The healthy patient with
early periodontal disease*

As the patient does not have any particular risk factors with specific dental implications, the requirements determined from her current state of oral health are crucial. Here, it is recommended that a thorough assessment of periodontal condition be carried out once a year. This will ensure that any potential progression of the previous periodontal disease or development of peri-implantitis can be responded to in good time.

Despite the stable conditions, it is also crucial for the instructive/motivational discussion to be conducted with this patient. Particular attention should be paid to teaching the patient how to care for the implants correctly. Here in particular, good at-home maintenance can have a significant impact on the long-term stability of oral and implant health.

In terms of instruments, specific procedures are required for use with implants. In order to preserve the surface of the implant while cleaning it effectively, it is essential to choose suitable powders and instruments such as the targeted use of air polishing devices with special periodontal tips. Which powder is most suitable can be determined according to the needs and risk. For example, in addition to the appropriate degree of abrasion, dietary requirements (including sugar-free, low-salt) may also be taken into account.

Because the patient has implants and a history of periodontal disease, she is at risk of developing peri-implantitis. It is therefore recommended that she attend a recall session every three to four months.

* with the kind permission of Dr G. Schmalz and Dr D. Ziebolz MSc.