★★★★★ 4.9 Rated (184 Google Reviews)  •  Main Line Dental Arts • Specialized Periodontics & Dental Implants  •  Dr. Milita Borguet, DMD • Dr. Margaret Hodgson, DMD • Dr. Peter Susanin, DMD  •  Call (610) 664-9510  •  110 N Essex Ave, Narberth, PA 19072
Dental Implant Services

Dental Implants – Maintenance

Dental Implants – Maintenance
Board-Certified Periodontal Care Narberth, PA

Specialized Dental Implant Maintenance in Narberth, PA

Protecting Your Investment and Preventing Peri-Implant Disease for a Lifetime of Success

Duration 1–2 Hours Typical
Comfort Local & Sedation
Clinician Board-Certified
Partnership Dentist Coordinated

While dental implants cannot develop dental cavities, the gum and bone supporting them are living biological tissues susceptible to bacterial infection. When bacteria and biofilm accumulate around implant collars, it triggers peri-implant mucositis (surface inflammation) and, if left unchecked, peri-implantitis (progressive bone loss that causes implant failure).

At Main Line Dental Arts, our periodontal specialists and certified dental hygienists provide specialized implant maintenance protocols. Standard dental cleanings using metal curettes can scratch delicate titanium and zirconia surfaces, creating micro-grooves that attract even more bacteria.

We use non-abrasive titanium-safe carbon-fiber and ultrasonic instruments, gentle air-polishing with glycine powder, and antimicrobial decontamination to preserve your implants for life.

Who Is a Candidate?

You may benefit from this treatment if you experience any of the following:

All patients with one or more dental implants, implant bridges, or full-arch All-on-4 restorations
Patients experiencing bleeding, redness, or tenderness around their implant gumline
Patients who have noticed a foul odor or bad taste originating near an implant
Individuals with a history of periodontal disease, diabetes, or smoking who face elevated peri-implantitis risks

What to Expect: Step-by-Step

1

1. Periodontal Probing & Digital Radiography

We gently measure peri-implant pocket depths with specialized plastic probes and take low-dose digital radiographs to verify bone levels around the implant threads.

2

2. Titanium-Safe Debridement

Biofilm and calcified calculus are carefully debrided using specialized non-abrasive instruments that will not scratch or alter the implant abutment.

3

3. Glycine Subgingival Air-Polishing

A micro-spray of biocompatible glycine powder eliminates microscopic bacterial biofilms deep within pockets without damaging fragile mucosal seals.

4

4. Laser Antimicrobial Decontamination & Home Coaching

If localized inflammation is detected, laser decontamination is performed to sterilize the pocket. We calibrate your home care routine with customized interdental brushes and water flosser tips.

Key Clinical Advantages

Prevents Peri-Implantitis

Stops silent, symptom-free bone loss before it jeopardizes implant stability.

Scratch-Free Preservation

Specialized non-metallic instrumentation preserves ultra-smooth implant surfaces.

Protects Your Financial Investment

Ensures your implants last decades or a lifetime without costly complications.

Specialist Surveillance

Evaluated by board-certified periodontists who can identify and treat issues early.

Patient Preparation & Recovery Guide

Practical instructions to ensure an anxiety-free visit and smooth, rapid healing.

Pre-Procedure Preparation
  • Health & Medication Review: Continue taking prescribed routine medications unless specifically advised by our doctors.
  • Pre-Op Nutrition: Eat a light, nourishing meal prior to procedures performed under local anesthesia. (If conscious sedation is scheduled, follow fasting guidelines provided).
  • Comfort Attire: Wear comfortable, loose-fitting clothing. Feel free to bring earbuds to listen to relaxing music during care.
  • Escort for Sedation: If receiving conscious oral sedation, arrange a trusted companion to drive you home and assist you afterward.
Post-Procedure Recovery Care
  • Rest & Cold Therapy: Rest quietly with your head slightly elevated. Apply an ice pack externally (20 minutes on, 20 off) to reduce swelling.
  • Gentle Soft Diet: Enjoy nutritious soft foods (protein shakes, Greek yogurt, broths, scrambled eggs). Never drink through a straw.
  • Gentle Oral Hygiene: Do not spit or rinse vigorously during the first 24 hours. After 24 hours, begin gentle warm salt-water rinses after meals.
  • Dedicated Follow-Up: Our clinical team phones you to check on your comfort, and we coordinate digital records directly with your general dentist.

Treatment Roadmap & Clinical Milestones

What to expect from your initial specialist consultation through complete recovery.

Phase 1
3D Planning & Imaging

High-resolution 3D CBCT scan to map bone density, nerve paths, and simulate virtual implant placement.

Phase 2
Guided Placement

Atraumatic surgical fixture placement with gentle local anesthesia and optional relaxation sedation.

Phase 3
Osseointegration

Biological fusion where bone cells integrate directly onto titanium surface over 8 to 12 weeks.

Phase 4
Final Restoration

Custom zirconia or porcelain crown/bridge delivery, co-managed with your restorative dentist.

The Specialist Advantage

Why Choose a Board-Certified Periodontist?

Periodontists undergo 3 additional years of accredited university surgical residency beyond dental school, focusing exclusively on jawbone biology, tissue regeneration, and micro-precision implant placement. We partner closely with your family dentist to deliver lasting clinical excellence.

Frequently Asked Questions

Most implant patients should visit our periodontal practice every 3 to 4 months for specialized supportive care, alternating with their general family dentist.

Yes, for routine surface hygiene; however, periodontic specialty offices possess specialized equipment (like subgingival air-polishing and lasers) necessary to treat deeper pockets safely.

Peri-implantitis is an infectious disease causing inflammation in the gum and loss of supporting bone surrounding a dental implant. It is the leading cause of implant loss.

Use a soft electric toothbrush twice daily, floss daily with implant-specific floss or a water flosser on low-medium pressure, and rinse with an antimicrobial mouthwash.
Main Line Dental Arts

Schedule Your Personal Consultation Today

Our board-certified periodontists, Dr. Borguet, Dr. Hodgson, and Dr. Susanin, are here to help restore your oral health with compassionate, personalized care.