Cleaning your All On 4® dental implants daily protects your health, investment, and smile.
A Water Flosser is essential for flushing out food and keeping gums healthy.
Brush your zirconia teeth gently with a soft-bristled brush and non-abrasive toothpaste.
Regular dental cleanings every 6 months and a yearly dental implant checkup are crucial for long-term implant success.
I remember the feeling of finally having my new smile. After years of struggling with broken teeth, painful chewing, and hiding from photos, getting my All On 4® dental implants was life-changing.
But if there’s one thing I’ve learned, it’s that keeping them clean is key to keeping them healthy (and keeping that confidence I fought so hard for).
If you’re new to dental implants, thinking about getting them—or even if you’ve had them for a while—here’s what I’ve learned about how to clean All On 4® dental implants the right way.
Why it is Important to Clean All On 4® Dental Implants
When I first got my dental implants, my dentist explained that although my new teeth look and function like natural teeth, cleaning All On 4® dental implants would be a little different.
With a set of teeth being held flush to the gums by a dental implant, it’s possible for small bits of food to get stuck where the gums meet your set of false teeth.
If you don’t clean it out properly, you risk inflammation, infection, bad breath, or if you’re really not taking care of your oral health—problems that could put your implants at risk.
I didn’t go through this journey just to end up with more dental problems down the road. Neither should you.
Keeping your implants clean protects your investment, your health, and your peace of mind.
Cleaning Out Food
One thing I noticed quickly is that food can sneak into little areas under the false teeth—especially after eating things like bread, rice, or meat.
At first, I thought brushing would be enough. It’s not. You really have to flush it out.
That’s where a Water Flosser comes in (and trust me, it’s a game-changer once you learn how to use it right).
How to Clean All On 4® Dental Implants With a Water Flosser
When I first tried using a Water Flosser, it felt like I was making a huge mess. Water everywhere. I almost gave up.
But after a few tweaks, it became second nature. I wish I had had this video from Dr. Annoni at the time!
If you've ever struggled using your Waterpik or you're not sure who using it correctly, stick around and I'll show you a step by step process on how to use it and how to keep your gums healthy and clean. Step one, setting up your Waterpik. This is a travel Waterpik, So it does have a water reservoir. You wanna make sure that it's nice and clean, pop it open, and fill it with water. There's many of different models, but most of the travel ones do have a reservoir very similar to this. If you have a countertop model, it's actually the reservoir is a lot larger and you just take the top off and fill it with water. With these, travel models, though, it is important that after each use, you empty the reservoir because you don't want old water sitting in there and then you go to clean your teeth and it's kinda funky. If you want extra antibacterial benefits, you can use an alcohol free mouth rinse like, I don't know, a capful in here in addition to the water, or you can do, salt water as well. Just make sure that it's lukewarm because if it's too cold and you do still have teeth, it it can cause sensitivity. But, if you don't have any teeth and you have a prosthetic in place, the temperature is really just kind of up to you. Step two, choosing the right tip. Most Waterpicks come with several different tips. This one here is just your standard angled jet, and it's great for everyday use. If you have braces or a dental prosthetic, or even implants, you may wanna switch out the tip. I've even seen the implant denture tip that's like a sickle, and helps get around, more difficult angles. Step three, getting in the position and avoiding the mess. Okay. Now this is where most people end up making a mess everywhere. You want to put the, Waterpik tip into your mouth and close your lips around it. Not with a firm seal. Leave a little bit of space so that the water can actually flow out of your mouth and into the sink. But a lot of this is based on feel. So the more you do it, the easier it's going to be to sense where you're actually hitting. Right? So if you do need to practice with your mouth open, I might suggest getting, like, a fogless mirror, like, a fogless shower mirror from Amazon, and just slapping it on your wall in the shower and practicing there. Keep your mouth open. It's a wet environment already so, adding a little water isn't gonna change it too much. Step four, flossing with your Waterpik. Let's talk technique. If you're using your Waterpik and you have natural teeth, you wanna make sure to angle it at a forty five degree angle and move along the