Multimodal Mechanical–Chemical Home Care Best for Peri-Implant Disease Prevention: Study

Dr. Shravani Dali

Multimodal Mechanical–Chemical Home Care Best for Peri-Implant Disease Prevention: Study

Written By : Dr. Shravani Dali Published On 2026-01-16T20:15:52+05:30 | Updated On 16 Jan 2026 8:16 PM IST

A combined multimodal strategy using both mechanical and chemical home care measures is the most effective approach for preventing peri-implant disease. These findings highlight the need for individualized, evidence-based home care protocols to maintain implant longevity and reduce the overall burden of peri-implant disease.

The increasing prevalence of dental implants has brought greater attention to the prevention and management of peri-implant diseases, which can compromise long-term implant success. This systematic review evaluated the current evidence on oral self-care practices for maintaining peri-implant health in healthy, non-smoking adults. This systematic review was reported in accordance with the PRISMA 2020 statement and registered in the PROSPERO database (CRD420251028140). PICO methods and guidelines for the Center for Evidence-Based Medicine were used to develop the focus question, “What are the best practices for oral self-care for the prevention and management of peri-implant conditions and diseases?” Risk of bias was determined by applying the ROBIS Tool to assess risk of bias in systematic reviews and the revised Cochrane risk of bias tool for randomized trials (RoB2).

Results: Across 12 studies, interventions were categorized into five domains: toothbrushes, interdental aids, toothpaste, mouth rinses/topicals, and multi-modal self-care strategies. Powered toothbrushes, particularly oscillating-rotating models, demonstrated superior plaque and inflammation reduction compared to manual options. Triclosan-containing toothpastes consistently outperformed fluoride-only formulations in decreasing plaque, bleeding on probing, and pathogenic bacteria. Interdental aids such as interproximal brushes and oral irrigators were more effective than floss in reducing inflammatory markers. Stannous fluoride-based rinses showed potential anti-inflammatory benefits, while prolonged chlorhexidine use may elevate inflammatory cytokines.

A multimodal approach combining mechanical and chemical adjuncts was most effective for peri-implant disease prevention. These findings emphasize the importance of individualized, evidence-based home care protocols in preserving implant longevity and reducing peri-implant disease burden.

Reference:

Eagle, I. T., Theis-Mahon, N., & Arnett, M. C. (2025). Best oral self-care practices for peri-implant conditions and diseases: A systematic review. Frontiers in Oral Health. https://doi.org/10.3389/froh.2025.xxxxxx

Keywords:

peri-implant disease, dental implants, prevention, multimodal care, mechanical cleaning, chemical oral care, oral hygiene, implant maintenance, periodontology, clinical dentistry, Eagle, I. T., Theis-Mahon, N., & Arnett, M. C

peri-implant diseasedental implantspreventionmultimodal caremechanical cleaningchemical oral careoral hygieneimplant maintenanceperiodontologyclinical dentistry

Source : Frontiers in Oral Health

Dr. Shravani Dali

Dr. Shravani Dali has completed her BDS from Pravara institute of medical sciences, loni. Following which she extensively worked in the healthcare sector for 2+ years. She has been actively involved in writing blogs in field of health and wellness. Currently she is pursuing her Masters of public health-health administration from Tata institute of social sciences. She can be contacted at editorial@medicaldialogues.in.