Coming up on two years since I built my desktop PC and I decided to go with a thermal PTM pad this time instead of paste. Thermal pads have become pretty popular. I went with a Thermal Grizzly PTM
here I stuck it in the fridge for about 30 minutes and then trimmed it to fit. Had to cut off about 5 mm off each side for a LGA 1700 12700k.
These thermal pads do need to be heat cycled to get full performance although they do fine out of the box. Thermal Grizzly recommends 10 heat/cool cycles to get full thermal phase change.
I've been running Prime 95 off and on. I didn't get numbers before but after replacing 2 year old paste my idle is running at 28C with an EVGA 280mm AIO. The old paste I cleaned off the cold plate and CPU was definitely on the dry side but cleaned up nicely with an alcohol pad.
For other maintenance dusting out the system out is pretty simple. On most wet/dry vacs you can hook the hose up on the exhaust side and get pretty good airflow out with a skinny attachment. Just clean out the tub before using it as exhaust, and be sure if blasting fans with air to keep the fan from spinning wildly with the air flow. With the computer powered off a free spinning fan can act as a little miniature power generator and send power back the wrong way. So anytime you use pressurized air to clean a PC either tape or use a free hand to keep any fans from spinning.
Paste does have a limit and depending on use can dry out while impacting system performance as can dust build up. A lot of older equipment gets tossed or labeled as bad when it just needs re-pasting and dust cleaning.