Himachal Dental

Power Toothbrushes Can Prevent Implant Failure

Posted in Dental Implants,Preventive Dentistry by UK Dental Tourism on September 3, 2010

As a substitute for a missing or lost tooth it is hard to beat a dental implant for realism and authenticity. Dental implants are the only dental replacement that restores the whole tooth from crown to root and as a result is the sturdiest restoration available.Unlike other restorations, a dental implant will last a whole lifetime if properly cared for. A good standard of oral hygiene is needed to maintain the implant but the permanency it provides really sets it apart from other dental substitutes.Just like your natural teeth, you need to care for and clean dental implants. Plaque and bacteria that form around an implant can cause inflammation known as peri-implantitis. Daily cleaning of all the surfaces above and below the gumline is very important. The use of power brushes, whether electric oscillating or ultrasonic, can play a sound role in the successful maintenance of dental implants.

It is growing faster than any other segment in dentistry, and the suggestions for treatment planning and subsequent maintenance are being revised at a confusing, almost dizzying rate.Patients are bombarded with more information about maintenance every year. Dental hygienists are experts in helping our patients keep their dentition or implants healthy and their surrounding gums “in the pink.”

I believe the maintenance for dental implants should be discussed during treatment planning. Successful implant maintenance is time consuming. If patients do not receive enough education about implant maintenance, they cannot fully understand or make appropriate decisions about their care.

When we suggest the electric brush as part of home care aids, we should review the difference between natural dentition and dental implants. Natural dentition has a periodontal ligament and 13 Sharpy’s fibers that support the gum tissue and protect the sulcus from bacterial invasion. A dental implant does not have any of these anatomical features. It does not have a periodontal ligament, but a perimucosal seal (a thin band of tissue with one horizontal fiber running around the circumference), and the gum tissue may or may not have the complement of keratinized tissue. These two differences before all others, such as bacteria, restorative design, or the number of implants, will influence which electric/sonic brush I select.

Dental implants must be maintained more diligently than natural teeth due to the factors listed above. Implants and the surrounding tissue are subject to the same bacterial invasion as natural dentition. Just as the gingiva surrounding natural dentition can experience gingivitis, so can the tissue around implants. We just use a different term. Gingivitis that affects the soft tissue around an implant is called peri-implant mucositis. This is defined as reversible inflammatory reactions in the soft tissues surrounding a dental implant exposed to the oral environment, with no bone loss. Peri-implantitis surrounding dental implants is the term for inflammatory reactions in the hard and soft tissues, with loss of supporting bone.

Powered toothbrushes like Rotadent, Oral-B, Sonicare are safe for use around dental implants.By selecting a powered brush over a manual brush,patients who lack the motivation to do a competent job, or are challenged by physical conditions such as arthritis, will be able to properly maintain their implants.A very small head shaped like a conventional brush can give the best results.While choosing a brush head, you should choose one that will maximize cleaning of the flat surfaces, and that will carry the chosen toothpaste/gel or fluoride into the interproximal spaces.Softer the bristle its better.Remember — never use whitening or abrasive toothpaste when cleaning implant surfaces, no matter how soft the brush. Use a gel or fluoride rinse. Replace all brush heads every three months.

We also advice patients to use Waterpik, a fantastic tool to clean under the implant crowns and bridges.The Waterpik® Water Flosser fitted with a Pik Pocket™ Tip  is ideal for cleaning below the gum line. This soft tip is placed slightly under the gum-line and the gentle pulsations of water or therapeutic solutions flush out bacteria.Delivering CHX with the Waterpik Pik Pocket™ Tip is More Effective than Rinsing with CHX for Implant Maintenance.

We advise all our patients to regularly see the hygienist and to brush, floss their teeth and use mouthwash. This same advice is given to our implant patients as well.Once implant treatment has been completed, our hygienist will show our patients how to maintain their oral health and how to look after their implants. Implants need looking after just as much as natural teeth.For any more information please call us at 07974-106163









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