If you maintain dental implants, I don't need to tell you that biofilm matters. You already understand the relationship between microbial burden, inflammation and peri-implant disease far better than I ever will.
What I've found interesting as I've dug deeper into implant biology is that the conversation is becoming much more nuanced than “bacteria are bad.” Increasingly, the focus is on the interaction between the microbial community, the host response and the environment surrounding the implant.

