I was struck as I walked to work on Friday, by the sight of someone swimming in the sea at 0800 in the morning. It was freezing, but they were obviously committed to their early morning exercise. I often hear patients say they can’t floss or clean their implants, maybe it’s really they are not committed to carrying out this most important task? I made a note to myself to try to encourage as much commitment in my patients as I have to achieving excellence in their mouths!