gum lines and in between all of your teeth inside and out. What I mean by that is the cheek side as well as the tongue side. Now if you have a dental prosthetic implant retained, let's say, what you want to do is take your Waterpik and starting at the molars, hit the gap right in between your gum and the prosthetic teeth themselves. With our natural teeth, we get food and debris stuck in between the teeth. With these, all on four or all on x prosthetics, the food actually gets trapped in between the gum and the prosthetics. Pick to help flush it out. You'll start along the outside all the way around. And very importantly, you wanna make sure that you hit the inside as well and remove any bacteria, food, and debris stuck along the prosthetic. This is gonna ensure that your gums stay nice, pink, and healthy. Like I mentioned, this is a full arch of prosthetic teeth. Implant retained. Did you know that these actually can be created and given to you in just twenty four hours? Wondering about the cost? Go ahead and click the free cost guide link below this video. Step five, finishing up. Once you have finished water flossing all of your teeth and or your dental prosthetic, you wanna make sure to turn it off before you remove it from your mouth to avoid spraying your entire countertop. And see the remaining water from the reservoir. I don't have a sink. Otherwise, I would show you. But make sure to keep the reservoir open and let it air dry so you don't get any, harboring of bacteria inside of this reservoir. This does hold the water that's gonna go into your mouth after all. And here's a pro tip. You can clean your Waterpik and the reservoir once a week by putting, a white vinegar and water solution inside of this reservoir and letting it run completely through. This is gonna help to prevent any buildup that you might be getting from the mineralization in your water. And that's it. Now you know how to use a Waterpik without turning your entire bathroom into a water park. If you happen to know someone who may be struggling with a Waterpik or may need one, go ahead and send them this video. Stay healthy and stay smiling.
Here are a few of my own tips and step by step:
Fill your Water Flosser with lukewarm water (you can even add a little alcohol-free mouth rinse for an extra clean feel).
Choose the right tip. The angled jet tip works great for everyday cleaning. Some models even have special implant tips.
Lean over the sink, close your lips slightly around the flosser, and aim carefully.
Start at the back molars and gently spray along the gumline, focusing on the space between your teeth and your gums.
Don’t forget the inside! (This part was easy to miss at first.)
Rinse out the Water Flosser after each use so old water doesn’t sit there.
Dr. Annoni shares a great tip in her tutorial video: Practice in the shower with a fogless mirror if you’re struggling. It’s way easier to figure out the angles when you don’t have to worry about soaking your whole bathroom.
Using my Water Flosser every day made a huge difference. My gums and mouth stay healthy and feel clean.
Cleaning your Zirconia Teeth
The cleaning doesn’t stop at the gums. Your zirconia teeth need love too. They are part of your mouth and oral health after all.
I brush my teeth morning and night with a soft-bristled toothbrush and non-abrasive toothpaste (no whitening toothpaste—it’s too rough and with how stain resistant zirconia is, you really don’t need it).
It’s just like brushing natural teeth:
Small circular motions
Focus on where the teeth meet the gums
Don’t scrub too hard
Even though zirconia is super strong, gentle brushing helps keep them shining and smooth for years to come.
Visiting the Dentist
Even with a good home routine, regular dental visits are non-negotiable.
I go in every 6 months for professional cleanings and to double check that everything looks good with my dental implants.
Honestly, after everything I went through to finally love my smile, these quick appointments are easy.
My Final Thoughts:
If you're still getting used to your smile and wondering how to clean All On 4® dental implants, or you're about to, it’s an important part of your daily routine.
That said, it doesn’t have to be complicated, and after a few weeks, it’ll become second nature.
This smile changed my life. And a few minutes a day keeps it that way.
If you're still thinking about getting dental implants—or fixing problems with your old ones—take the first step to see if you may be a candidate with the 60-second quiz below:
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Trish is a dental implant patient and advocate. She has had her new smile for 2 ½ years and she now shares her story to encourage others who feel held back by missing or failing teeth. Trish believes everyone deserves to feel confident and healthy—and she’s living proof of what’s possible with dental implants, the right care and the right team.