Care continues after your replacement tooth is fitted. Everyday cleaning and professional reviews work together, with a plan suited to your tissues, restoration and health.
Private assessment and follow-up with Dr. Sergi Rivas Frau and/or Dr. Sahand Shirzadi Maryan, according to your care plan.
Appointments take place at collaborating clinics in Barcelona. The location is confirmed when your visit is arranged.
Educational schematic · not to scaleCrown: the visible replacement tooth. The gum and bone around the implant need ongoing care. This is simplified anatomy, not a patient result.
The whole care plan
Three parts of ongoing care.
Your daily routine, professional review and assessment of changes belong together. These are parts of a care plan, not stages of disease.[1][2]
At home
Clean where your implant meets the tissues.
Ask the team to demonstrate a method you can use comfortably with your own restoration.
Maintenance supports monitoring and risk reduction. It cannot guarantee that an implant will remain free of disease.
Understand the difference
What are we checking for?
Examination and comparison with earlier records distinguish health, mucositis and peri-implantitis. A lower bone level alone does not establish active disease.[3]
No clinical inflammation
Healthy tissues
Educational schematic · not to scaleAn intact-support example. Health can also exist with reduced bone support.
The tissues are healthy and bone support is stable. Continue your cleaning and agreed reviews.
Inflammation in the gum
Mucositis
Educational schematic · not to scaleThe bone outline is unchanged from the healthy example; the gum is inflamed.
The gum is inflamed without additional disease-related bone loss. Assessment, cleaning and reassessment are needed.
Inflammation and bone loss
Peri-implantitis
Educational schematic · not to scaleAn example of supporting-bone loss. Symptoms alone cannot show its extent.
Inflammation is accompanied by loss of supporting bone. A clinician assesses the diagnosis and treatment options.
These are alternative findings. The diagrams do not show an inevitable progression.
An implant review includes more than the visible tooth. The findings help decide what cleaning, further assessment or treatment is appropriate.[1][2][4]
Educational schematic · not to scaleAn assessment example with reduced bone support. Stability and inflammation need clinical evaluation; this is not a healed result.
Review area 1
Your history and any changes
Discuss your health, medicines, smoking, previous gum disease and any symptoms or difficulty cleaning.
Review area 2
Tissues and supporting bone
Examine and gently measure around the implant. Compare with earlier records; take appropriate X-rays when needed.
Review area 3
The replacement tooth and cleaning access
Check the crown, bridge or denture and whether you can reach the surrounding tissues. Cleaning or restoration adjustments depend on the findings.
Review area 4
Your next care plan
Review home cleaning, arrange professional care as indicated and agree when to return or contact the team sooner.
Cleaning at home
A routine you can carry out.
Ask for a demonstration around your crown, bridge or denture, including the gum margin and spaces you need to reach. The choice and size of a cleaning aid should fit your restoration and tissues.[1]
This page concerns ongoing care. After an operation, use your treating team’s specific instructions for the healing site.[4]
Ask the team to check:
Can I reach the tissues around this replacement tooth?
Can you show me a suitable method and watch me try it?
What should I do if cleaning causes discomfort or bleeding?
Does the restoration make cleaning difficult?
Report difficulty cleaning. The solution may need clinical advice or changes to access, rather than a different product alone.
Changes to report
Contact the team when something changes.
Tell us about bleeding, swelling, discharge, discomfort, a change in the gum or a loose replacement tooth or implant. The cause needs examination; these signs alone do not diagnose peri-implantitis.[2][3][4]
A new concern
Describe what changed and when. Seek advice promptly for looseness or worsening symptoms, even if your next routine review is already arranged.
Severe mouth or facial swelling, or difficulty breathing or swallowing, requires urgent local medical help. An online enquiry is not an emergency service.[6]
Your next review
Agree the interval. Reconsider it when needed.
The interval depends on your findings and risk profile. Previous periodontitis or peri-implantitis, inflammation, smoking, diabetes and difficult cleaning access may influence follow-up.
Discuss your health and any changes with the team. An interval can change as your tissues and circumstances change.
Leave with a clear plan.
When is my next review, and why?
What will be monitored against earlier records?
Which changes should I report sooner?
Who should I contact if I am away?
Based on individualized supportive-care guidance.[1][2]
If you live abroad
Plan continuity near home.
Discuss routine reviews with a local dental professional and when the Barcelona team should reassess you. Agree which implant, restoration and earlier examination records will help coordinate your care.
Our team normally provides periodontal follow-up. Arrangements for shared care and any Barcelona visits need to be agreed for your case before you book travel.
Your questions
Understand your ongoing care.
Clear explanations matter. Ask the team to clarify your diagnosis, cleaning and follow-up plan.[5]
Do I need reviews if my implant feels fine?
Yes. Feeling comfortable does not show the condition of the tissues or supporting bone. Reviews help establish a baseline and identify changes.[1][2]
How often should I attend?
Agree the interval with your clinician. Previous gum disease or peri-implantitis, current inflammation, cleaning access and your health can affect the plan. It may change after reassessment.[1][2]
Which cleaning tools should I use?
Ask for a demonstration for your own crown, bridge or denture. The method and size of any cleaning aid should suit its shape and your tissues. Tell the team if cleaning is painful or difficult.[1]
Does bleeding mean my implant needs surgery?
Bleeding needs assessment. It can occur with mucositis; peri-implantitis also involves disease-related bone loss. Examination and earlier records guide the diagnosis and treatment options.[3]
Is this the cleaning plan immediately after surgery?
This guide concerns ongoing implant care. After an operation, follow the instructions given for your specific surgery and clarify cleaning with your treating team before changing that plan.[4]
Can I arrange follow-up if I live outside Spain?
Discuss who will provide regular reviews near home, what records should be available and when a Barcelona visit is needed. Contact the team before arranging travel; an enquiry does not confirm an appointment.
The evidence behind this guide
Scientific guidance and patient sources.
Consensus guidance, research and authoritative patient information inform these explanations. They support an individual care plan, not a guaranteed outcome.
NHS patient information · broader dental infection guidance
Start with your concern
Understand what your implant needs.
Tell us briefly about your implant, any change you have noticed and previous care. Assessment guides the next step; an enquiry does not confirm an appointment or treatment suitability.