A dental implant can be maintained in much the same way as a natural tooth, using a toothbrush and interdental cleaning aids recommended by the dental hygienist. A dental check-up by the dentist is recommended once a year, including X-rays, and an interview with the dental hygienist at least once a year. Some infectious pathologies, known as peri-implantitis, can develop completely without symptoms and lead to implant loss if not treated in time.