{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T16:53:01Z","timestamp":1789663981209,"version":"4.0.1"},"reference-count":19,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,8,16]],"date-time":"2023-08-16T00:00:00Z","timestamp":1692144000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aap.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Adv Periodontics"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The importance of an adequate amount of peri\u2010implant keratinized tissue and attached mucosa has recently been emphasized. This manuscript presents preliminary findings of a novel approach for increasing the width of keratinized mucosa (KM) around dental implants using a mesh free gingival graft (mesh\u2010FGG).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Two healthy adults were treated as part of this study. After implant placement, a large edentulous alveolar ridge with shallow vestibule and minimal amount of KM was treated in both subjects (one in the posterior mandible and the other in the anterior mandible) with the combination of an apically positioned flap and a mesh\u2010FGG. Clinical, esthetic and patient\u2010reported outcomes were observed at approximately 4\u2010month time points.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All sites healed uneventfully after the treatments. In both cases, increased vestibule depth, soft\u2010tissue thickness, and width of peri\u2010implant KM were obtained. The patients did not report any accessory discomfort. Four months following the grafting procedure, good overall esthetic outcome was observed with minimal color disparity and graft demarcation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Width of KM around dental implants can be increased using a mesh\u2010FGG. Randomized controlled clinical studies comparing mesh\u2010FGG to conventional FGG and other commonly applied techniques are required to assess the long\u2010term efficacy of this novel technique in terms of soft\u2010tissue thickness, width of peri\u2010implant KM, and patient\u2010reported outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Key points<\/jats:title><jats:p>Principal Findings:\n<jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>Meshed\u2010FGG allowed an expansion of the length of the harvested graft. This results in coverage of large recipient sites, increase in height of KM and good aesthetic integration of the graft.<\/jats:p><\/jats:list-item>\n<\/jats:list><\/jats:p><\/jats:sec>","DOI":"10.1002\/cap.10264","type":"journal-article","created":{"date-parts":[[2023,8,8]],"date-time":"2023-08-08T04:14:45Z","timestamp":1691468085000},"page":"157-164","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["The expanded mesh free gingival graft: A novel approach to increase the width of keratinized mucosa"],"prefix":"10.1002","volume":"14","author":[{"given":"Alexander","family":"De Greef","sequence":"first","affiliation":[{"name":"Private Practice  Merchtem Belgium"},{"name":"Department of Oral Health Sciences, KU Leuven &amp; Dentistry (Periodontology) University Hospitals  Leuven Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivier","family":"Carcuac","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Institute of Odontology, The Sahlgrenska Academy University of Gothenburg  Gothenburg Sweden"},{"name":"Private Practice  Dubai United Arab Emirates"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Greet","family":"De Mars","sequence":"additional","affiliation":[{"name":"Private Practice  Merchtem Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ventseslav","family":"Stankov","sequence":"additional","affiliation":[{"name":"Private Practice  Plovdiv Bulgaria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Cortasse","sequence":"additional","affiliation":[{"name":"Private Practice  Pernes Les Fontaines France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gustavo","family":"Giordani","sequence":"additional","affiliation":[{"name":"Private Practice  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Van Dooren","sequence":"additional","affiliation":[{"name":"Private Practice  Antwerp Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,8,16]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12954"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.13956"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784\u2010017\u20102320\u2010y"},{"issue":"1","key":"e_1_2_9_5_1","first-page":"37","article-title":"Coverage of denuded root surfaces with a lateral sliding flap. 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