{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:36:58Z","timestamp":1786977418328,"version":"build-2736575974"},"reference-count":15,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,6,25]],"date-time":"2021-06-25T00:00:00Z","timestamp":1624579200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["aap.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Adv Periodontics"],"published-print":{"date-parts":[[2022,3]]},"abstract":"\n Background<\/jats:title>\n \n When used with deproteinized bovine bone mineral (DBBM) delivered as a particulate, the sub\u2010periosteal peri\u2010implant augmented layer (SPAL) technique was effective in completely correcting up to 92% of peri\u2010implant buccal bone dehiscences. The use of a DBBM block (bDBBM), however, may result in an improvement of the peri\u2010implant bone dehiscence as well as a relevant lateral bone augmentation since its mechanical properties may ensure a better dimensional stability at flap manipulation than particulate DBBM. The aim of the present a\n proof\u2010of\u2010principle<\/jats:italic>\n case report is to investigate if SPAL may be successfully used to obtain bone augmentation at peri\u2010implant dehi scence sites when used with bDBBM.\n <\/jats:p>\n <\/jats:sec>\n \n Case presentation<\/jats:title>\n Lateral bone augmentation was performed using the SPAL technique at two implants showing a buccal peri\u2010implant bone dehiscence immediately after their placement. A partial\u2010thickness flap was elevated, leaving the periosteal layer on the buccal cortical bone plate. The periosteal layer was, in turn, elevated to create a pouch, which was used to stabilize a bDBBM graft at the peri\u2010implant buccal bone dehiscences. At re\u2010entry, exposed implant surfaces were completely covered by new thick hard tissue up to their most coronal portion. A free epithelial\u2010connective tissue graft was used to augment the peri\u2010implant soft tissue phenotype.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n When used to accommodate bDBBM over the most coronal portion of an exposed implant, SPAL may successfully lead to an increase in peri\u2010implant buccal tissue thickness.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/cap.10172","type":"journal-article","created":{"date-parts":[[2021,6,18]],"date-time":"2021-06-18T12:13:18Z","timestamp":1624018398000},"page":"39-43","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Peri\u2010Implant Bone Augmentation by the Sub\u2010Periosteal Peri\u2010Implant Augmented Layer Technique and a Bovine\u2010Derived Bone Block: A Case Report"],"prefix":"10.1002","volume":"12","author":[{"given":"Leonardo","family":"Trombelli","sequence":"first","affiliation":[{"name":"Research Centre for the Study of Periodontal and Peri\u2010implant Diseases University of Ferrara Italy"},{"name":"Operative Unit of Dentistry Azienda Unit\u00e0 Sanitaria Locale (A.U.S.L.) Ferrara Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mattia","family":"Severi","sequence":"additional","affiliation":[{"name":"Research Centre for the Study of Periodontal and Peri\u2010implant Diseases University of Ferrara Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luca","family":"Ortensi","sequence":"additional","affiliation":[{"name":"Research Centre for the Study of Periodontal and Peri\u2010implant Diseases University of Ferrara Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"Farina","sequence":"additional","affiliation":[{"name":"Research Centre for the Study of Periodontal and Peri\u2010implant Diseases University of Ferrara Italy"},{"name":"Operative Unit of Dentistry Azienda Unit\u00e0 Sanitaria Locale (A.U.S.L.) Ferrara Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,6,25]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.19-0566"},{"key":"e_1_2_8_3_1","first-page":"217","article-title":"Sub\u2010periosteal peri\u2010implant augmented layer technique for horizontal bone augmentation at implant placement","volume":"67","author":"Trombelli L","year":"2018","journal-title":"Minerva Stomatol"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.11607\/jomi.6959"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.13646"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/cap.10107"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.12625"},{"key":"e_1_2_8_8_1","first-page":"1","article-title":"Guided bone regeneration at zirconia and titanium dental implants: a pilot histological investigation","volume":"00","author":"Benic GI","year":"2017","journal-title":"Clin Oral Impl Res"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.13515"},{"key":"e_1_2_8_10_1","first-page":"229","article-title":"Problems and proposals for recording gingivitis and plaque","volume":"25","author":"Ainamo J","year":"1975","journal-title":"Int Dent J"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.12590"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.5051\/jpis.2019.49.1.14"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.11607\/prd.4575"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-051X.2002.291213.x"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2008.06.085"},{"key":"e_1_2_8_16_1","first-page":"642","article-title":"Lateral ridge augmentation using particulated or block bone substitutes biocoated with rhGDF\u20105 and rhBMP\u20102: an immunohistochemical study in dogs","volume":"19","author":"Schwarz F","year":"2008","journal-title":"Clin Oral Impl Res"}],"container-title":["Clinical Advances in Periodontics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cap.10172","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/cap.10172","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aap.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cap.10172","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T22:41:12Z","timestamp":1760049672000},"score":1,"resource":{"primary":{"URL":"https:\/\/aap.onlinelibrary.wiley.com\/doi\/10.1002\/cap.10172"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,25]]},"references-count":15,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,3]]}},"alternative-id":["10.1002\/cap.10172"],"URL":"https:\/\/doi.org\/10.1002\/cap.10172","archive":["Portico"],"relation":{},"ISSN":["2573-8046","2163-0097"],"issn-type":[{"value":"2573-8046","type":"print"},{"value":"2163-0097","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6,25]]},"assertion":[{"value":"2021-05-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-06-11","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-06-25","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}