One of the most important topics for patients who have received implants is their maintenance, but unfortunately, this issue has not been paid deserved attention. Of course, the implant itself does not require any maintenance, but what is of immense importance is hygiene around dental implants and crowns when the crown or implant have been used for a while.
After installing dental implants and the period of healing to the jawbone, an implant is covered with gums and can not be seen. However, from the moment when the dental implant is put into service, ie when it opens and has the abutment and dental crown screwed into, hygiene becomes extremely important. Part of which should be given the utmost care is a combination of dental implants and abutments, as any retention of tartar, plaque and bacteria in the area between the abutment and the dental implant leads to gingivitis and inflammation of the bone around the implant itself, where the dental implant without natural tooth does not have any defense, which makes the situation potentially dangerous. While there may be other reasons, for the high percentage of inflammation around dental implants culprit is just a poor hygiene.
Implants owners will usually carry them up until the end of lifetime, which is another reason why it is necessary to pay attention to hygiene, and hygiene is much easier if the abutment and dental crowns individually are designed to match each other, ie. to complement, and not to leave the space for bacteria to enter. This can only be achieved by selecting individual abutment for each implant while the generic abutment will leave more potential space for bacteria. Individual abutment will allow smooth polished part to be found beneath the gums, so the connection between abutment and crown is leveled with or slightly above the gums, which will further facilitate maintenance of patients hygiene.
Implant placement with individual abutment is all that is in the power of the dentist in order to facilitate the maintenance of hygiene. After that, along comes the patient who will get training for the proper maintenance of implant hygiene immediately after installation. In Dental clinic Cvejanovic we pay a great deal of attention to train patients to maintain their prosthetic and implant work because it is the best way to reduce the chance for new arrivals to treat inflammation. The training is even more important for patients who do not live in Serbia, and therefore are not able to come for regular checkups.
The primary form of hygiene around the implants and crowns is regular washing, but it is necessary to apply additional measures. The best form of additional hygiene is to use a special floss, such as Oral-B Super Floss. Here’s a video that shows the rule of using dental flossing on the implant.
Applying dental floss or its foam part provides adequately cleaning of space between dental implants and abutment and crowns. This is quite a complicated procedure, especially for patients who have a large number of implants, and requires a lot of time, so that is why we do not insist on a daily repetition, but let’s say once every two to three days is enough.
In addition to manually using a special floss, it is possible to use an interdental brush, which makes an easier manual mechanical cleaning.
There are many apparatus for maintaining hygiene around dental screws, and one of the most popular is a Water Pick.
However, after years of analysis, some problems are spotted in the use of Water Pick in the form of application of bacteria in the space between the dental implants and the abutment. Therefore, it is recommended that Water Pick is used exclusively on the weakest strength.
Recently, ultrasonic toothbrushes became very popular – like Philips Sonicare – which has proven to be very effective in daily hygiene as well as with various extensions for maintenance.