type of dental implants

Dental Implant Abutments: Types, Materials and How They Work

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A dental implant abutment is the connector piece that joins the titanium implant post — which is fixed in the jawbone — to the visible crown, bridge or prosthesis on top. Without the abutment, the implant and the restoration cannot be joined. Understanding what abutments are and how they work helps patients make sense of their treatment plan and the components involved in their restoration.

At Asensio Advanced Dentistry in Valencia, abutment selection is part of the treatment planning process for every implant case. The choice of abutment type and material affects the fit, aesthetics and long-term stability of the final restoration. Dr. Lucía Asensio Romero, specialist in implantology and oral surgery with over 30 years of experience, selects the appropriate abutment for each case based on the implant system, bone level, gum tissue and prosthetic design.

The three components of a dental implant

A complete dental implant restoration consists of three distinct components, each with a specific function:

Component Location Function
Implant fixture Inside the jawbone Replaces the tooth root — titanium post that fuses with bone through osseointegration
Abutment At gum level Connects the implant fixture to the crown — provides the shape the crown sits on
Crown / prosthesis Above the gum The visible restoration — designed to match surrounding teeth in colour, shape and function

Types of dental implant abutments

Different stages of treatment require different abutment types. The three main categories are:

Type When used Purpose
Healing abutment Immediately after implant placement Shapes the gum tissue around the implant while osseointegration occurs — removed before final restoration
Temporary abutment During osseointegration period Supports the provisional crown while the implant integrates — replaced at second visit
Final abutment At second visit after osseointegration Permanent connector for the definitive crown — precision-fit to the specific implant and crown design

Abutment materials

The choice of abutment material affects both the aesthetics and the mechanical performance of the restoration. The most commonly used materials are:

Material Advantages Best used for
Titanium Maximum strength, biocompatible, lightweight, long clinical track record Most cases — the default choice for strength and reliability
Zirconia Tooth-coloured — eliminates grey gum line, excellent biocompatibility Front teeth where aesthetics are critical and gum tissue is thin
Gold alloy Excellent precision fit, biocompatible Complex prosthetic cases requiring precision casting
PEEK (polyether ether ketone) Lightweight, tooth-coloured, used for temporaries Provisional restorations during osseointegration

At Asensio, abutments are sourced exclusively from Nobel Biocare and Klockner — the same implant brands used for the fixtures. Using manufacturer-matched components ensures precise fit, consistent performance and compatibility with the lifetime guarantee on materials.

Frequently asked questions

Is the abutment included in the implant price?

Yes. At Asensio, the quoted price for a single implant (£850) includes the implant fixture, abutment and porcelain crown — all three components. There are no hidden additions for standard cases. View the full breakdown on our prices page.

Can an abutment fail or need replacing?

Abutment loosening is one of the most common minor implant complications. It is usually resolved by retightening or replacing the abutment — a straightforward procedure that does not affect the implant fixture itself. If you experience a loose or uncomfortable crown, contact us promptly rather than leaving it, as a loose abutment can cause damage to the implant connection over time.

What is the difference between a cement-retained and a screw-retained crown?

Crowns can be attached to abutments either by dental cement or by a small retaining screw. Screw-retained crowns are removable by the dentist for maintenance or adjustment — they are generally preferred for implant restorations because they allow easier access if the abutment needs attention. Cement-retained crowns are fixed permanently and cannot be removed without risk of damage.

Do I need to do anything special to care for my abutment?

The abutment itself requires no special care beyond the standard implant cleaning routine — soft toothbrush, interdental brush and water flosser daily. The critical area to clean is the junction between the abutment and the gum, where bacterial biofilm accumulates and can cause peri-implant infection if not removed regularly. See our dental implant care guide for full instructions.

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dental clinic

Teeth Whitening Abroad in Spain — Professional Treatment at Asensio

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Teeth whitening abroad at Asensio Advanced Dentistry in Valencia uses the Philips Zoom system — professional-grade whitening that lightens teeth by up to 8 shades in a single 45-minute session. Dr. Lucía Asensio Romero, specialist in cosmetic dentistry, performs all whitening treatments as part of a wider smile assessment that considers the patient’s baseline shade, existing restorations and aesthetic goals.

Professional teeth whitening at Asensio costs significantly less than equivalent UK private treatment — and unlike over-the-counter kits, the result is predictable, safe and supervised by a specialist. Philips Zoom uses cold light activation, protecting the enamel throughout the procedure.

The first consultation is completely free. Call us on 0800 048 8058 or email office@dentalasensio.co.uk to book.

