, types, and appropriate frequency of periodontal maintenance in dental implant therapy, as well as the incidence and etiology of peri-implant disease and strategies for management when recurrent disease develops during the maintenance phase of treatment.

Assessing the quality of YouTube™ videos on fixed dental implant home‐care and maintenance protocols

“…Normal gingival/tooth contours and relationships differ from implant system and prosthetic superstructure contours and relationships, and as a result, special, detailed instruction and attention in terms of oral hygiene protocols for home care procedures procedures are required. Firm, pink peri‐implant mucosa, shallow probing depths (3 mm or less), the absence of bleeding when gently probing, absence of purulence or suppuration and lack of response to percussion are all clinical findings in healthy dental implants 4–6 . According to a recent meta‐analysis, the weighted mean prevalence of mucositis at the clinical level is between 43%–46.8%, whereas the prevalence of peri‐implantitis is between 19.8%–22% 7,8 .…”

“…Firm, pink peri-implant mucosa, shallow probing depths (3 mm or less), the absence of bleeding when gently probing, absence of purulence or suppuration and lack of response to percussion are all clinical findings in healthy dental implants. [4][5][6] According to a recent meta-analysis, the weighted mean prevalence of mucositis at the clinical level is between 43%-46.8%, whereas the prevalence of peri-implantitis is between 19.8%-22%. 7,8 Periimplantitis appears to progress in a non-linear and accelerated manner, 9,10 with its prevalence correlated with the time taken in function.…”

A Systematic Approach to Full Mouth Rehabilitation Using Combination of Fixed-Removable Prosthesis with Attachments

“…Replacement of the missing teeth with implants provides us with the solution of not utilizing healthy natural teeth as abutments for a fixed prosthesis. [15] The fixed component in the maxillary and the mandibular arch would be fabricated with metal ceramic restoration with or without crown lengthening procedure and intentional root canal procedures. Patients did not consent to implant surgeries hence rehabilitation using implants was omitted.…”