This article is focused on the best evidence to prevent peri-implant mucositis and peri-implantitis using a systematic approach which is personalized for the patient. This critical update has eliminated several steps from our former algorithm and replaced them with innovative approaches generated from new concepts of peri-implant health.

The Fonthill Implant Care Protocol adapts the “recall hour” into six stages outlined in Figure 1. The six stages of Implant Care are to assess, disclose, motivate and empower, instrument, check and document, and recall. These six stages are adapted from the Guided Biofilm Therapy protocol for dental biofilm management as proposed by EMS (Nyon, Switzerland). Our evolving supportive implant maintenance protocol continues to successfully maintain more than 8000 implants in a private specialty practice (Fonthill, ON, Canada). The protocol is useful for all implant designs and for implants not having had previous implant care. This protocol allows the early identification of peri-implant mucositis and peri-implantitis and has recently been tailored to reflect the disruptions in biofilm management strategies.

Written by: Peter C. Fritz; Donna M. Lavoie; Roxanne More; Linda M. Dakin; Angie Nahli; Amanda B. Longo