What teeth whitening can and cannot do

Stain type Whitening effective? Alternative if not
Tea, coffee, red wine Yes — highly effective —
Tobacco staining Yes — effective —
Age-related darkening Yes — effective —
Tetracycline staining Partial — limited results Porcelain veneers
Crowns, veneers, fillings No — only natural tooth enamel whitens Replacement of restorations to match new shade

Philips Zoom whitening — how it works

A professional cleaning is performed before whitening to remove plaque and tartar that would otherwise block the whitening gel. The Zoom whitening gel is then applied to the teeth and activated by a cold light lamp — a process repeated over three 15-minute cycles in a single session. The patient can see results immediately after the first session. A home maintenance kit is provided to extend and maintain the result.

Frequently asked questions

Is teeth whitening painful?

Some patients experience mild sensitivity during and for 24–72 hours after treatment — this is normal and temporary. Philips Zoom cold light is significantly less aggressive on the enamel than traditional laser whitening systems.

How long do whitening results last?

Results typically last 1–2 years depending on diet and habits. Avoiding tea, coffee, red wine and tobacco significantly extends the result. Top-up treatments can be performed every 6–12 months.

Can I whiten my teeth if I have veneers or crowns?

Whitening gel only affects natural tooth enamel — existing crowns, veneers and composite fillings will not change colour. If you have visible restorations, we will advise on whether whitening is appropriate and whether any restorations would need replacing to match the new shade.

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dental implants spain

Dental Hybrid Prosthesis: What It Is and How It Works

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A dental hybrid prosthesis is a fixed implant-supported restoration that combines a rigid metal or zirconia framework with resin or acrylic teeth. It is one of the most common definitive restorations used in full arch rehabilitation — including All-on-4 — because it combines the stability of a fixed prosthesis with the aesthetic flexibility of composite teeth and the cost-effectiveness of acrylic over all-ceramic options.

Unlike a removable denture, a hybrid prosthesis is fixed to the implants and cannot be removed by the patient. Unlike an all-ceramic bridge, it uses a hybrid construction that allows the restoration to be lighter, easier to repair and more adaptable to complex anatomical situations. At Asensio Advanced Dentistry in Valencia, hybrid prostheses are the standard definitive restoration for All-on-4 full arch cases, planned and fitted by Dr. Lucía Asensio Romero, specialist in implantology and oral surgery with over 30 years of experience.

How is a dental hybrid prosthesis constructed?

A hybrid prosthesis has two main structural elements that work together to provide a stable, aesthetic and functional result:

Component Material Function
Framework Titanium, cobalt-chrome or zirconia Rigid structural base that connects to the implant abutments — provides strength and precise fit
Teeth Acrylic resin or composite Aesthetic element — individually shaped and colour-matched to simulate natural teeth

The framework is manufactured in a dental laboratory using digital scanning of the patient’s mouth and implant positions. The fit to the implant abutments must be precise — any inaccuracy creates mechanical stress that can affect the implants over time. At Asensio, all prosthetic components are manufactured to Nobel Biocare or Klockner specifications using digital workflow and in-house laboratory oversight.

Hybrid prosthesis vs all-ceramic bridge

Factor Hybrid prosthesis All-ceramic bridge
Weight Lighter — less load on implants Heavier
Repairability Individual teeth can be repaired or replaced without replacing the whole prosthesis Damage typically requires full replacement
Aesthetics Very good — resin teeth closely mimic natural teeth Excellent — ceramic is closest to natural tooth appearance
Cost Lower — resin teeth are less expensive than full ceramic Higher
Longevity 10–15 years for the prosthetic teeth — framework lasts much longer 15–20 years with good care

Hybrid prosthesis in All-on-4 treatment

In All-on-4 full arch rehabilitation, the treatment involves two prostheses: a provisional and a definitive. The provisional — fitted on the same day as surgery — is a temporary hybrid prosthesis that allows patients to eat and speak normally during the osseointegration period. The definitive hybrid prosthesis is fitted at the second visit, 3–6 months later, once osseointegration is confirmed.

The definitive prosthesis is custom-made for each patient based on digital scans taken during the second visit. It is designed to optimise function, aesthetics and bite — and is fitted with precision to the implant abutments. For full information about the All-on-4 procedure see our All-on-4 dental implants abroad page.

Frequently asked questions

How long does a hybrid prosthesis last?

The metal or zirconia framework is designed to last many years — typically the lifetime of the implants. The acrylic or resin teeth are subject to wear and may need renewal after 10–15 years depending on use and care. One advantage of the hybrid construction is that individual teeth can be repaired or replaced without replacing the entire prosthesis.

Can a hybrid prosthesis be repaired if a tooth chips or breaks?

Yes. This is one of the key advantages of hybrid construction over all-ceramic bridges. Individual acrylic or resin teeth can be repaired or replaced at the clinic without affecting the framework or the implants. Contact us if you experience any damage to your restoration — prompt repair prevents further wear on adjacent teeth.

