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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Article info
Publication history
Published online: December 17, 2022
Publication stage
In Press Corrected ProofFootnotes
Funding: Supported by the Brazilian Federal Agency for Coordination of Improvement of Higher Education Personnel – CAPES (Finance Code 001), through the granting of scholarship for the course of the Post-graduate Program of Oral Science.
Identification
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© 2022 by the Editorial Council for the Journal of Prosthetic Dentistry.
