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Peri-Implantitis Predictor — ORE Part 1 MCQ

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EasyPeriodontologyPeri-Implantitis PredictorORE Part 1

A patient is being assessed before dental implant placement. Which finding is the strongest established patient-level predictor of subsequent peri-implantitis?

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

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Correct answer: CA history of periodontitis

The correct answer is **A. A history of periodontitis**. SDCEP identifies previous or current periodontitis as a key risk factor for peri-implant disease and recommends that affected patients are informed of their increased risk before implant placement. Active periodontal disease should be controlled and the patient should enter appropriate long-term periodontal and implant maintenance care. A previous crown replacement, bitewing radiographs, tooth whitening and composite restorations do not independently predict peri-implantitis. They are plausible features of a routine dental history, but none indicates the established susceptibility to peri-implant inflammatory disease associated with previous periodontitis.

Reference: Scottish Dental Clinical Effectiveness Programme (SDCEP), Prevention and Treatment of Periodontal Diseases in Primary Care, “Risk factors for peri-implant disease”, current webpage accessed July 2026. https://www.periodontalcare.sdcep.org.uk/guidance/dental-implants/risk-factors-for-peri-implant-disease/