How do I clean a hybrid prosthesis?

A hybrid prosthesis is cleaned in place using a soft toothbrush, interdental brush and water flosser. The gap between the prosthesis and the gum — where food and bacteria can accumulate — requires particular attention. See our All-on-4 cleaning guide and dental implant care guide for full instructions.

What is the cost of a hybrid prosthesis at Asensio?

The cost of a hybrid prosthesis depends on the number of implants, the materials used and the complexity of the case. For All-on-4 patients, the provisional hybrid prosthesis is included in the £6,480 per arch price. The definitive prosthesis is quoted separately after the second visit assessment. View the full breakdown on our prices page or contact us for a personalised quote.

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dental implants bone loss

Osseointegration: How Dental Implants Bond with Bone

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Osseointegration is the biological process by which a dental implant fuses with the surrounding jawbone, creating a stable, permanent foundation for the crown or prosthesis placed on top. It is the fundamental mechanism that makes dental implants the gold standard for tooth replacement — and understanding it helps patients set realistic expectations for their treatment timeline and recovery.

The term was coined by Swedish orthopaedic surgeon Professor Per-Ingvar Brånemark, who first observed the process in the 1950s and later pioneered the use of titanium implants in dentistry. At Asensio Advanced Dentistry in Valencia, osseointegration is the foundation of every implant procedure performed by Dr. Lucía Asensio Romero, specialist in implantology and oral surgery with over 30 years of clinical experience.

What happens during osseointegration?

When a titanium implant is placed into the jawbone, the body does not recognise it as a foreign object — it recognises it as a surface suitable for bone attachment. Titanium is biocompatible: its surface properties allow bone cells (osteoblasts) to adhere, proliferate and eventually form new bone tissue directly on the implant surface. Over time, the implant becomes structurally integrated with the surrounding bone, indistinguishable in terms of mechanical function from a natural tooth root.

Stage Timeframe What happens
Initial healing Days 1–7 Blood clot forms around implant, inflammatory response begins, soft tissue starts to close
Early osseointegration Weeks 2–4 Osteoblasts begin depositing new bone tissue on implant surface, early mechanical stability develops
Progressive integration Months 1–3 Bone density around implant increases, implant stability improves significantly
Full osseointegration Months 3–6 Mature bone has formed around the full implant surface — definitive restoration can be fitted

How long does osseointegration take?

The osseointegration period typically takes between 3 and 6 months, depending on the patient’s bone density, general health, implant location and loading protocol. Lower jaw implants tend to integrate faster than upper jaw implants because the bone is denser. Patients with good bone volume and no systemic conditions affecting healing are at the shorter end of this range.

During the osseointegration period, patients wear a provisional prosthesis — a functional restoration that allows normal eating and speaking while the implant integrates. For All-on-4 patients this is a fixed provisional arch fitted on the same day as surgery. For single implant patients it is typically a temporary crown.

What affects osseointegration success?

Factor Effect on osseointegration
Implant material and surface Titanium with a roughened surface promotes faster and stronger bone attachment than smooth surfaces
Bone quality and volume Denser, well-vascularised bone integrates more reliably and quickly
Smoking Significantly impairs blood supply to bone tissue, slowing integration and increasing failure risk
Uncontrolled diabetes Impairs immune function and wound healing, increasing complication risk
Surgical precision Overheating bone during drilling or poor implant positioning compromises initial stability
Oral hygiene Bacterial infection around the implant site is the leading cause of osseointegration failure

Aftercare during osseointegration

The osseointegration period requires specific aftercare to protect the implant while the bone forms. At Asensio, every patient receives written aftercare instructions before leaving the clinic. The key principles are:

Period What to do What to avoid
First 24 hours Apply ice packs, rest, take prescribed medication Rinsing, spitting, hot food and drink
First week Soft diet, gentle oral hygiene, antibiotics as prescribed Strenuous exercise, smoking, alcohol, hard food
Osseointegration period Daily cleaning routine, regular professional reviews Smoking, excessive force on the provisional prosthesis

For full guidance on caring for your implants during and after osseointegration, see our dental implant care guide and our peri-implantitis guide — the main infection risk during this period.

Frequently asked questions

Can I feel osseointegration happening?

No. The process is entirely biological and occurs without any sensation the patient can perceive. Some mild sensitivity around the implant site in the first few weeks is normal as the soft tissue heals, but osseointegration itself is painless. If you experience persistent pain or swelling after the first week, contact us promptly.

What happens if osseointegration fails?

Osseointegration failure — where the implant does not bond with the bone — is uncommon but does occur. Signs include implant mobility, persistent pain or infection. In most cases the implant can be removed, the site treated and a new implant placed after a healing period. At Asensio, all implant materials carry a lifetime guarantee — if an implant fails due to material defect, replacement is covered.

