Periodontist and Implantologist, Assistant Professor of Department of Periodontics, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran
As the replacement of missing teeth with implant supported restorations has become more common, the numbers of patients requiring dental implant maintenance as part of their preventive or periodontal maintenance care are also on the rise. Although dental implants are immune to dental caries, peri-implant mucositis and peri-implantitis can occur, just as gingivitis and periodontitis are seen with the natural dentition. Many similarities exist between natural teeth and implant-supported restorations with regard to disease etiology and pathogenesis, diagnosis, maintenance therapy, and the need for surgical intervention; however, some modifications in instrumentation and home care should be considered for patients with implant-supported restorations. When the option of dental implant treatment is first discussed with patients, it is important that they understand that although implants have great advantages, they do not absolve the patient from the responsibility of daily oral hygiene practices or regular recall appointments.
)