SYSTEMATIC REVIEW article
Front. Oral Health
Sec. Preventive Dentistry
This article is part of the Research TopicBest Practices in Home Plaque Removal: Past, Present, and Future PerspectivesView all articles
Best oral self-care practices for peri-implant conditions and diseases: A systematic review
Provisionally accepted
- 1University of Michigan, Ann Arbor, United States
- 2University of Minnesota Twin Cities, Minneapolis, United States
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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. 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.
Keywords: Dental Implants, Implant maintenance, Peri-implant health, peri-mucositis, peri-implantitis AND oral health, prevention & control oral hygiene
Received: 30 Jun 2025; Accepted: 13 Nov 2025.
Copyright: © 2025 Eagle, Theis-Mahon and Arnett. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Iwonka Theresa Eagle, ilenda@umich.edu
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