Does osseointegration happen faster with better implant brands?

Implant surface technology significantly affects osseointegration speed and reliability. Nobel Biocare and Klockner implants — the systems used exclusively at Asensio — use clinically validated surface treatments that promote faster and more predictable bone attachment than generic implant systems. This is one of the key reasons we do not compromise on implant brand.

Can I fly back to the UK after implant surgery?

Yes. Most patients fly home within 2–3 days of surgery. Flying does not affect osseointegration. The key is ensuring the initial healing period is managed correctly before travel and that you have the aftercare instructions and emergency contact details before you leave Valencia.

How do I know when osseointegration is complete?

Osseointegration is confirmed at the second visit to Asensio using clinical assessment and radiographic imaging. The implant is tested for stability and bone levels are evaluated on the X-ray before the definitive restoration is fitted. Call us on 0800 048 8058 or visit our dental implants abroad page for more information.

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immediate dental implants

Immediate Dental Implants: Placed the Same Day as Extraction

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Immediate dental implants are placed into the socket on the same day as the tooth extraction — eliminating the waiting period that conventional implant protocols require between extraction and implant placement.

In suitable cases, this reduces the total number of surgical appointments, shortens the overall treatment timeline and allows patients to leave the clinic with a provisional crown or prosthesis on the same day.

Not every case is suitable for immediate placement. The decision depends on the condition of the bone at the extraction site, the absence of active infection, and the overall clinical situation. At Asensio Advanced Dentistry in Valencia, every immediate implant case is assessed with a 3D CBCT scan before surgery to confirm that the conditions for immediate placement are met. Dr. Lucía Asensio Romero, specialist in implantology and oral surgery with over 30 years of experience, leads all implant assessments at the clinic.

How immediate dental implants work

In a conventional implant protocol, the tooth is extracted and the socket is left to heal for 8–12 weeks before the implant is placed. Immediate implants bypass this waiting period by placing the titanium post directly into the fresh extraction socket, using the existing bone walls for primary stability. A provisional crown or bridge is often fitted the same day.

Stage Conventional protocol Immediate implant protocol
Extraction Appointment 1 Appointment 1
Healing period 8–12 weeks Not required
Implant placement Appointment 2 Same day as extraction
Provisional crown Separate appointment Same day in suitable cases
Osseointegration + final crown 3–6 months after implant 3–6 months after implant

The osseointegration period — when the implant integrates with the surrounding bone — is the same regardless of protocol. The key advantage of immediate placement is that it eliminates one surgical procedure and reduces the total treatment time by 8–12 weeks.

Who is suitable for immediate dental implants?

Immediate placement requires specific clinical conditions that are confirmed by 3D CBCT imaging before any treatment is planned. Cases where immediate implants are typically suitable include:

Suitable for immediate implants Not suitable — delayed protocol indicated
Adequate bone volume at extraction site Active infection or abscess at the site
No active infection present Significant bone loss around the tooth
Intact bone walls at extraction socket Fractured or compromised socket walls
Good general health, non-smoker preferred Uncontrolled systemic conditions affecting healing

If immediate placement is not indicated, the conventional protocol — extraction followed by healing before implant placement — remains an excellent option. The important thing is that the decision is based on a proper 3D assessment, not assumed before imaging is reviewed.

Immediate implants for dental tourism patients

For patients travelling from the UK for dental treatment, immediate implants offer a particular advantage: when a tooth needs extracting and the conditions are right, the extraction and implant placement can be completed in the same visit — reducing the number of trips to Valencia required. At Asensio, the free first consultation includes a panoramic OPG X-ray that allows Dr. Asensio to assess whether immediate placement is likely to be feasible before the patient travels for surgery.

The osseointegration period of 3–6 months is spent at home in the UK, with the provisional crown in place. The second trip for the definitive crown is typically a short visit of one to two days. See our how dental tourism works page for a full overview of the treatment journey.

Frequently asked questions

Are immediate dental implants as successful as conventional implants?

Yes. Clinical evidence shows that immediate implants placed in suitable cases have success rates equivalent to those of conventional implants — above 95% at 10 years. The critical factor is correct patient selection, which is why 3D imaging before surgery is essential.

Will I have a tooth on the day of extraction?

In many immediate implant cases a provisional crown can be fitted the same day. Whether this is possible depends on the implant stability achieved during surgery — specifically the insertion torque, which indicates how firmly the implant is anchored. Your surgeon will confirm at the time of surgery whether same-day provisionalization is appropriate for your case.

Is the procedure more painful than a standard extraction?

Immediate implant placement is performed under local anaesthesia. Most patients report that the combined extraction and implant procedure is not significantly more uncomfortable than a standard extraction alone. Post-operative discomfort is managed with standard pain relief and typically resolves within a few days.

