Homecare For Implants
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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.
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
Professional Maintenance
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Salivary Testing - every visit with a microscope and aMMP8
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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, and 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)
Your Daily Checklist
Check gums for signs of infection
Sonic Brushing
Irrigation with an antimicrobial rinse
Prebiotic after every meal