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Implant Long-Term Success — ORE Part 1 MCQ

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EasyDental Public Health & EpidemiologyImplant Long-Term SuccessORE Part 1

Which factor is most important for the long-term survival of a successfully osseointegrated dental implant?

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

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Correct answer: APlaque control with supportive implant care

**A is correct.** Effective plaque control and regular supportive peri-implant care are central to preventing peri-implant mucositis and peri-implantitis, thereby protecting long-term implant survival. SDCEP advises effective self-performed oral hygiene, regular monitoring of peri-implant tissues, and implant-specific maintenance; it notes that maintenance care is associated with increased implant survival rates. **B** and **C** may be relevant technical choices in particular systems, but neither replaces control of biofilm and ongoing maintenance. **D** is not a biologically meaningful determinant of outcome. **E** is a design feature that may affect primary stability in selected clinical settings, but it is not the dominant long-term prognostic factor once osseointegration has been achieved. The key discriminator is recognition that long-term success is principally protected through prevention and early detection of peri-implant disease.

Reference: Scottish Dental Clinical Effectiveness Programme (SDCEP). Prevention and Treatment of Periodontal Diseases in Primary Care: General care of dental implants (current guidance). https://www.periodontalcare.sdcep.org.uk/guidance/dental-implants/general-care-of-dental-implants/