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How to Clean All-on-4 Dental Implants

How to Clean All-on-4 Dental Implants

March 16, 2026

Learn How to Clean All-on-4 Correctly

The All-on-4 prosthetic can sound a little complicated - but in reality, it’s made up of three parts:

  1. The dental implant (lives inside the bone)
  2. The abutment (connects the implant to the crown below the gum line)
  3. The dental crown (the visible part - the fake tooth)

Unlike conventional implant dentures, which are removable and cleaned outside of the mouth, All-on-4 is a fixed full-arch prosthetic, which means you should clean them like you would your natural teeth.

Guide to cleaning your All-on-4 prosthetic

  • You can’t clean the implant as it’s placed deep into your jawbone.
  • The dental crown is cleaned by brushing with an electric toothbrush.
  • The abutment requires careful care with daily flossing.

It’s the dental abutment which will require more specific care and attention

The dental abutment (the connector between the implant post and crown), which will sit at the gumline, can accumulate plaque and tartar when not cleaned properly.While you won’t need to worry about the titanium implant post and abutment being susceptible to dental decay like natural teeth, it’s essential to know that they’re prone to their own issues caused by improper care and oral hygiene.

straumann dental implants

Failure to clean around the abutment can cause:

  • Peri-implant mucositis: Where plaque around the implant abutment leads to inflammation of the gums.
  • Peri-implantitis: An advanced stage of tartar accumulation which can cause an infection that causes bone loss around the implants, increasing the likelihood of failure.

That said, don’t feel intimidated - this can happen due to not caring for your prosthetic and fake teeth. It will be easy and possible for you to pass floss down deep around the abutment site without causing discomfort, pain or bleeding. Patients with All-on-4 should aim to floss daily as part of their oral hygiene routine to ensure bacteria from the abutment is removed and cleaned regularly.

all on 4 dental implants image

The best way to clean All-on-4

The best way to maintain your prosthetic is by treating it like natural teeth, where you’ll need to floss around the abutment areas and use an electric toothbrush for the fake teeth.

Super Floss is split into three parts: a stiffened end to floss under appliances, a spongy part to clean around appliances and wide spaces and regular floss to remove plaque under the gum line.

  • The green section of the floss is firmer and will allow you to floss adequately under the bridge, doing all of the cleaning for you.
  • Then, the foamy part, which is thicker, will mechanically clean the underside of the bridge and the gums. With Super Floss, you can clean your whole mouth.

Plus, when we hand-make your prosthetic at our clinic in London, we’ll spend a lot of time on the design process to ensure your bridge is as easy to clean as possible.

Explore All-on-4 further

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Maida Smiles dental clinic in Maida Vale, London W9

Avaliações do Google

4,9

I could not be more satisfied with my experience at Maida Smiles - A special mention to Dr Gurteurez who is one of the most freindly and professional dentists I have ever met

Adam

I had my first visit and the team was very warm, caring and professional. The online booking platform makes it very easy to arrange your appointment. Doctor Pedro made me feel comfortable despite this being my first appointment since Covid. He is incredibly knowledgeable and offers you the best treatment for your specific condition. I would highly reccomend them

Gian Paolo Ziletti

Professional. Friendly. Informative. Maida Smiles offers great dental services including cleanings, oral surgery and realignment. I feel very lucky to have them so close by. I had an appointment just this week that was quick, thorough and safe.

Emily Chmura

Being very nervous about using dentists after a terrible experience when I was younger, I came to Maida Smiles and loved the calm patient demeanour of Pedro. You can clearly see Pedro and the team take pride in what they do and are perfectionists. The whole experience was great and I will never go to another dentist again.

Reena Nathwani

Delighted with the outcome of my treatment by Pedro. Meticulous attention to detail explaining exactly how the procedure would be carried out from first consultation to completion backed up with supporting guidance notes. Clearly an expert in his field and someone who cares passionately about the outcomes for his patients. Highly recommended.

George Jones

I loved my first visit to Maida Smile Dental Clinic. The staff member at reception was very warm, welcoming and professional. My dentist, Priscilla, and her assistant were fantastic. I have quite sensitive teeth near my gums and I can find the probing and investigation quite uncomfortable during a consultation, but this wasn’t the case at all. I didn’t experience discomfort and felt in very safe hands. This also applied to the hygienist work. I didn’t even have to ask Priscilla to avoid using the ultra sound cleaner on the sensitive areas of my teeth. I’m looking forward to going back, and that’s not often you can say that about going to the dentist!

Simone Gibson

Since I first had the luck to be recommended and book an appointment with Dr. Pedro Gutierres over 8 years ago, I have never trusted my dental health nor my family’s to anyone else. It’s very hard to find a dentist who ticks all the boxes and even goes beyond any expectations you may have, from service, sympathy, professionalism, and expertise, etc., 5 stars are not enough to rate him. I was so happy when he opened his own clinic and surrounded himself with the best professionals you can find, I cannot recommend Maida Smiles Dental Clinic enough.

Sofia Gouveia

Maida Smiles Dental Clinic is excellent!! The staff is very friendly, professional and always aiming for the customers best experience! A special thank you to Dr. Pedro Gutierres who is truly amazing. I am absolutely satisfied with the results and highly recommend this great dental clinic!

Ana Cruz

Dr. Pedro Gutierres is the best Implantologist I have come across. His work is amazing and of very high quality! I would highly recommend him and Maida Smiles to all my friends and family. If you want the perfect smile this is the place to go.

Blossom

“Pedro was so patient and professional throughout my treatment for my implants.. I chose to have my treatment with a local anaesthetic rather than any sedation and have a very bad gag reflex when anything touches the back of my throat. His patience throughout the experience was wonderful, completely putting me at ease and he also gave me a technique to help me in the future. I have seen him for my follow up and fully intend to book an annual visit in 2020. which is no small thing as I live 60 miles away.I can thoroughly recommend him for any treatment.”

Denise Gilbert

Pedro is thoroughly professional and talks through your treatment options step by step putting you at ease. Since I had my implants I have never looked back, it has changed my life! I can eat without discomfort and more importantly I can smile with confidence ! I have received excellent follow up care and would not hesitate to have further implants if necessary .

Joboanna A

I was very nervous to pull my ingrown wisdom tooth. Dr Pedro Guiterres made me feel really comfortable and the job was completed very professionally. It didn’t take long at all and I didn’t feel any pain. I would definitely recommend his service at this practice.

Jihan Daoud

From the day I made my first appointment. The team at Maida smile were amazing. They didn’t treat me like a customer but more like family. They have been great in every step in FINALLY GETTING MY DREAM SMILE from the receptionist to my dentist Pedro Laranjeira I can’t thank you enough and of course Pedro Laranjeira beautiful wife…… they are very professional and understand that I had to change my appointment now and then for work commitments and they were very understand. I will defo recommend them 100% not forgetting how chic the office is

Tracy Mensah

I was very nervous about having a dental implant but was immediately put at ease by Dr Pedro Gutierres. The procedure was explained in full and the care both during and after treatment has been of the highest standard. I received advice on how to look after my implant and have had no problems. I highly recommend.

Dawn Briggs

I had 7 implants installed by Dr Pedro Gutierres, including one which required a bone graft. In my 70 years I’ve had some bad experiences with dental treatment so it takes a lot for me to relax but, from my initial consultation, through to the end of the treatment, I had complete trust in Pedro’s expertise: preparations for the treatment and after-care were extremely thorough and fully explained, the treatment itself was surprisingly endurable (considering what was involved) and the implants have made a major difference to my life. If you are considering implants then I would whole-heartedly and sincerely recommend Pedro for this work.

Russ Hickman

I couldn’t recommend Maida Smiles enough: the care, attention to detail and the way Dentists and Nurses made sure I felt comfortable and safe throughout the treatments was incredible. Dr Pedro explained the treatments in detail to me and I have never felt under pressure to proceed… but I am very glad I did as I am happy and confident to smile again!

Mariana Pinheiro

Highly recommend this place to anybody looking for a friendly and trustworthy practice with an incredibly friendly and patient staff. Dr Pedro has been one of the best dentists I’ve ever had, he made me feel comfortable and were very knowledgeable in explaining every step of what he was doing and answering all of my questions. Amazing thorough the procedure, excellent communication, superb and professional treatment. I hope they keep it this way for a long time.

Joas Souza

Dr Pedro is a very good, confident and experienced professional. I’ve known him for some years now and always felt well cared for, either for small or bigger treatments.The facilities of the clinic are amazing and all the staff are very friendly. Highly recommended.”

