8) ORAL IRRIGATION
Oral irrigation helps remove plaque and debris from around dental implants and their restorations. The patient should be instructed to use the lowest setting possible to avoid undue pressure to the implant tissue cuff. The flow of irrigation should be aimed to pass through contacts and never be directed into tissue. Incorrect use could cause trauma to tissue adaptation around the implant and could cause bacteremia.
9) CHEMOTHERATEUTIC AGENTS
Chlorhexidine gluconate has been shown to be a major asset in reducing plaque in the oral cavity and around dental implants. Long-term use of antimicrobials (e.g. chlorhexi-dine gluconate) may be used with brushes and floss to avoid stain accumulation.
10) POCKET WATCH
Steri -oss markets a product called pocket watch which consists of chemically treated strips, reagent and testing trays. It assesses the presence and quantity of aspartate amino transferace (AST) in gingival crevicular fluid. These strips are inserted in crevice for 30 seconds and then four reagents are used with which the strips interact to assess the presence of the enzyme by comparing the various shades of pink with standard
CONCLUSION
The rate at which a patient forms plaque and calculus need to be determined and the effectiveness of the recommended home care techniques must be consistently evaluated. The General health of the patient and conditions that may require pharmaceutical therapies. Such as gingival hyperplasia caused by certain cardiovascular medications may compromise a patient’s overall ability to care for implants and their restorations. Potential problems can be detected and usually treated early, easily and successfully if thorough evaluation is performed at each visit. Although which is the most effective plaque control intervention, it is essential to maintain a good oral hygiene around the implants for long-term success.
