By Renvert S and Polyzois In.

The main purpose when treating both peri-implant mucositis and periimplantitis is to eliminate the established biofilm from the implant surface.

There is scientific support for mechanical therapy as the treatment choice for peri-implant mucositis. The authors of this study stress plaque control performed by the patient as an important factor for treatment success, independently of treatment choice. To
ensure that the patient understands the importance of home care, the dental team needs to educate and instruct the patient in proper toothbrushing techniques and provide guidance in the choice of interdental cleaning device.

Interdental brushes or flossed interdental tape are the most appropriate options for interdental cleaning. The size of interdental brush should be chosen ensuring that the filaments fill the interproximal area. The design of the suprastructure is also important to enable
good oral hygiene, and can be redesigned if necessary.

In cases of peri-implantitis, and especially more advanced conditions, surgical treatment is often necessary.

But again, the authors emphasise the importance of oral hygiene, stating that nonsurgical therapy in combination with reinforcement of oral hygiene should precede surgery.

In conclusion, prevention is the best treatment of any disease, including periimplantitis, and poor oral hygiene is a defined risk indicator for this disease.

The need for a regular recall program for implant patients, including follow up of oral hygiene, is evident.