Nelson Cafruni

I went to different clinics before, and nobody could really convince me until Maida Smiles did. The team here makes you comfortable , shows you different options and different budgets , and doesn't try to make you go only for one plan. I felt that the team was knowledgeable and wanted to help me , so that's why I decided to start

Diogo

I was referred to Dr. Pedro who did such a wonderful job with my teeth. The staff was extremely professional, they put you at ease, and it just made the whole experience easier. I've never looked back since

Theresa

"I told him, 'I want beautiful teeth, beautiful but natural, I don't want fake looking teeth.' Now I smile, I talk... it just makes you more confident. If you wear a beautiful nice suit... you have beautiful teeth, then it's like a perfect."

Louca

"I went to my hygienist a little while ago, and she said to me they were the best implants that she'd ever seen and she would never have known that they weren't my real teeth."

Sharon

Dr. Pedro explained the process of Invisalign to me. It sounded easy, it was quite a quick process, and the end result is my teeth moved back, so I'm quite happy.

Soula

I feel like I've not just developed a professional relationship with my dentist and the staff... they become more like friends as well, because of the kind of compassion and sympathy that they give you during treatment.

Alvin

"After not having a great experience with previous dental treatments, I was desperate for someone that I trusted. I broke a tooth, and even before I saw Dr. Pedro, he reassured me that I was going to be fine. He made me feel very comfortable and at ease. It was an amazing experience, from not only Dr. Pedro but also all the staff in the clinic, and I would definitely recommend [them] ".

Mariana

I chose Maida Smiles because of the reviews and a friend who was really happy with the results. The results definitely met my expectations. My expressions are much more smooth than before and it really makes the difference

Carolina

Estou muito grato pelo serviço rápido e eficiente que recebi quando precisei de uma consulta de emergência. A equipe foi gentil e acolhedora, e o dentista forneceu conselhos claros e úteis que fizeram uma diferença real. Toda a experiência foi tranquilizadora. Recomendo vivamente o seu profissionalismo e competência!

Safiya Guled

Estou sempre ansioso quando tenho de ir ao dentista e esta foi uma das minhas primeiras experiências com a Maida Smiles. O dentista, Benedict Harrison, foi muito tranquilizador e deixou-me imediatamente à vontade. Foi bastante lúcido nas suas explicações sobre o que tinha de ser feito, etc., e está a fazer bons progressos com o tratamento em curso. Além disso, o resto da equipe foi simpática e simplesmente simpática.

John Jacobs

Uau, a Dra. Claudia é a melhor dentista de Londres, a minha filha a adora e é sempre uma visita agradável. Não consigo recomendá-la o suficiente

Bel Cohn

Estou muito satisfeito com os resultados das minhas facetas de substituição.

O Dr. Benedict Harrison foi muito bom em falar comigo durante todo o processo e manter-me informado durante o tratamento se houvesse algum problema — o que não existia.

Ele tem um comportamento encantador que é uma vantagem adicional num dentista, que penso que todos concordamos que não são as nossas pessoas favoritas, no geral uma experiência de 5 estrelas.

Karen Shepherd

Fui pela primeira vez à Clínica Maida Smiles e tive a experiência mais maravilhosa! Tenho fobia de dentista mas estranhamente saí do local com um grande sorriso no rosto (literalmente!). A recepcionista foi super gentil, a Susan foi impecável e muito prestativa, e eu tive a minha consulta com a mais incrível dentista Dra. Mafalda Vilhena. Não consegui recomendá-la o suficiente. Ela explica todo o procedimento e é muito rigorosa no seu trabalho. Parabéns ao Dr. Pedro Gutierres por criar um ambiente de trabalho tão excelente e a toda a equipa. Vou voltar e trazer a minha família e nem moramos em Maida Vale. Obrigado por um trabalho tão impecável nos meus dentes e por ter tirado o meu medo dos dentistas. Nota: não cobrem o SNS, apenas reservas privadas ou com seguro.

Maria Monteiro

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Directions From St John’s Wood

Address: 207-209 Sutherland Ave, London W9 1RU. Get directions.

Paid parking is available using ParkBee on Lanark Road (the road right next to the practice). For public transport users, we are a two-minute walk from Maida Vale tube station.

Mon: 09:00 – 18:00
Thu: 09:00 – 20:00
Tue: 09:00 – 20:00
Fri: 09:00 – 18:00
Wed: 09:00 – 18:00
Sat: 09:00 – 18:00
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