{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T10:28:17Z","timestamp":1793960897133,"version":"4.8.0"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,1,15]],"date-time":"2025-01-15T00:00:00Z","timestamp":1736899200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,15]],"date-time":"2025-01-15T00:00:00Z","timestamp":1736899200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100008401","name":"Stiftung Professor Dr. Max Clo\u00ebtta","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100008401","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Implant Dent Rel Res"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This preclinical ex\u00a0vivo porcine study aimed to evaluate the effects of two flap advancement techniques and periosteal suturing (PS) on graft material displacement during primary wound closure in guided bone regeneration (GBR). Secondary objectives included assessing flap advancement and the impact of soft tissue characteristics on graft displacement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>Standardized two\u2010walled horizontal bone defects were created in second premolar sites of pig hemimandibles. Sites were randomized to using either full\u2010thickness flaps with modified periosteal releasing incisions (MPRI) or combination flaps using the mucosal detachment technique (MDT), both with and without PS. Cone\u2010beam computed tomography was used to measure changes in graft material thickness (GMT) at seven incremental levels (L0\u2013L6) relative to the implant platform, before and after primary wound closure. Keratinized mucosa width (KMW), flap thickness (FT), and flap advancement (FA) were also recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Sixty\u2010eight horizontal bone augmentation procedures were performed on 34 pig hemimandibles, divided into four groups (MDT+PS, MDT\u2010PS, MPRI+PS, MPRI\u2010PS). Mean overall change in GMT at L0 was \u221224.5%\u2009\u00b1\u200914.0% for MPRI and\u2009\u2212\u200923.0%\u2009\u00b1\u200914.3% for MDT (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009\u2265\u20090.085). PS reduced graft displacement (\u221214.2%\u2009\u00b1\u200911.5%) compared with no PS (\u221233.2%\u2009\u00b1\u200916.9%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). FA was 8.3\u2009\u00b1\u20091.1\u2009mm (MPRI) and 8.3\u2009\u00b1\u20091.5\u2009mm (MDT). The mean KMW was 6.8\u2009\u00b1\u20090.9\u2009mm, and FT ranged from 0.8 to 1.6\u2009mm.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>PS significantly reduced graft material displacement during primary wound closure, while flap advancement techniques and soft tissue characteristics had no impact on graft stability. Both surgical techniques provided sufficient flap advancement for primary wound closure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/cid.13434","type":"journal-article","created":{"date-parts":[[2025,1,16]],"date-time":"2025-01-16T01:49:44Z","timestamp":1736992184000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Impact of Two Flap Advancement Techniques and Periosteal Suturing on Graft Displacement During Guided Bone Regeneration"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2659-3505","authenticated-orcid":false,"given":"Clemens","family":"Raabe","sequence":"first","affiliation":[{"name":"Department of Oral Surgery and Implantology Goethe University  Frankfurt am Main Germany"},{"name":"Department of Oral Surgery and Stomatology, School of Dental Medicine University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9243-1382","authenticated-orcid":false,"given":"Emilio A.","family":"Cafferata","sequence":"additional","affiliation":[{"name":"Department of Oral Surgery and Implantology Goethe University  Frankfurt am Main Germany"},{"name":"Oral Peri\u2010Implant Research Group, School of Dentistry Universidad Cient\u00edfica del Sur  Lima Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9989-4483","authenticated-orcid":false,"given":"Emilio","family":"Couso\u2010Queiruga","sequence":"additional","affiliation":[{"name":"Department of Oral Surgery and Stomatology, School of Dental Medicine University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vivianne","family":"Chappuis","sequence":"additional","affiliation":[{"name":"Department of Oral Surgery and Stomatology, School of Dental Medicine University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ausra","family":"Ramanauskaite","sequence":"additional","affiliation":[{"name":"Department of Oral Surgery and Implantology Goethe University  Frankfurt am Main Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5873-9903","authenticated-orcid":false,"given":"Frank","family":"Schwarz","sequence":"additional","affiliation":[{"name":"Department of Oral Surgery and Implantology Goethe University  Frankfurt am Main Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,1,15]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034513506713"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034515592869"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/JCPE.13781"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034517737755"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/CLR.13121"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/CID.12960"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1902\/cap.2014.140009"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1563\/AAID\u2010JOI\u2010D\u201009\u201000068"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.11607\/prd.5072"},{"issue":"3","key":"e_1_2_11_11_1","first-page":"311","article-title":"Periosteal 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