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Maintenance and longevity

Implant Aftercare and Living With Implants

Implants do not decay, but the gum and bone around them can, so daily interdental cleaning and regular hygienist visits are what make them last. Well-maintained implants commonly last twenty years and beyond; the crown on top has a shorter life and may be replaced once or twice.

The short answer
  • Implants cannot get cavities, but they can develop peri-implantitis in the surrounding tissue.

  • Interdental brushes or a water flosser reach the implant-gum junction better than floss alone.

  • Hygienist visits every six months are the baseline, more often for higher-risk patients.

  • Eat soft for the first days after surgery, then build back up as healing allows.

  • A night guard protects implants and bridges if you grind your teeth.

Daily care that keeps implants healthy

The single most important habit is interdental cleaning around the implant. Because the fixture is titanium and the crown ceramic, neither can decay, but the soft tissue and bone around the implant can develop peri-implantitis, an inflammatory disease equivalent to gum disease around natural teeth. Interdental brushes or a water flosser clean the implant-gum junction more effectively than floss alone.

Brush twice a day with a soft brush; an electric brush with a pressure sensor is a good choice. Aggressive brushing causes gum recession around implants exactly as it does around natural teeth, so technique matters more than force.

Hygienist visits and professional maintenance

Six-monthly hygienist visits are the baseline for implant patients, shortened to three or four months for anyone with a history of gum disease or higher peri-implantitis risk. The hygienist should use carbon-fibre or PEEK-tipped instruments around implants rather than metal scalers, which can scratch the implant surface.

Early peri-implantitis, signalled by bleeding, soft-tissue recession and bone change on radiographs, can often be reversed with professional cleaning and better home care. Caught late it is much harder to manage, which is why the maintenance routine is not optional.

Eating, healing and longevity

For the first few days after placement, keep to soft, cool foods and avoid straws so the healing site is not disturbed. Chew on the other side for a couple of weeks, then reintroduce most foods gradually. Once the final crown is fitted, the implant handles normal biting, including the apples, corn and steak patients most often miss.

With good maintenance, implant survival at twenty years is around ninety per cent. The crown or bridge on top wears more like any restoration and may need replacing once or twice over the life of the fixture, which is a maintenance cost worth planning for rather than a failure.

Common questions

Aftercare questions answered

Common questions on this topic, with specific UK figures where they apply.

No. The fixture is titanium and the crown ceramic or metal, both inert to decay. The risk is to the surrounding gum and bone, which can develop peri-implantitis if not cleaned well.

Every six months as a baseline, and every three to four months if you have a history of gum disease or higher peri-implantitis risk.

The fixture commonly lasts twenty years and beyond with good care. The crown on top has a shorter life and may need replacing once or twice during the life of the implant.

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