How long does the procedure take?

A single immediate implant procedure typically takes 45–90 minutes depending on the complexity of the extraction and the implant system used. Combined procedures involving multiple extractions and implants take longer and are planned individually.

How do I find out if I am suitable for an immediate implant?

The first step is a free consultation at Asensio, which includes a panoramic OPG X-ray and clinical assessment. A 3D CBCT scan provides the definitive assessment of bone volume and socket anatomy. Call us on 0800 048 8058, email office@dentalasensio.co.uk, or visit our dental implants abroad page.

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Cost of Fixed Dental Prosthesis

Fixed Dental Prosthesis Cost: Spain vs the UK

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A fixed dental prosthesis is any dental restoration permanently attached in the mouth — as opposed to a removable denture that the patient takes out to clean. Fixed prostheses include crowns, bridges, implant-supported bridges and full-arch restorations such as All-on-4. For patients missing one or more teeth, a fixed solution restores function and aesthetics permanently without the limitations of removable alternatives.

At Asensio Advanced Dentistry in Valencia, fixed dental prostheses start from £250 for a single crown — significantly less than equivalent treatment at UK private clinics. This guide explains the main types of fixed prosthesis available, what each costs, and how the Spain vs UK cost comparison works for patients travelling from Britain.

Types of fixed dental prosthesis

Fixed prostheses differ primarily in how they are supported — either by existing natural teeth or by dental implants. Implant-supported prostheses are generally superior in longevity and bone preservation, but require adequate bone volume and a surgical procedure. The right option depends on how many teeth are missing, the condition of the remaining teeth and the available bone.

Type Supported by Best for From (Asensio)
Porcelain crown Natural tooth (shaped) Single damaged or root-treated tooth £250
Fixed bridge on teeth Adjacent natural teeth 1–2 missing teeth with healthy neighbours £450+
Single implant + crown Titanium implant Single missing tooth, good bone £750
Implant-supported bridge 2+ implants Multiple consecutive missing teeth £1,200+
All-on-4 full arch 4 implants Full arch replacement, same day teeth £6,480

All prices are for Nobel Biocare or Klockner implant systems where applicable. See the full price breakdown on our prices page.

Fixed prosthesis on teeth vs implants — key differences

Both types of fixed prosthesis provide a stable, permanent result — but they work differently and have different long-term implications for oral health:

Factor Fixed prosthesis on teeth Implant-supported prosthesis
Surgery required No Yes — implant placement
Adjacent teeth affected Yes — must be shaped to support bridge No — implant is independent
Bone preservation No — bone continues to resorb Yes — implant stimulates bone
Longevity 10–15 years typically Lifetime guarantee on implant materials at Asensio

Cost comparison: fixed prosthesis in Spain vs the UK

Treatment Asensio Spain Typical UK cost Saving
Porcelain crown from £250 £700–£1,200 up to £950
Single implant + crown from £750 £2,000–£3,500 up to £2,750
All-on-4 full arch £6,480 £10,000–£20,000 up to £13,500

Frequently asked questions

What is the difference between a fixed and removable prosthesis?

A fixed prosthesis is permanently attached in the mouth and is not removed by the patient. A removable prosthesis — such as a denture — is taken out for cleaning. Fixed prostheses are generally preferred for function, comfort and long-term oral health, as they do not move during eating or speaking and, when implant-supported, prevent bone resorption.

How long does a fixed dental prosthesis last?

A porcelain crown or bridge on natural teeth typically lasts 10–15 years with good oral hygiene. Implant-supported prostheses last longer — the titanium implant itself carries a lifetime guarantee at Asensio, and the prosthetic restoration may require renewal depending on wear and materials used.

Can I get a fixed prosthesis in one trip to Valencia?

For crowns and bridges on natural teeth, yes — in most cases the preparation and fitting can be completed in two appointments over consecutive days. For implant-supported prostheses, two trips are required: the first for implant placement, and the second (3–6 months later) for the final prosthesis once osseointegration is complete. All-on-4 patients receive fixed provisional teeth on the day of surgery.

How do I find out which type of fixed prosthesis is right for me?

The free first consultation at Asensio includes a panoramic OPG X-ray and a personalised treatment plan with a full cost breakdown. Call us on 0800 048 8058, email office@dentalasensio.co.uk, or visit our dental implants abroad page for more information.

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Dental Curettage

Dental Curettage Abroad — Deep Gum Cleaning in Spain

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Dental curettage abroad at Asensio Advanced Dentistry in Valencia is a deep periodontal cleaning procedure that removes bacterial deposits from the root surfaces inside the periodontal pocket — areas that standard scaling cannot reach. Dr. Lucía Asensio Romero, specialist in oral medicine and periodontal treatment, performs curettage as the primary non-surgical treatment for periodontitis.

