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Implant care

More and more we are seeing implants. I have been a hygienist forever so I feel very limited in my knowledge. My question is how do we clean properly around the implants. I know not to use our instruments on them and no cavitron. We do have a plastic probe. However the only implants I have seen you could never get to the actually implant (or at least I don’t think so). They are always very tight to the gum tissue Recently I have been looking up more stuff on implants and it seems to me you are suppose to be able to reach the abutment. I don’t know if it’s just that our oral surgeons don’t do it that way or it is just in cases of using implants attached to partials and dentures that you see it. I usually just take superfloss and try to slip as far under crown as I can. Even probing them I can’t necessarily feel the implant

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1 Answer

Titanium instruments are highly recommended to clean implants. Ultrasonics can be used if you use a plastic or resin tip or cover. Plastic instruments have the possibility of leaving plastic pieces behind which can lead to peri-implantitis. Plus they aren’t good at removing calculus, so to use titanium over plastic is probably best. Implants that are tight to the gum tissue are a good thing. Here is a good article showing “what you are cleaning” when it comes to implants: http://www.dimensionsofdentalhygiene.com/2015/05_May/Features/Post-Surgical_Implant_Care.aspx
If you do a Google search for “implant maintenance protocol” several articles come up that may help you expand your knowledge.

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