Effectiveness of Interproximal Cleaning Devices for Biofilm Removal Around Posterior Single Implants With Peri-Implant Mucositis

Exclusion Criteria

• •Diagnosis of peri-implantitis (radiographic bone loss beyond initial remodeling).
• •Uncontrolled systemic diseases affecting periodontal or peri-implant health (e.g., uncontrolled diabetes mellitus).
• •Use of systemic antibiotics or anti-inflammatory drugs within the previous 3 months.
• •Current pregnancy or lactation. Current smoker of \>10 cigarettes/day. History of periodontal therapy or professional implant maintenance within the previous 3 months.
• •Use of medications known to affect bone metabolism (e.g., bisphosphonates). Inability to perform adequate oral hygiene or to attend scheduled study visits.