Periodontitis affects one in two adults over 35. It is the leading cause of tooth loss in adults — and it is a direct contraindication for dental implants. Curettage halts the progression of the disease, restores the conditions for gum healing and, where implants are planned, clears the infection that would otherwise cause implant failure.

The first consultation is completely free. Call us on 0800 048 8058 or email office@dentalasensio.co.uk to book.

Gingivitis vs periodontitis — what is the difference?

Condition What it involves Reversible? Treatment
Gingivitis Inflammation of the gums — bleeding on brushing, redness. No bone loss. Yes Professional cleaning + improved hygiene
Periodontitis Infection spreads to bone — pocket formation, bone and tissue destruction, tooth mobility No — but halted with treatment Curettage — deep cleaning of root surfaces

The curettage procedure at Asensio

Local anaesthetic is applied to the affected area. The dental hygienist then uses curettes — specialist instruments — to scrape bacterial deposits, tartar and infected tissue from the root surfaces inside the periodontal pocket. The root surface is then smoothed to remove roughness that traps bacteria. The procedure creates the conditions for the gum tissue to reattach to the cleaned root surface and heal.

Post-procedure instructions include avoiding smoking for 48 hours, brushing gently with a sensitive toothpaste, and using dental floss. A review appointment is scheduled 4–6 weeks after treatment to assess healing.

Symptoms of gum disease — when to act

Symptom What it may indicate
Bleeding gums when brushing Gingivitis — earliest warning sign. Do not ignore bleeding gums.
Gum recession Bone loss causing gums to pull away from the teeth
Bad breath or bad taste Bacterial activity in periodontal pockets
Pus from the gum Active infection — requires urgent treatment
Tooth mobility or shifting Advanced bone loss — curettage or surgery required

Frequently asked questions

Is dental curettage painful?

Curettage is performed under local anaesthetic — the procedure itself is not painful. Post-procedure sensitivity and mild soreness typically resolve within 2–3 days. Some patients experience temporary gum recession as swelling reduces after treatment.

How many curettage sessions are needed?

Typically one to four sessions depending on the number of teeth affected and the severity of the disease. Each session treats one quadrant of the mouth. All sessions can be scheduled during a single trip to Valencia where clinically appropriate.

Do I need curettage before dental implants?

Yes — active periodontal disease must be fully controlled before dental implants can be placed. Implants placed in a mouth with uncontrolled periodontitis are at high risk of peri-implantitis and failure. At Asensio, periodontal assessment is part of every implant treatment plan.

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care of dental

Care of Dental Implants: How to Make Them Last a Lifetime

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Dental implants are designed to last a lifetime — but that outcome depends on how well they are cared for. The implant itself does not decay, but the surrounding gum tissue and bone are vulnerable to bacterial infection, and inadequate cleaning is the primary cause of peri-implantitis, the leading reason for implant failure. The good news is that care of dental implants is straightforward once the right routine is established.

At Asensio Advanced Dentistry in Valencia, every implant patient receives detailed aftercare instructions before leaving the clinic. This guide covers the key principles for all types of dental implants. For specific guidance on cleaning All-on-4 full arch restorations, see our dedicated All-on-4 cleaning guide.

Daily cleaning routine

The goal of daily cleaning is to prevent bacterial biofilm — the thin layer of bacteria that forms on all oral surfaces — from hardening into calculus that only a professional can remove. The technique differs slightly from cleaning natural teeth because implant crowns and prostheses sit at or slightly above the gum line, creating areas where food and bacteria accumulate that a toothbrush alone cannot reach.

Tool Purpose Frequency
Soft-bristled toothbrush Clean visible crown surfaces and gum line Twice daily minimum
Interdental brush Clean between implants and adjacent teeth Once daily
Dental floss or implant floss Remove plaque at the gum margin around single implants Once daily
Water flosser Flush debris from hard-to-reach areas — especially useful for bridges and All-on-4 Once daily
Antimicrobial mouthwash Reduce bacterial load — avoid alcohol-based products Once daily

Non-abrasive toothpaste should always be used — abrasive products scratch implant crown surfaces, creating micro-grooves where bacteria accumulate. Disclosing tablets (erythrosine tablets available from pharmacies) are a useful tool: they stain areas where plaque remains after brushing, making it easy to identify which areas need more attention.

