Abstrakt: |
Background: Although dental implants are proven to be a predictable long term treatment for patients, it is important to realize that not all implants that survive are necessarily successful. Dental implants require lifelong maintenance and care. Success is defined by biologic factors (absence of inflamed soft tissue surrounding dental implants and radiographic changes in the crestal bone levels) and mechanical factors (stability of the implant fixture and implant supported restoration, etc). Most implant failures are initiated by incipient stages of inflammatory processes which lead to peri-implant mucositis and peri-implantitis. Long-term post insertion care for dental implants requires meticulous oral hygiene practice, careful peri-implant examination, thoughtful analysis of risk factors and periodic removal of microbial deposits from the implants. There are 2 methods for long term peri-implant caring, home care and office care methods. This presentation includes necessary evidencebased information about the mentioned oral hygiene techniques. Methods: All English articles from June 2013 to November 2017 from PubMed and Google Scholar databases were included. We have searched the following keywords: maintenance, dental implants, office care, home care. Results: We found near 150 articles which were relevant to our presentation and we chose near 45 of the them (clinical trial, case series) and reviewed them. Conclusion: There are several techniques for implant-maintenance that can divide into 2 sub-groups: home care (toothbrushing, dental floss, mouthwash, water pik, interdental cleaning devices, etc) and office care (titanium brush, laser, ultrasonic, mouth washes, antibiotics, etc). [ABSTRACT FROM AUTHOR] |