I have hybrid permanent upper denture that are screwed in. I am concerned about cleaning, advice?

You can easily clean this with either superfloss or  a waterpik, go to your routine visits to get this checked and have x-rays just to make sure everything is fine. 

We recommend all of our implant Denture Patients return to the office at least once a year to have the restorations removed,polished and the implants and gum examined. 

For daily hygiene we recommend using a waterpik twice a day. the waterpik should be half water half hydrogen peroxide and one drop of dish washing soap.  Our experience is this keeps the restorations very clean.

It is very important that the restoration is designed so it can be cleaned properly. It most likely will have a convex undersurface. Best methods to clean will be

1. Superfloss

2. Waterpick

3. Electric toothbrush



I would arrange a maintenance schedule with your dentist so that the restoration has longevity



Wishing you all the best

We recommend that our patients use WaterPik as well as different types of flossing materials that could be inserted underneath the prosthesis. Although there are other hygiene aids that can be used, keep in mind that your restorative dentist can remove the prosthesis and have it cleaned professionally in his or her office. 

Some cares procedures for fixed prostheses are these ones: Debris removal.Biofilm removal.-Toothbrushing.-Interdental care.As the doctors said, the water pick is a machine that can help you with the hygiene of your prosthesis or you can go to your periodontist and ask for some hygienization tips. Good luck!

One problem with screw retained restorations is they can be difficult to clean around. I suggest getting a waterpik to help remove debris from under the denture. It is also important to make regular hygiene appointments so that the restoration can be removed and cleaned then replaced. 

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There is now a better alternative to screws.   The same company that makes the Snap in Denture attatchments for removable snap in dentures now has created a screw free alternative that only can be removed by dentist.  It is a cleaner and easier to manage fixed denture with no screws or screw holes makeing in ideal .  It can be easily removes by hydraulics in the dental office.
Personally, I prefer the snap in denture thart is far easier to clean but  the same company is now making a fixed snap.
Good news for all on four or six denture patients.

Is all on four a good idea?  If one implant fails the case fails, additional implants decrease risk but increase cost and complexity.
This new F-Tx system reduces complexity.
Ira L Shapira DDS, D,ABDSM, D,AAPM, FICCMO
Chair, Alliance of TMD Organizations
Diplomat, American Academy of Pain Management
Diplomat, American Board of Dental Sleep Medicine
Regent & Fellow, International College of CranioMandibular Orthopedics
Board Eligible, American Academy of CranioFacial Pain
Dental Section Editor, Sleep & Health Journal
Member, American Equilibration Society
Member, Academy of Applied Myofunctional Sciences