Congratulations on your full arch dental implant restoration, now it is important to take care of it so it lasts a long time as we want to prevent biological complications. Please be adamant at home with your oral hygiene to allow long term success of your dental implants and restoration. As stated in the link below, removal of a fixed, screw-retained implant prosthesis for evaluation is not needed unless there are signs of peri-implantitis, a demonstrated inability to maintain adequate oral hygiene, or there are mechanical complications that require removal.
Oral hygiene recommendations for at home and dental office care:
- Dental maintenance protocol includes review of changes in medical history and evaluation of soft tissue around the dental implants. We are looking for redness, inflammation, suppuration (pus), change in probing depths and bleeding upon probing at the dental office.
- Regular Dental visits are important to prevent any biological complications. For those that have trouble cleaning under the implant denture or bridge or are at a higher risk profile (smoker, dexterity issues, non compliant, etc) a 2-3 month re-care dental hygiene appointment is necessary. Others that find it easy and are effective cleaning under their implant denture or bridge can come in for a 6 month re-care dental hygiene appointment.
- Radiographs (x-rays) will be taken every 1-2 years to assess the dental implants, surrounding bone and to see if there are any signs of infection.
- At home care involves brushing at least two times a day, flossing daily using superfloss or floss threaders, interdental cleaners (Proxabrush, Soft picks, etc), and a water irrigator like Waterpik.
As stated in the ACP (American College of Prosthodontists) position statement :
Based upon the present literature, it is the position of the American College of Prosthodontists that removal of full-arch, implant-supported restorations at regular maintenance intervals is discouraged unless adequate professional hygiene is not possible with the superstructure in place or the restoration presents with mechanical complications.