What type of instrumentation is recommended for peri-implant diseases to avoid damage to implants?

For managing peri-implant diseases, the recommended instrumentation involves the use of plastic and carbon fiber instruments. These tools are specifically designed to be gentle on the implant surface, minimizing the risk of scratches and damage that could compromise the integrity of the implant and surrounding tissue.

Plastic instruments are particularly beneficial as they are softer than steel and less likely to create micro-abrasions that can harbor bacteria. Carbon fiber instruments provide a similar advantage, offering durability while remaining non-abrasive. These types of instruments help ensure that plaque and calculus can be effectively removed from implant surfaces without jeopardizing the health of the implant itself.

In contrast, the use of steel curettes, ultrasonic scalers, or metal scrapers can lead to potential complications. Steel instruments can scratch the titanium surface of implants, creating rough areas that may trap biofilm and promote further inflammation. Ultrasonic scalers, while effective for natural teeth, might cause overheating or mechanical trauma to the implant surface. Metal scrapers pose a similar risk; they can induce damage that could hinder long-term success.

Using appropriately designed instruments for implant maintenance is crucial for preserving the longevity and functionality of dental implants, making plastic and carbon fiber tools the best choice for this purpose.