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How do you clean full-arch implants day to day?

Answered by Dr. Blake Hauer

The quick answer

Brush twice a day with a soft brush and a non-abrasive toothpaste, and use a water flosser at least twice a day. That's it. No flossing, and an electric or manual brush both work fine. One patient described it as exactly the same amount of work as before, just in a different order.

In this answer

Your daily routine

Brush morning and night with a soft brush. Use a water flosser at least twice a day. Some people like to use it after every meal, which is fine.

Clean the outside and underneath. That's all.

You can't floss under fixed teeth, so the water flosser does that job.

Pick the right toothpaste

Skip whitening and sensitivity toothpastes. They're abrasive. Whitening pastes work by scrubbing stains off enamel.

Zirconia has no enamel and is already the color it's meant to be, so there's nothing to whiten. A plain, non-abrasive toothpaste is best. Use a small amount and use it every day. The brand matters less than the habit.

Any toothbrush will do

With natural teeth, an electric brush is better because you're cleaning where the tooth meets the gum, like where a fingernail meets the cuticle. That's where trouble starts.

Your new teeth don't have those edges. You're keeping the surface clean so it doesn't stain or hold bacteria, and rinsing underneath.

So being thorough counts. The type of brush doesn't matter much.

Go easy on the water flosser

Maximum pressure isn't better. You want a good rinse and a gentle massage for your gums, every day.

Water flosser compared with string floss

Implants with less bleeding after 30 days

In this small trial, more implants bled less with a water flosser than with string floss. You can’t use string floss under fixed teeth at all. So the water flosser does that job, on a gentle setting.

22 implants got the water flosser and 18 got floss, in a 30-day trial at one center that sorted people into groups at random. Both groups also used a manual toothbrush. The people checking the gums did not know who was in which group. The summary does not say whether the implants held single teeth or full arches. One author is Director of Research at Water Pik, Inc., which makes water flossers.

Sources
  1. Magnuson B, Harsono M, Stark PC, Lyle D, Kugel G, Perry R. Comparison of the effect of two interdental cleaning devices around implants on the reduction of bleeding: a 30-day randomized clinical trial. Compend Contin Educ Dent. 2013;34 Spec No 8:2-7. PMID 24568169.

What changes for you

One of our patients said it best: it's the exact same amount of work, just a completely different order of operations.

Two things change behind the scenes.

If you got a lot of cavities, that's behind you. Cavities come from bacteria eating sugar and making acid that dissolves teeth. Zirconia can't decay.

If you had gum disease, the tendency stays with you. The bacteria in your mouth don't leave when your teeth do. Removing teeth gives you a fresh start, but your biology is the same.

That's why daily cleaning still matters. You're protecting where the implant meets the bone. That area has less blood supply than a natural tooth root, so if a problem starts there, it moves faster.

Your new teeth are a fresh start. The routine helps you keep it.

I especially appreciate the thoroughness with which she conducted the cleaning and education provided that day!
Natalia, Google review★★★★★More reviews about the team

The small holes on top of your teeth

Each implant connects through a small channel in your teeth, which is sealed once your teeth are fitted. Today we cover the screw with Teflon tape and put a filling on top. Older methods used cotton, which could hold bacteria and smell.

If one of yours is open, don't worry. Keep it rinsed and clean until we can seal it again. Sealed is better, because an open channel can collect bacteria.

Your part and ours

Your part: sticking to soft food while you heal, and the daily routine above.

Our part: good implants in good bone, teeth you can clean, and a check once a year.

Our part starts before surgery. Implant systems differ in ways you'll never see. The one we use now seals cleanly all the way around. Some designs put screws through that seal and leave places for plaque to build up. We choose parts for how easy they'll be to keep clean years from now, not for price.

A night guard, every night. We recommend one for every full-arch patient, whether or not you grind. Zirconia is hard and passes biting force straight to the implants. A night guard takes that pressure off your teeth and screws while you sleep.

In short

Looking after your new teeth isn't hard, but it does matter. A few minutes a day keeps them healthy for years.

Quick answers

Electric or manual toothbrush?

