Q: I have replaced my natural teeth with dental implants, do I have to brush still?
A: Yes.
Dental implants are made of titanium and the material itself is not
susceptible to dental decay. However, this is not the case for the
gums that surround the dental implant supported crown/bridge/denture.
Similar to natural tooth, bacteria can build up on the base of the
implant, below the gum line. Bacteria can irritate the gums and cause
it to be inflamed. If undetected or uncontrolled early, the gums and
bone structure will be destroyed permanently.
There are
2 types of peri-implant diseases. Peri-implant mucositis is
inflammation confined to the gum tissue without any bone loss. This,
if untreated, can lead to peri-implantitis. Peri-implantitis is an
infectious disease involving destruction of the gums and bone. This
reduces the support for the dental implant, causing it to fail
eventually. Signs of peri-implant disease are similar to that of gum
disease, i.e. red, bleeding, tender gums. Sometimes you may even
notice a gum swelling or pus expressed from the implant site.
Therefore,
it is of utmost importance to continue with diligent and thorough
oral care routines. That means brushing twice a day for at least 2
minutes each, floss daily and visit your dentist or periodontist 2
times a year. If you have a dental implant supported removable
denture, the denture and implants should be cleaned separately. The
removable denture is to be left out of the mouth in a glass of water
while you’re sleeping. Dental implants should be checked routinely
as part of a comprehensive periodontal evaluation.
*****************************
Dr
Daylene Leong is Dental Specialist in Periodontics with Specialist
Dental Group®, Singapore. She received her training in the specialty
area of Periodontology from the University of Michigan, USA. Dr Leong
is a Diplomate of the American Board of Periodontology and a Fellow
of the Academy of Medicine, Singapore. She has a special interest in
dental implants, gingival aesthetic and plastic surgery and
periodontal regeneration. For more information, visit
www.specialistdentalgroup.com.
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