{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T07:55:11Z","timestamp":1791273311498,"version":"4.1.0"},"reference-count":26,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Peri\u2010implant soft tissue dehiscence is an esthetic complication for which coronally advanced flap with connective tissue grafting remains a predictable treatment, whereas evidence for laterally closed tunneling (LCT) around implants is limited. This single\u2010patient case report describes a 4\u2009\u00d7\u20093\u2009mm labial peri\u2010implant soft tissue dehiscence at an immediately placed implant replacing the maxillary left central incisor. LCT combined with a de\u2010epithelialized free gingival graft and limited implantoplasty was performed. At 24\u2009months, complete coverage was maintained; buccal soft tissue thickness increased from 1.0 to 2.7\u2009mm, keratinized tissue width from 1 to 3\u2009mm, Pink Esthetic Score from 6 to 12, Mucosal Scarring Index from 3 to 0, and patient satisfaction from 4 to 10. Standardized periapical radiographs showed stable interproximal crestal bone levels without evidence of progressive bone loss. In this single case, LCT with a de\u2010epithelialized free gingival graft was associated with stable soft tissue coverage and favorable esthetic and patient\u2010reported outcomes over 24\u2009months; further studies are required to determine reproducibility and predictability.<\/jats:p>","DOI":"10.1002\/ccr3.73440","type":"journal-article","created":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T06:15:39Z","timestamp":1788243339000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Management of Peri\u2010Implant Soft Tissue Dehiscence Using Laterally Closed Tunneling With a Connective Tissue Graft: A Case Report"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-8509-6548","authenticated-orcid":false,"given":"Hisham","family":"Tarek","sequence":"first","affiliation":[{"name":"Oral Medicine and Periodontology Department, Faculty of Dentistry The British University in Egypt  Cairo 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