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

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. Key-wordsDental Implants, Maintenance, Hygiene, Peri-implantitis, Peri-implant mucocitis, Interdental Aids, Chemotherapeutic Aids INTRODUCTION In the recent past Implant supported restorations have become the more common treatment and a viable option for replacement of teeth in both complete and partially edentulous cases. Clinical findings in healthy dental implants include firm, pink peri-implant mucosa, shallow probing depths (3mm or less); absence of bleeding on gentle probing, absence of purulence or suppuration, and lack of response to percussion. [1] mplant-supported restorations should provide comfortable function and appropriate esthetics. Replacement of the missing teeth with implants provides us with the solution of not utilizing healthy natural teeth as abutments for a fixed prosthesis. After the treatment phase of implant restoration is over it is equally important for the dentist and the patient to strictly abide by the maintenance phase. Many principles and features of maintenance therapy apply to both the natural dentition and to dental implants. As the number of dental implants continues to increase, understanding the importance of maintenance as it relates to long-term implant success becomes more crucial. [2] The dental professional’s role is to determine the patient’s individual and specific home care needs. Access this article online Quick Response Code Website: