Proper and regular removal of biofilm (plaque) at home, along with periodic professional cleanings, is essential for maintaining healthy gums around both natural teeth and dental implants.

Infection and dysbiosis—an imbalance in the oral microbiome—account for 40% to 60% of dental implant failures. These failures are largely preventable with appropriate care.

However, one major exception is the All-on-X (AOX) prosthesis, where 70% to 80% of the surface area is inaccessible for at-home hygiene. This highlights the critical need for professional maintenance, including removal of the prosthesis and thorough cleaning of both the prosthesis and the implants. Unfortunately, there is no consensus among dental academics on the ideal frequency of prosthesis removal, and many dentists are reluctant to unscrew it due to time constraints and cost considerations. This has contributed to a rapid increase in implant complications and costly failures.

AOX Care, a prebiotic oral health product, is the only approach that supports gum health without requiring mechanical cleaning. It works by modifying the bacterial environment, shifting it away from harmful, acid-producing species— thereby reducing the risk of infection and supporting long-term implant success. By reshaping the oral microbiome, AOX Care serves as a critical first line of daily defense against biofilm-related complications—especially for patients with limited access for traditional hygiene.