{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,25]],"date-time":"2026-01-25T04:35:22Z","timestamp":1769315722493,"version":"3.49.0"},"reference-count":46,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,4,28]],"date-time":"2020-04-28T00:00:00Z","timestamp":1588032000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Implant Dent Rel Res"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Immediate implantation is generally a predictable treatment, but sometimes there are significant tissue alterations at the surgical site which compromise clinical outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Purpose<\/jats:title><jats:p>This study aimed to investigate the association between tissue alterations and different clinical parameters in esthetic areas following immediate implant placement and provisionalization.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Clinical parameters were measured at 36 non\u2010grafted immediate implant sites enrolled in a randomized controlled trial. Alterations of bone and soft tissue were measured at 12\u2009months after the treatment. Stepwise linear regression analysis was performed to analyze the association between different clinical parameters and outcomes of interest.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Gingival thickness 3\u2009mm apical to the gingival margin (GT3) was positively associated with recession of mid\u2010buccal gingival margin, while vertical distance between the buccal gingival margin and the crest (GM\u2010bone) was negatively associated (<jats:italic>P<\/jats:italic> = .03, .01). Flap elevation and older age were positively associated with recession of the interproximal gingival margin (<jats:italic>P<\/jats:italic> = .04, .01). Horizontal defect dimension was positively associated with buccal ridge dimensional reduction while gingival thickness at free gingival margin (GT1) was negatively associated (<jats:italic>P<\/jats:italic> = .01, .04). Regarding interproximal bone level change, none of the clinical parameters was significantly associated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Gingival phenotype was the only parameter significantly associated with both buccal gingival recession and buccal ridge dimensional reduction. It is important to assess clinical parameters before and during immediate implant procedure.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cid.12910","type":"journal-article","created":{"date-parts":[[2020,4,29]],"date-time":"2020-04-29T06:28:51Z","timestamp":1588141731000},"page":"325-332","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":37,"title":["Predicting bone and soft tissue alterations of immediate implant sites in the esthetic zone using clinical parameters"],"prefix":"10.1111","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7812-5637","authenticated-orcid":false,"given":"Chun\u2010Teh","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Periodontics and Dental Hygiene The University of Texas Health Science Center School of Dentistry  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena","family":"Sanz\u2010Miralles","sequence":"additional","affiliation":[{"name":"Division of Periodontics, Section of Oral and Diagnostic Sciences Columbia University College of Dental Medicine  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liang","family":"Zhu","sequence":"additional","affiliation":[{"name":"Biostatistics &amp; Epidemiology Research Design Core, Center for Clinical and Translational Sciences, Department of Internal Medicine, Medical School The University of Texas Health Science Center at Houston  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaclyn","family":"Glick","sequence":"additional","affiliation":[{"name":"Private practice  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Heath","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Special Needs Dentistry Arkansas Children's Hospital  Little Rock Arkansas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janet","family":"Stoupel","sequence":"additional","affiliation":[{"name":"Private practice  New York, New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,4,28]]},"reference":[{"issue":"5","key":"e_1_2_8_2_1","first-page":"332","article-title":"Immediate implant placement into extraction sites: surgical and restorative advantages","volume":"9","author":"Lazzara RJ","year":"1989","journal-title":"Int J Periodontics Restorative Dent"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1998.69.8.920"},{"issue":"2","key":"e_1_2_8_4_1","first-page":"189","article-title":"Bone healing following immediate versus delayed placement of titanium implants into extraction sockets: a prospective clinical study","volume":"18","author":"Schropp 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