{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T23:42:33Z","timestamp":1791848553653,"version":"4.3.4"},"reference-count":49,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2022,2,21]],"date-time":"2022-02-21T00:00:00Z","timestamp":1645401600000},"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":["Journal of Periodontology"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Along with the popularity of dental implants, implant esthetic complications are also on the rise. Recently a classification was proposed to comprehensively evaluate these conditions, with the definition of peri\u2010implant soft tissue dehiscence\/deficiencies (PSTDs). The aim of this article was therefore to test the inter\u2010examiner agreement when utilizing the established rubrics among 25 standardized cases and 34 clinicians of different skill levels.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Twelve periodontal residents, 12 general dentists, and 10 periodontists participated in this study. All examiners were provided with photographs of 25 single PSTDs and asked to rate all cases based on the proposed classification at a single timepoint. Variance components analysis was conducted with multilevel regression fit in a Bayesian framework to obtain uncertainty intervals for fractional variance contributions and interclass correlation values (ICC) to assess the agreement in the rating of all cases, among all examiners, different skill\u2010level practitioners, and to compare their responses relative to the judgment of a gold standard examiner.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall, the results showed reproducible and consistent responses among the 34 examiners, and in each subgroup of skill\u2010level, comparable to that of the gold examiner. Nevertheless, periodontists and residents were more likely to agree with the response of the gold standard examiner in their assessments of class and subclass of the PSTDs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The proposed PSTD classification showed reproducible assessments among all examiners, and between examiners of the same skill\u2010level. The response of the gold standard examiner was more in line with the assessment of the periodontists and periodontal residents.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jper.21-0606","type":"journal-article","created":{"date-parts":[[2022,1,21]],"date-time":"2022-01-21T13:28:35Z","timestamp":1642771715000},"page":"1173-1182","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Reliability assessment of the classification for facial peri\u2010implant soft tissue dehiscence\/deficiencies (PSTDs): A multi\u2010center inter\u2010rater agreement study of different skill\u2010level practitioners"],"prefix":"10.1002","volume":"93","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5347-6577","authenticated-orcid":false,"given":"Shayan","family":"Barootchi","sequence":"first","affiliation":[{"name":"Department of Periodontics &amp; Oral Medicine University of Michigan School of Dentistry  Ann Arbor Michigan USA"},{"name":"Center for clinical Research and evidence synthesis In oral TissuE RegeneratION (CRITERION)  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7030-155X","authenticated-orcid":false,"given":"Leonardo","family":"Mancini","sequence":"additional","affiliation":[{"name":"Department of Life, Health and Environmental Sciences University of L'Aquila  L'Aquila Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teresa","family":"Heck","sequence":"additional","affiliation":[{"name":"Department of Periodontics &amp; Oral Medicine University of Michigan School of Dentistry  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Zucchelli","sequence":"additional","affiliation":[{"name":"Department of Periodontics &amp; Oral Medicine University of Michigan School of Dentistry  Ann Arbor Michigan USA"},{"name":"Department of Biomedical and Neuromotor Sciences University of Bologna  Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martina","family":"Stefanini","sequence":"additional","affiliation":[{"name":"Department of Biomedical and Neuromotor Sciences University of Bologna  Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emilia","family":"Kazarian","sequence":"additional","affiliation":[{"name":"Private practice, Moscow, Russia and Piacenza  Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3836-147X","authenticated-orcid":false,"given":"Giulio","family":"Rasperini","sequence":"additional","affiliation":[{"name":"Department of Periodontics &amp; Oral Medicine University of Michigan School of Dentistry  Ann Arbor Michigan USA"},{"name":"Department of Biomedical, Surgical and Dental Sciences, Foundation IRCCS Ca\u2019 Granda Polyclinic University of Milan  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4238-1799","authenticated-orcid":false,"given":"Hom\u2010Lay","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Periodontics &amp; Oral Medicine University of Michigan School of Dentistry  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4864-3964","authenticated-orcid":false,"given":"Lorenzo","family":"Tavelli","sequence":"additional","affiliation":[{"name":"Department of Periodontics &amp; Oral Medicine University of Michigan School of Dentistry  Ann Arbor Michigan USA"},{"name":"Center for clinical Research and evidence synthesis In oral TissuE RegeneratION (CRITERION)  Ann Arbor Michigan USA"},{"name":"Department of Oral Medicine, Infection, and Immunity, Division of Periodontology Harvard School of Dental Medicine  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,2,21]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034518792567"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/prd.12185"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.11607\/jomi.7833"},{"key":"e_1_2_10_5_1","first-page":"123","article-title":"Nonsurgical