Peri-Implant Mucositis — Treatment
Single-mode PMPR. Reassess at 2–3 months; did it resolve?
GPDental HygienistUpskilled GP
Hero illustration · Peri-Implant Mucositis — Treatment
Single-mode PMPR only. Do not combine air polishing with curettes/ultrasonics (R6.5).
Evidence Guidelines & evidence
- EFP S3 R6.1
We recommend that clinicians use as end point of peri-implant mucositis treatment at implant level: ≤1 point of BOP and absence of suppuration. Evaluate 2–3 months after the intervention.
- EFP S3 R6.2
In patients with peri-implant mucositis, we recommend self-performed effective OH along with PMPR.
- EFP S3 R6.4
Ultrasonics with plastic-coated tips, air-polishing devices with glycine powder, titanium curettes, or chitosan brushes may be considered as a single mode of PMPR.
- EFP S3 R6.5
In patients with peri-implant mucositis, we suggest not to add air-polishing devices to conventional PMPR (curettes, ultrasonics or both).
- EFP S3 R6.7
Where the prosthesis does not allow for proper self-performed and/or professional cleansability, we recommend cleaning/removal/modification of the prosthesis.
1 Oral hygiene reinforcement
Self-performed effective OH alongside PMPR (R6.2). Individually tailored instructions. Time-limited self-administered antiseptic rinses (CHX or herbal-based) may be considered (R6.11).
Illustration · Step 1
2 Prosthesis modification
If the implant-supported prosthesis doesn't allow for proper self-performed and/or professional cleansability, clean / remove / modify the prosthesis (R6.7).
Illustration · Step 2
3 Professional mechanical plaque removal (PMPR)
Single-mode PMPR — choose one modality (R6.4). Do NOT combine air polishing with curettes/ultrasonics (R6.5). Repeat PMPR if end points not achieved within 3 months (R6.6).
Illustration · Step 3
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