When Implants Bleed: Looking Beyond Plaque to the Biology Beneath the Biofilm

We've all seen it—the patient who's doing everything right, but is still losing bone. Biological hygienist Barbara Tritz argues that plaque is a red herring in these situations—here's why.

The patient who is doing everything right

One of the most frustrating situations in dentistry is the patient who appears to be doing everything right, yet continues to lose bone and experience inflammation. These patients brush carefully, floss consistently, irrigate daily, and show up faithfully for maintenance visits. Their plaque control may appear excellent, and yet their gums bleed heavily, their tissues remain inflamed, and bone loss around implants continues to progress...

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