“…Modern titanium fixtures have microtextured surfaces created by various combinations of acid‐etching, grit‐blasting, plasma‐spraying, and anodization, to enhance osseointegration (Le Guehennec, Soueidan, Layrolle, & Amouriq, ). These microscopic surface irregularities, when combined with protected areas between implant threads, provide physical protection to the biofilm, making professional cleaning with conventional instruments difficult or impossible (Renvert, Samuelsson, Lindahl, & Persson, ; Tarafa, Williams, Panvelker, Zhang, & Matthews, ).…”