treatment for peri\u2010implant mucositis: a systematic review and meta\u2010analysis","volume":"13","author":"Barootchi S","year":"2020","journal-title":"Int J Oral Implantol (Berl)"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.21\u20100161"},{"key":"e_1_2_10_7_1","first-page":"220345211035684","article-title":"Ultrasonographic tissue perfusion in peri\u2010implant health and disease","author":"Barootchi S","year":"2021","journal-title":"J Dent Res"},{"key":"e_1_2_10_8_1","first-page":"263","article-title":"Peri\u2010implant diseases: current understanding and management","volume":"14","author":"Barootchi S","year":"2021","journal-title":"Int J Oral Implantol (Berl)"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jerd.12709"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.13706"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1708-8208.2012.00448.x"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0501.2007.01497.x"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.19-0490"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.13658"},{"key":"e_1_2_10_15_1","first-page":"416","article-title":"Implant associated soft tissue defects in the anterior maxilla: a randomized control trial comparing subepithelial connective tissue graft and acellular dermal matrix allograft","volume":"23","author":"Anderson LE","year":"2014","journal-title":"Implant Dent"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/prd.12220"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.12003"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/cid.12897"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.12149"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.13417"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.11607\/prd.4296"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.18-0616"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000000388"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.2307\/2529310"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0219854"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcm.2016.02.012"},{"key":"e_1_2_10_27_1","unstructured":"SignorellA.DescTools: Tools for Descriptive Statistics.2019."},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.18637\/jss.v082.i13"},{"key":"e_1_2_10_29_1","first-page":"1","article-title":"Rcpp: seamless R and C++ integration","volume":"40","author":"Eddelbuette DF","year":"2011","journal-title":"J Stat Softw"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4614-6868-4"},{"key":"e_1_2_10_31_1","first-page":"e3188v3181","article-title":"Extending R with C++: a brief introduction to rcpp","volume":"5","author":"Eddelbuette DB","year":"2017","journal-title":"PeerJ Preprints"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.18637\/jss.v080.i01"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.32614\/RJ-2018-017"},{"key":"e_1_2_10_34_1","unstructured":"WickhamHH.L. tidyr: tidy messy data.2020."},{"key":"e_1_2_10_35_1","unstructured":"KayM.tidybayes: tidy data and geoms for Bayesian models.2020."},{"key":"e_1_2_10_36_1","unstructured":"WickhamH.ggplot2: elegant graphics for data analysis.2016."},{"key":"e_1_2_10_37_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.2011.01732.x"},{"key":"e_1_2_10_38_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2010.100278"},{"key":"e_1_2_10_39_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-018-2535-6"},{"key":"e_1_2_10_40_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.16-0671"},{"key":"e_1_2_10_41_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2009.080565"},{"key":"e_1_2_10_42_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.13187"},{"key":"e_1_2_10_43_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.13163"},{"key":"e_1_2_10_44_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.20-0310"},{"key":"e_1_2_10_45_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.13346"},{"key":"e_1_2_10_46_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.19-0715"},{"key":"e_1_2_10_47_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-020-03587-9"},{"key":"e_1_2_10_48_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.17-0556"},{"key":"e_1_2_10_49_1","first-page":"351","article-title":"The coronally advanced flap technique revisited: treatment of peri\u2010implant soft tissue dehiscences","volume":"14","author":"Zucchelli G","year":"2021","journal-title":"Int J Oral Implantol (Berl)"},{"key":"e_1_2_10_50_1","doi-asserted-by":"publisher","DOI":"10.11607\/prd.4929"}],"container-title":["Journal of Periodontology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/JPER.21-0606","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/JPER.21-0606","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aap.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/JPER.21-0606","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T14:31:36Z","timestamp":1760884296000},"score":1,"resource":{"primary":{"URL":"https:\/\/aap.onlinelibrary.wiley.com\/doi\/10.1002\/JPER.21-0606"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2,21]]},"references-count":49,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2022,8]]}},"alternative-id":["10.1002\/JPER.21-0606"],"URL":"https:\/\/doi.org\/10.1002\/jper.21-0606","archive":["Portico"],"relation":{},"ISSN":["0022-3492","1943-3670"],"issn-type":[{"value":"0022-3492","type":"print"},{"value":"1943-3670","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,2,21]]},"assertion":[{"value":"2021-10-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-01-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-02-21","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}