Dr. Yusuf Jadwat - Specialist in Periodontics and Oral Medicine

Follow me on Facebook Connect with me on LinkedIn

Implant Maintenance

Implant therapy is now a standard part of care offered to patients and therefore, an increased need for proper professional maintenance of these implants is required. As a part of the routine evaluation, it is crucial to assess the condition of implant fixtures and restorations, and to provide the appropriate maintenance. Failure in maintaining effective plaque control and compliance with regular professional maintenance appointments may lead to implant failure and subsequent loss of the implant supported restoration.

Evaluation procedures

A general examination includes; assessment of self-performed plaque control, assessment of the stability of the restoration and implant, and assessment of the character and presentation of the peri-implant soft tissues. Gentle periodontal probing is used to check for evidence of disease including any areas that show evidence of purulence.

Radiographic assessments are carried out to monitor crestal bone levels. Areas of radiolucency around an implant fixture beyond the expected bone loss due to remodelling after seating of the implant restoration are of concern, and may require further intervention.

Maintenance procedures

Special dental prophylaxis instruments are used to scale around implant fixtures and restorations. Upmost care is taken not to scratch or damage the titanium fixtures and abutments. Polishing is performed using a standard rubber cup, and fine prophy paste.

Implant emergency procedures

The most common implant emergency is a loose screw. This is a true emergency, as rotation of the restoration can cause damage to the fixture. If the screw is fractured, it will be necessary to carefully tease out the fractured portion of the screw and if a new screw is available, replace the screw. Radiograph verification is required to ensure that the restoration is fully seated, and tighten to the appropriate torque.

Failing implants

Clinical findings of concern would include soft tissue swelling, bleeding and tenderness on probing, purulence, and tenderness on percussion. The presence of these findings is an indication that the implant may be ailing or failing. A radiographic finding of significant bone loss may characterize a failing implant. Mobility of the implant fixture is an indication of a failed implant, and the implant has to be removed.

What We Offer

  • Routine Periodontal Care

    Periodontal maintenance/supportive care is an ongoing treatment plan designed to monitor and intercept on recurrence of gum disease.

  • Laser Periodontal Treatment

    This treatment removes diseased or inflamed soft tissue by gently passing a laser between the gums and teeth.

  • Dental Implants

    A dental implant is an artificial tooth root that a periodontist places into your jaw to support restorations that resemble a tooth or group of teeth (bridge) or they can be used to support a denture.

  • Implant Maintenance

    Implant therapy is now a standard part of care offered to patients and therefore, an increased need for proper professional maintenance of these implants is required.

  • Periodontal Plastic Procedures

    Our oral surgery services include: tooth removal, soft tissue grafting, bone grafting, and sinus elevation.

  • Sedation Dentistry

    Sedation can help you deal with dental phobias, and alleviate the discomfort and fear that are often barriers to receiving care.

  • Oral Medicine

    It is a specialty of dentistry concerned with the oral health of patients with chronic, recurrent and medically related disorders of the oro-facial region, and with their diagnosis and management thereof.

  • Oral Cancer Screening

    Oral cancer is one of the few types of cancer that has not decreased in incidence over the past several decades.

  • Plaque Control

    Advice for good oral hygiene. Caring for sensitive teeth, choosing oral hygiene products, and professional cleaning.