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Year : 2016  |  Volume : 8  |  Issue : 9  |  Page : 903-910

Clinical Evaluation of Hygiene Maintenance of Full-arch Implant-supported Prostheses

1 Student of the Graduate Program, Master in Dental Prosthesis, Department of Prosthodontics, São Leopoldo Mandic College, Campinas - São Paulo - Brazil
2 Associate Professor, Department of Restorative Dentistry, São Leopoldo Mandic College, Campinas - São Paulo - Brazil
3 Coordinator and Adjunct Professor, Department of Restorative Dentistry, São Leopoldo Mandic College, Campinas - São Paulo - Brazil

Correspondence Address:
Simone Kreve
Rua Independência 1899, Apto 602, Centro, Toledo, Paraná -Brazil

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Source of Support: None, Conflict of Interest: None

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Background: Implant-supported fixed prosthodontics is a successful treatment option for oral rehabilitation. The increased incidence of mucositis and peri-implantitis may, however, compromise the longevity of such strategy. Hygiene maintenance of the prosthetic appliance is essential for long-term success of osseointegrated implants, but unfortunately, oral hygiene has been a concern that has unaccompanied the evolution of this type of restorative approach. The aim of this study was to evaluate hygiene quality of the prosthesis and the soft tissues around implants by removing the appliance for assessment. Materials and Methods: A total of 48 patients were included in the study. Their appliances were removed for examination, assessment, and debridement. The patients were instructed to performing hygiene methods using appropriate cleaning devices. They were reevaluated after 6 months. Results: The G-test revealed that With the implementation of the hygiene measures provided, the patients reported differences in cleaning methods used (p < 0.001) and G test revealed significant hygiene changes in the prosthetic appliance (p = 0.024) were also observed. The data showed that cleaning was not affected by education level, but by the preference for quicker cleaning strategies that required little dedication. Conclusions : Biofilm removal is a key factor for peri-implant health though hygiene quality remained far below acceptable standards, so that biofilm, calculus pseudomembranes were present in large quantities even after hygiene instructions.

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