
Homecare
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Dental implants are an investment in long-term health and function. Success depends not only on professional care but also on consistent and thorough home care.
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​The challenge in maintaining hygiene around ALL-on-X prostheses, especially those made of zirconia and screwed into place, lies in the limited accessibility, particularly the intaglio(tissue-facing) surface, which cannot be cleaned without removing the prostheses.
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Only about 20 to 30% of the surface area of a full arch zirconia prosthesis is accessible for effective daily biofilm disruption.
Biofilm accumulates silently on the intaglio (tissue facing) surface, contributing to implant mucositis and peri-implantitis. 70 to 80% of the prosthesis is inaccessible to the patient performed hygiene. Strategies should include biofilm disruption and newer​​
approaches that do not require biofilm removal.​
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First Line of Defense: Daily Home Care​​
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Twice-Daily Routine
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Use a soft, sonic toothbrush on visible surfaces
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Interdental brushes or proxy brushes for the gumline around accessible implants
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Water flosser with antimicrobial rinse under the prosthesis (angled tip preferred)
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Antimicrobial Mouth Rinse
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Ozone water or molecular iodine
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AOXcare Prebiotic Supports a healthy oral microbiome
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Reduces acid production by altering bacterial metabolism
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Red Flags to Watch For​​
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Bleeding or swollen gums
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Bad taste or odor
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Loosening of the prosthesis
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Redness or pus at the implant site
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Contact your provider immediately if you notice these
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Professional Maintenance​
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Salivary Testing - every visit with a microscope, yearly lab tests
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In-Office Cleanings
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Every 3 to 4 months for AOX prosthesis patients
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More frequent if there is a history of peri-implant disease
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Professional Tools
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Guided biofilm therapy (GBT), air polishing, laser decontamination
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Removal of the prosthesis periodically to clean the intaglio surface​​
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​ Frequently Asked Questions​
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Can I use floss under an AOX? (Usually not—use a water flosser)
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Is AOXcare safe long-term? (Yes, formulated to support balance without harsh chemicals)
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Can I sleep in my prosthesis? (Yes, AOX is fixed—but hygiene becomes even more important)
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Your Daily Checklist
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Check gums for signs of infection
Sonic Brushing
Irrigation with antimicrobial rinse
Prebiotic after every meal