After implant treatment, hygiene and maintenance are key to ensuring its permanence in the mouth for many years. Unfortunately, many patients forget that care must be almost more rigorous than that of natural teeth, which has led, among other factors, to a high percentage of peri-implant diseases. In a recent study published in the scientific publication Journal Of Clinical Periodontology, it is noted that about 25 percent of people develop Peri-implantitis (inflammatory process that affects the tissues surrounding an implant and that can lead to the `deterioration of bone mass and the implant itself) and a similar percentage suffer from mucositis (inflammation of the tissues of the mouth, which can generate ulcers and serious infections).
Adding the percentage of the two pathologies, the work, carried out from a study on 474 implants of 275 patients, concludes that half of the patients may suffer from peri-implant diseases. The research also points out that the incidence is higher depending on the location and types of implant.
In any case, the work highlights the need to improve maintenance protocols and the training of patients in hygiene habits, which go beyond the usual cleaning with a brush and require frequent flossing, the mouth irrigator and rinses with chlorhexidine or essential oils. On the other hand, it does not seem appropriate to discharge all responsibility in patients, since the long-term viability of an implant begins with an adequate diagnosis, the most appropriate surgical approach and the quality of the materials used. That is, we start from a previous responsibility on the part of the specialist, which must be maintained throughout the entire life cycle of the implant.
Along with this commitment, it seems clear that the profession has to make a social awareness effort to make citizens more aware of the implications of dental implants. At the end of the day, its presence is due to a previous failure in the care of natural teeth, regardless of the many factors involved in the loss of dentures.