A Proposed Protocol for Ordinary and Extraordinary Hygienic Maintenance in Different Implant Prosthetic Scenarios

Prevention of peri-implantitis involves the early diagnosis of peri-implant mucositis. Thisarticle presents a protocol of hygienic maintenance in different implant prosthetic scenarios: singlecrown, fixed partial prosthesis, fixed full-arch, and overdentures. Others clinical conditions haveto be taken into consideration: patient compliance; history of periodontitis; implants placed inaugmented bone; short, zygomatic, pterygoid, and tilted implants; and complex prosthesis withfalse gingiva. Two levels of implant maintenance are described: ordinary, performed by dentalhygienist, and extraordinary, carried out by both dentist and hygienist. Extraordinary maintenancealso involves the removal and decontamination of the prosthetic structure. To obtain an effectiveprevention of peri-implantitis, one must plan ordinary and extraordinary hygiene in relation to thetype of rehabilitation and clinical parameters.