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.
- 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.
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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!
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.
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.
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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
Read the full answerWhat 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.
Answered by Dr. Blake Hauer
Read the full answerWhat 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
Read the full answer
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