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Peri-Implant Mucositis — ORE Part 1 MCQ

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ModeratePeriodontologyPeri-Implant MucositisORE Part 1

A patient with an implant-supported crown has redness, swelling and bleeding on gentle probing around the implant. A periapical radiograph shows no peri-implant bone loss compared with the baseline radiograph. Following assessment of restoration cleansability and exclusion of retained cement, what is the most appropriate initial management?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: C — Provide professional mechanical plaque removal, reinforce oral hygiene and arrange review

Explanation lettering: D = shown as A · C = shown as B · A = shown as C · E = shown as D · B = shown as E

A is correct. The absence of radiographic bone loss indicates peri-implant mucositis rather than peri-implantitis. UK SDCEP guidance recommends professional mechanical plaque removal together with personalised oral-hygiene reinforcement, followed by review and risk-based maintenance. Assessment of cleansability and retained cement is also appropriate before treatment. B is inappropriate because surgical access and grafting are not first-line treatment for mucositis and imply management of a bone defect. C is excessive for a reversible soft-tissue inflammatory condition. D is wrong because SDCEP does not recommend routine local or systemic antibiotics for peri-implant mucositis. E fails to address biofilm-associated inflammation and risks persistence or progression of disease.

Reference: Scottish Dental Clinical Effectiveness Programme (SDCEP). Prevention and Treatment of Periodontal Diseases in Primary Care: Treatment of peri-implant mucositis. Current guidance, accessed July 2026. https://www.periodontalcare.sdcep.org.uk/guidance/dental-implants/treatment-of-peri-implant-mucositis/