Breakdown of the supporting bone If plaque is not removed, inflammation can go on to affect the bone that supports your implants (the alveolar bone). The bone will start to break down and the implant will lose part of its attachment. This stage is called peri-implantitis. Without treatment, the process will continue with more bone loss. There might be redness, swelling, bleeding and pain, but it could also go unnoticed. Peri-implantitis is very difficult to treat and it’s important to discover problems as early as possible to increase the chance of successful treatment. Poor oral hygiene, previous or active gum disease, some systemic diseases, smoking and not attending recall visits increase the risk of peri-implantitis. The development of inflammation around implants: Gum Alveolar bone Bacterial plaque Bone loss Bone loss Every space matters Using an interdental brush is the most effective way to clean the sides of your implants and the spaces around them. Your implant construction should allow for easy cleaning around the implants. Ask your dental professional to show you where the implants are located and for help choosing the right brush sizes. You’ll usually need more than one size. Brush back and forth a few times next to each implant. Use a mirror to make sure you clean all spaces. Rinse the brush under water as needed. The implant-based supporting structure also need cleaning if you have an overdenture.
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