What comes after implants?
By Konstantinos-Eirinaios Papathanasopoulos
Dental implants have radically transformed the way we address tooth loss, whether partial or total. They offer a long-term solution for improving both the aesthetics and functionality of the mouth—provided that proper preventive practices are followed. A recent study showed that implants can achieve a survival rate of over 80% over 20 years, as long as certain conditions are met. In this article, we will examine the necessary actions to take both before and after implant placement to ensure their long-term success.
Preparation Before Implant Placement
Proper preparation is the first step toward the success of a dental implant. Prior to placement, the dentist assesses the patient’s oral health, focusing on the following:
Evaluation of gum and periodontal health: If gingivitis or periodontitis is present, it must be treated before the procedure.
Bone density analysis: The implant requires sufficient and healthy bone for stabilization. If cone beam computed tomography (CBCT) indicates that the bone is inadequate, bone grafting may be necessary.
Lifestyle and habits: Smoking, uncontrolled diabetes, and poor oral hygiene can negatively impact osseointegration, healing, and implant longevity.
Overall oral condition: The presence of cavities or other issues can also adversely affect the final outcome.
After Implant Placement
Once the implant is in place, proper care is crucial to avoid complications such as peri-implantitis. Key preventive measures include:
Daily and effective oral hygiene: Brushing, interdental brushes, and antiseptic mouthwashes reduce the risk of inflammation.
Regular dental check-ups: Scheduled follow-up appointments within an organized recall program allow for early detection of issues and help prevent complications.
Avoidance of harmful habits: Bruxism and habits such as chewing very hard foods, especially in the presence of inadequate oral hygiene, may reduce the implant's lifespan.
Addressing early warning signs: Any indication of inflammation, pain, or implant mobility should be reported to the dentist immediately.
The Role of Nutrition
Nutrition plays a key role in both the healing process and the long-term maintenance of implant health. Consuming foods rich in calcium, vitamin D, and proteins helps strengthen both bone and gums. In contrast, processed sugars and acidic foods may increase the risk of inflammation and infection. Healthy dietary choices contribute to both oral health and implant longevity.
Long-Term Implant Maintenance
To ensure long-term implant health, several practices must be followed:
Ongoing monitoring of gum health: Healthy gums are fundamental to implant stability.
Use of appropriate oral hygiene products: Soft toothbrushes, fluoride toothpaste, interdental brushes, and dental floss should be used on a daily basis.
Avoiding trauma: Implants, like natural teeth, can be damaged by trauma or harmful oral habits—such as using teeth to open bottles or biting on hard objects like pens.
Conclusion
The success of dental implants depends not only on the quality of the surgical procedure but also on post-operative care. With proper prevention, regular check-ups, and good oral hygiene, implants can remain healthy for many years, supporting a bright and functional smile. Preventive habits and proper education are key factors for the success of implant restorations and the overall maintenance of oral health.
References
Kupka, J. R., König, J., Al-Nawas, B., Sagheb, K., & Schiegnitz, E. (2024). How far can we go? A 20-year meta-analysis of dental implant survival rates. Clinical Oral Investigations, 28(10), 541. https://doi.org/10.1007/s00784-024-05929-3