Dental implants are designed to last a lifetime — but that longevity depends on proper care and maintenance. While implants cannot get cavities, they are susceptible to peri-implantitis, a condition similar to gum disease that can lead to bone loss and implant failure if left untreated.
Daily Cleaning
Implants must be cleaned just as thoroughly as natural teeth. Plaque accumulation around the implant-gum junction triggers the same inflammatory response that causes bone loss around natural teeth. Brush twice daily with a soft-bristled brush, paying particular attention to the gum line around the implant crown. Electric toothbrushes are equally effective and gentle.
Flossing and Interdental Cleaning
Standard floss can be used around implants, though implant-specific floss (with a thicker, textured section for the sulcus) is particularly effective. Water flossers are excellent for flushing bacteria from around implants and are strongly recommended by many surgeons. Interdental brushes sized to fit the implant spaces provide additional cleaning.
What to Avoid
Abrasive toothpastes can scratch the surface of implant components, creating rough areas that harbor bacteria. Avoid smoking, which is strongly associated with peri-implantitis and implant failure. If you grind your teeth, wear a night guard to protect the implant from excessive occlusal (bite) forces.
Professional Maintenance
Regular professional cleanings are essential. Hygienists use specialized instruments for implants — plastic, titanium, or carbon-fiber tipped tools that clean without scratching the implant surface. Implant health should be assessed at every cleaning appointment, with annual X-rays to monitor bone levels around the implant.
Signs to Watch For
Swelling, bleeding around the implant, pain, looseness, or changes in the way your bite feels should prompt an immediate call to your surgeon. Early intervention for peri-implantitis is far more effective than treatment of advanced disease.