Habits that affect implant longevity

Habit Effect on implants Recommendation
Smoking Impairs osseointegration, reduces blood supply to gum tissue, significantly increases peri-implantitis risk Stop smoking — especially in the first 3 months after placement
Teeth grinding (bruxism) Excess lateral force on implants damages the crown and can compromise osseointegration Night guard if bruxism is present — discuss with your dentist
Biting hard objects Can crack or chip implant crowns or damage abutment connections Avoid ice, hard sweets, pen caps and similar
Alcohol-based mouthwash Dries oral mucosa and can irritate gum tissue around implants Use alcohol-free antimicrobial mouthwash

Professional reviews and hygiene appointments

Daily home cleaning is essential but cannot substitute for professional review. Calculus — hardened plaque — can only be removed with professional instruments, and early-stage peri-implant mucositis is often asymptomatic. Regular professional review allows problems to be identified and treated before they progress to irreversible bone loss.

At Asensio, the recommended review schedule for implant patients is:

Period after implant placement Recommended review frequency
First 2 years Every 6 months
After 2 years (no issues detected) Annually

UK patients can attend their local dentist for routine hygiene appointments between visits to Valencia. If you notice any of the warning signs of peri-implantitis — bleeding, swelling, persistent bad breath or implant mobility — contact us promptly at 0800 048 8058 rather than waiting for a scheduled review. For more information on peri-implantitis see our peri-implantitis guide.

Frequently asked questions

How long do dental implants last with proper care?

The titanium implant post is designed to last a lifetime and carries a lifetime guarantee on materials at Asensio. The prosthetic crown or restoration may require renewal over time — typically after 15–20 years depending on wear and the materials used. With proper daily cleaning and regular professional reviews, most patients keep their implants functioning well indefinitely.

Can I eat normally with dental implants?

Yes. Once fully integrated, dental implants function like natural teeth and allow normal eating. During the osseointegration period — the first 3–6 months after placement — a soft diet is recommended to avoid placing excessive force on the implant while it integrates with the bone.

Do I still need to see a dentist regularly if my implants feel fine?

Yes. Peri-implantitis — the infection that causes implant failure — is often asymptomatic in its early stages. Regular professional review is the only way to detect and treat it before irreversible bone loss occurs. Feeling fine is not a reliable indicator that everything is fine around an implant.

What happens if I do not clean my implants properly?

Bacterial biofilm accumulates around the implant, leading first to peri-implant mucositis — reversible inflammation of the surrounding tissue — and if untreated, to peri-implantitis, which involves progressive bone loss and can ultimately lead to implant failure. Consistent daily cleaning is the single most important factor in long-term implant success.

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How to brush teeth correctly — dental hygiene guide from Asensio Valencia Spain

How to Brush Your Teeth Correctly — A Guide from Asensio

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Correct tooth brushing technique removes the bacterial plaque that causes cavities, gum disease and bad breath — and over 70% of people brush mechanically without applying the right method. Dr. Lucía Asensio Romero and the hygiene team at Asensio Advanced Dentistry in Valencia advise all patients on proper brushing technique as part of every routine appointment.

Good oral hygiene is the foundation of long-term dental health — and it is particularly important for patients who have dental implants, periodontal disease or restorations such as crowns and veneers. Brushing correctly extends the life of all dental work.

If you have questions about your oral hygiene routine, our team is happy to advise at your free consultation — call us on 0800 048 8058 or email office@dentalasensio.co.uk.

Correct brushing technique — step by step

Surface Technique
Outer surfaces (front of teeth) Hold brush at 45 degrees to the gum. Use gentle vertical strokes from gum to tip — upper and lower teeth separately
Inner surfaces (back of teeth) Sweep from gum line outward. Pay particular attention to the back molars where plaque accumulates
Chewing surfaces Circular movements on the biting surfaces of molars and premolars
Tongue Brush gently — bacteria accumulate on the tongue surface and contribute to bad breath

Toothbrush and toothpaste recommendations

Factor Recommendation
Bristle type Soft nylon bristles — hard bristles damage enamel and cause gum recession over time
Brush replacement Every 3 months — or earlier if bristles are splayed
Brushing duration 2 minutes minimum — most people brush for less than 45 seconds
Frequency Twice daily minimum — after breakfast and before bed
Dental floss Daily — brushing alone does not clean the interdental spaces where cavities and gum disease begin
Toothpaste Fluoride toothpaste — ask your dentist about sensitivity or whitening formulas if appropriate for your case

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Periimplantitis

Peri-implantitis: Symptoms, Causes and Treatment

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Peri-implantitis is a bacterial infection affecting the tissue and bone surrounding a dental implant. It is the leading cause of implant failure and, unlike tooth decay, develops silently — often without pain until significant bone loss has already occurred. Early detection and prompt treatment are essential to save the implant.

At Asensio Advanced Dentistry in Valencia, peri-implantitis is one of the most common reasons patients seek a second opinion or emergency consultation. This guide explains what it is, how to recognise it, what causes it and what can be done. For guidance on preventing it through correct daily cleaning, see our dental implant care guide.

