Poor oral hygiene is related to marginal bone loss. Proper hygiene is critical so the patient should understand the importance of plaque control. Dental implant maintenance is tedious and requires effort. The dentist should help evaluate devices which best suit the patient’s needs.
An implant brush is the most important tool for plaque control. A soft bristle brush type is effective for cleaning the abutment and prosthesis. It is used at the gingiva-abutment junction. Appropriate size of dental implant brush should be chosen to fit into the space between fully anchored denture and gingiva. The size should be comfortable for the patient.
Lingual access is often difficult on a fixed prosthesis and some modifications can be made to alleviate the problem. The neck of an implant brush can be angled by heating under hot running water, and bending to desired angle. Then cool the bended portion with cold water. The formed curvature would help gain access to the often difficult lingual surface.
Implant toothbrushes are available in a variety of sizes, shapes and textures.