Either. With natural teeth an electric brush is better, because you're cleaning where tooth meets gum. Your new teeth don't have those edges, so being thorough matters more than the type of brush.

Which toothpaste should I avoid?

Whitening and sensitivity toothpastes. Both are abrasive, and that does nothing good for zirconia.

How hard should the water flosser be?

Not on maximum. You're rinsing and gently massaging your gums. Too much pressure works against them.

What if something gets stuck while I'm out?

Take a mouthful of water, swish hard and spit. That clears most things, and patients say it works better than they expected.

Hear it on the podcast

Read next

Why does Done In One remove your full-arch teeth once a year?

Once a year we take your teeth off, clean the side that sits against your gums, check the implants up close and put everything back. Not every practice does this. We do it because that side can't be fully cleaned at home, X-rays alone don't show enough, and problems around implants can grow faster than problems around natural teeth.

Answered by Dr. Blake Hauer

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What is peri-implantitis, and how is it different from gum disease?

Peri-implantitis is inflammation and bone loss around an implant. It's the implant version of gum disease, and it can move faster. A natural tooth is held in by a ligament and a root layer called cementum. An implant has neither, so the gum holds on less firmly and trouble can build more quickly. That's why your yearly check matters even more once you have implants.

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What is periodontal disease, and why does it lead to full-arch implants?

Periodontal disease is an imbalance in the mouth's bacteria that goes on for years. Slowly it breaks down the bone, inflames the gums, and loosens teeth until they're lost. It's the most common road to full-arch treatment. Most people who need a full arch got here after years of gum disease that was never treated or never stayed under control.

Answered by Dr. Blake Hauer

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Done In One Implant Centers are independently owned and operated within a network of dental practices managed by licensed dentists. The American Dental Association does not recognize any specialty field specifically for dental implant treatment. Done In One providers are proficient in both implant placement and restorative dentistry and may consist of general dentists, prosthodontists, oral surgeons, and periodontists. The Done In One procedure refers to a procedure consisting of extractions (if needed), bone reduction, implant placement, and a permanent (zirconia) implant-supported prosthesis placed on either arch (upper or lower) or both. Done In One specializes in the immediate occlusal-loading protocol, which is defined as an implant-supported restoration in occlusal contact within two (2) weeks of the implant insertion. The Done In One procedure can be offered to qualified patients based on a full examination, radiographs, and initial workup. Not all patients will qualify. In most cases, qualified patients that do not need additional sinus augmentation can have the Done In One procedure completed and typically receive a final zirconia prosthesis within one week after extractions. Patients will receive a provisional prosthesis within 24 hours after surgery that will allow them functionality until their final zirconia prosthesis is fabricated. Results and timeframes of the delivery of a final prosthesis will vary on a case-by-case basis. Done In One exclusively utilizes an implant system that is appropriately registered, listed, and has a 510(k) clearance from the FDA. After many years of clinical studies and evaluations, the success rate of modern dental implants installed by qualified clinicians has been estimated at over 90% after 10 years. With proper hygiene and routine maintenance, the Done In One procedure can provide patients with dental implants that can last decades and potentially a lifetime. The average lifespan of the prostheses will vary depending on patient wear but is covered under a standard warranty for the first two (2) years from the date of surgery, as long as annual recare requirements are met. An optional extended, indefinite warranty is available and can be paid monthly or annually.

Studies show that patients treated with implant-supported prostheses judge their overall psychological health as improved by 80%—due to increased longevity, improved function, and increased bone preservation—over the wearing of traditional dentures. Studies also conclude that the replacement of decaying teeth that are prone to infection with an implant-supported prosthesis will typically result in the improvement of a patient’s overall physical health. Results may vary.

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Loan amounts range from $750 to $40,000, depending on creditworthiness, and require no down payment. The offered APR will vary between 3.99% and 35.99% based upon creditworthiness, loan amounts, and term length. Approved borrowers can choose between a longer Installment Loan (12-144 months) or a shorter Interest Promotion (6-12 months), with no interest paid if the loan is settled within the chosen promotional window.

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