What is peri-implantitis?

Peri-implantitis is an inflammatory condition affecting the soft tissue and bone around a dental implant, caused by bacterial biofilm accumulation. It is the implant equivalent of periodontitis — the gum disease that destroys the bone supporting natural teeth. Without treatment, peri-implantitis leads to progressive bone loss around the implant and ultimately to implant failure.

The condition develops in two stages. The first — peri-implant mucositis — affects only the soft tissue around the implant and is fully reversible with professional treatment and improved oral hygiene. If left untreated, mucositis progresses to peri-implantitis, which involves irreversible bone loss. This distinction is critical: peri-implant mucositis caught early can be resolved completely; established peri-implantitis requires more complex intervention and may not be fully reversible.

Symptoms of peri-implantitis

Many patients are unaware they have peri-implantitis because the early stages are often painless. The following signs should prompt an immediate professional assessment:

Symptom What it indicates
Redness or swelling of the gum around the implant Peri-implant mucositis — early stage, reversible
Bleeding when brushing or probing around the implant Active inflammation — requires professional assessment
Purulent discharge (pus) around the implant Active bacterial infection — urgent treatment needed
Persistent bad breath not resolved by brushing Bacterial accumulation around the implant
Pain when biting or clenching Possible bone loss or implant instability
Implant mobility Advanced peri-implantitis — significant bone loss

Causes and risk factors

Peri-implantitis is caused by bacteria — the same bacterial species responsible for periodontal disease in natural teeth. However, several factors increase the likelihood of developing the condition:

Risk factor Why it matters
Poor oral hygiene Allows biofilm to accumulate and harden around the implant
Smoking Impairs healing, reduces immune response, masks early symptoms
History of periodontitis Patients with previous gum disease are at significantly higher risk
Diabetes (uncontrolled) Impairs immune function and wound healing around implants
Poor implant quality or placement Suboptimal positioning creates areas where bacteria accumulate
Absence of regular professional reviews Early-stage disease goes undetected until significant damage has occurred

How peri-implantitis is diagnosed

Diagnosis requires a professional examination that includes probing around the implant to measure pocket depth, assessment of bleeding on probing, and radiographic imaging to evaluate bone levels. A single X-ray is insufficient — comparison with baseline images taken at implant placement is essential to identify bone loss that has occurred over time.

At Asensio, patients who present with symptoms of peri-implantitis receive a full diagnostic including digital periapical radiography and, where indicated, 3D CBCT imaging to assess the extent of bone involvement before any treatment is planned.

Treatment options

Treatment depends on the severity of the condition at the time of diagnosis. This is why early detection is so important — mucositis treated promptly resolves completely, whereas established peri-implantitis with significant bone loss requires more complex intervention:

Stage Treatment Outcome
Peri-implant mucositis Professional cleaning, improved oral hygiene protocol Fully reversible
Mild peri-implantitis Mechanical debridement, antiseptic treatment, surface decontamination Arrestable — bone loss does not progress
Moderate peri-implantitis Surgical access for deep cleaning, possible bone regeneration Partial bone recovery possible
Advanced peri-implantitis Implant removal, site treatment, possible re-implantation after healing Implant may not be salvageable

Frequently asked questions

Can peri-implantitis be cured?

Peri-implant mucositis — the early stage — is fully reversible with professional treatment and improved oral hygiene. Established peri-implantitis involving bone loss can be arrested but the bone loss itself is generally not fully reversible. This is why early detection is critical — the sooner treatment begins, the better the outcome.

How common is peri-implantitis?

Studies suggest that peri-implant mucositis affects around 43% of implant patients and peri-implantitis affects around 22% — making it the most common complication of dental implant treatment. The majority of cases are preventable with correct daily cleaning and regular professional reviews.

Does peri-implantitis mean my implant will fail?

Not necessarily. Implants diagnosed with peri-implantitis at an early or moderate stage can often be saved with appropriate treatment. Advanced cases with significant bone loss may require implant removal, but even then, re-implantation after treatment of the infection site is possible in many cases.

How can I prevent peri-implantitis?

Consistent daily cleaning with a soft toothbrush, interdental brush and water flosser removes the biofilm that causes the infection. Regular professional reviews every six months allow early-stage disease to be identified before bone loss occurs. Smoking cessation significantly reduces risk. See our guide to cleaning All-on-4 implants and our dental implant care guide for detailed advice.

I have symptoms of peri-implantitis — what should I do?

Contact us as soon as possible. Early intervention makes a significant difference to the outcome. Call us on 0800 048 8058, email office@dentalasensio.co.uk, or visit our dental implants abroad page. UK patients can send existing X-rays for a preliminary remote assessment before travelling.

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