Implant Health

Brussels - 2014, Nobel Biocare Annual Congress

Warning about the increasing advancement of a little-known condition called Peri-implantitis.

Inherent risks of the practice of REMOVING AND REPLACING implant-supported prostheses.

This practice should not be done unless absolutely necessary.

NEVER AS AN ANNUAL MAINTENANCE IMPOSED ON THE PATIENT.

Implants and their respective prosthetic components are factory-made with factory quality, thus perfectly connected to each other.

In 99% of cases, implant-supported prostheses are screwed in with a torque wrench. They are securely fastened and dirt does not enter. When removed, a negative force is generated throughout the assembly, affecting not only the implant but also the bone and tissue structures.

Furthermore, there will be new contamination from the professional's hand, which is gloved but not sterile as on the day of surgery. There will be contamination from the office laboratory because the prosthesis will be cleaned but not sterilized.

Upon reinsertion, the junction of the prosthesis with the implant head will be contaminated by a new layer of bacteria, along with those from the oral environment during the period when the implants are uncovered.

The body will react to this by reabsorbing a collar of bone tissue, progressively downward, potentially causing an untreatable implant loss called PERI-IMPLANTITIS.

THIS WAS ONE OF THE CONCLUSIONS TO PROTECT IMPLANTS: TO REMOVE AND REPLACE PROSTHESES AS LITTLE AS POSSIBLE.

The recommended hygiene practice with very soft brushes, along the gum line, stopping, squeezing without hurting, massaging this area is sufficient. Tartar does not accumulate along the implant-gum line; the connection is SMOOTH.

In fact, the ideal curettes for cleaning implants are plastic, and one should always avoid ultrasonic or bicarbonate jets, as this cleaning system poses risks that can lead to more bacterial plaque adhering in the future.