What was the Oral Status of the Patient

It is imperative that the patient carry out a strict oral hygiene regimen as dental plaque is one of the main factors that leads to implant failure. The suprabony connective tissue fibres are oriented parallel to the implant surface, it is susceptible to plaque accumulation and bacterial ingress. This is compounded by the rough surface of the implant which influences bacterial colonization. Rougher surfaces like the Titanium plasma coated implants and Hydroxy apatite coated implants are more prone to bacterial colonization.