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Cited by 16Dental Implant Techniques and OutcomesDental materials and restorationsOral microbiology and periodontitis research

Maintenance protocols for implant-supported dental prostheses: A scoping review

Soares, Pablo Machado, Silveira, Gabriela do Amaral, Gonçalves, Luciano de Souza, Bacchi, Atais, Pereira, Gabriel Kalil Rocha·2024·The Journal of Prosthetic Dentistry
DOI 10.1016/j.prosdent.2022.08.026
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Abstract

Statement of the problem Biological complications of implant-supported prostheses remain a concern. Therefore, standardizing hygiene protocols to promote their maintenance is important.Purpose The purpose of this scoping review was to identify available hygiene guidance for home care procedures, as well as periodicity and protocols for the professional maintenance of implant-supported prostheses.Material and methods This study was based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, and the study protocol was made available at: https://osf.io/5jdeh/. The search was last performed in the PubMed database on March 15, 2022 and was undertaken by 2 independent researchers. Clinical studies and reviews that evaluated home care and maintenance protocols for dental implant-supported prostheses (fixed or removable), without language restriction or year of publication, were included. A descriptive analysis was performed considering study characteristics (study design, restorative assembly, maintenance strategies, eligibility criteria, number of included studies, quality/level of evidence, and main findings).Results The initial search yielded 3138 studies, of which 18 were included for descriptive analysis (6 critical reviews, 4 clinical trials, 3 systematic reviews, 2 guideline reports, 2 retrospective studies, and 1 transversal study). The main instrument recommended for home care was the use of a conventional toothbrush associated with triclosan-containing toothpaste in addition to interproximal aids (brushes or floss) for all types of restorations. The use of irrigation instruments was also frequently considered. For professional maintenance, almost all studies reported a positive effect of regular recalls every 3 months during the first year, followed by less regular recalls according to the motivation of the patient and home care efficacy. At each recall, the professional should evaluate the patient history, oral tissues, implant, abutments, and restorations, as well as perform professional cleaning of the prostheses with appropriate instruments so that the implants and abutments may be preserved.Conclusions Establishing an adequate hygiene protocol is indispensable for implant-supported restorations. To do so, the professional must guide and support the patient's home care by taking into account the patient's motivation and efficacy during the hygiene procedures. Also, for professional maintenance, the periodicity of recalls should be constant and include an evaluation of the condition of the restoration and adjacent tissues, followed by professional cleaning of prostheses, implants, and abutments, in addition to new instructions to improve patient home care.

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Authors
Soares, P. M., Silveira, G. D. A., Gonçalves, L. D. S., Bacchi, A., & Pereira, G. K. R.
Affiliations
Universidade Federal de Santa Maria (BR)
Corresponding author
Pereira, Gabriel Kalil Rocha
ORCID
Venue
The Journal of Prosthetic Dentistry
Publisher
Elsevier BV
Published
2024-07
Volume
132
Issue
1
Pages
59-71
ISSN
0022-3913 (ISSN-L)
DOI
10.1016/j.prosdent.2022.08.026
OpenAlex
W4312019229
Cited by
16
References
33
Citations by year
2026: 5 · 2025: 5 · 2024: 6
FWCI
0.54
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Journal of Prosthetic Dentistry (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Dentistry › Oral Surgery › Dental Implant Techniques and Outcomes
  • Health Sciences › Dentistry › Orthodontics › Dental materials and restorations
  • Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
Keywords
dental implant maintenance, home care, professional cleaning, recall interval, toothbrushing, interdental brushes, patient motivation
MeSH terms
Humans, Oral Hygiene, Dental Prosthesis, Implant-Supported

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