{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T12:59:59Z","timestamp":1791464399682,"version":"4.3.4"},"reference-count":68,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T00:00:00Z","timestamp":1767916800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T00:00:00Z","timestamp":1767916800000},"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":["Clin Implant Dent Rel Res"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To identify the site\u2010related, implant characteristic\u2010related, prosthetic, and patient\u2010related factors associated with marginal bone level around dental implant\u2010supported fixed prostheses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>This cross\u2010sectional study analyzed clinical and radiographic data obtained during maintenance visits. The interproximal radiographic bone levels were selected at the site showing the greatest bone loss. The implants were classified as having a bone level \u2265\u20092\u2009mm (BL group) or &lt;\u20092\u2009mm (NBL group). Multivariate multilevel logistic regression was used to assess the association between multiple factors and bone level \u2265\u20092\u2009mm.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 196 subjects with 404 implants were included, with a mean follow\u2010up period of 5.21\u2009years. Implementing multifactorial analysis, the results demonstrated that probing depth \u2265\u20096\u2009mm (odds ratios [OR] 5.39; 95% confidence intervals [CI] 1.21\u201324.06;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.027), absence of keratinized mucosa (OR 3.54; 95% CI 1.11\u201311.28;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.033), presence of an implant abutment microgap (OR 2.82; 95% CI 1.12\u20137.12;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.028), transmucosal height &lt;\u20092\u2009mm (OR 4.79; 95% CI 1.85\u201312.41;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001), and a history of periodontitis (OR 2.80; 95% CI 1.08\u20137.24;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.034) exhibited a significantly higher risk of marginal bone level \u2265\u20092\u2009mm.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Marginal bone level around implant\u2010supported prostheses was influenced by the interplay of multiple factors consisting of deep probing depth, absence of keratinized mucosa, inadequate transmucosal height, microgap configuration, and history of periodontitis. These findings emphasized the need for comprehensive peri\u2010implant assessment, which included monitoring probing depths and soft tissue quality. Additionally, it was crucial to ensure that prostheses were well\u2010designed and had the appropriate transmucosal height. Patients with a history of periodontitis were advised to follow a strict maintenance program. Further prospective studies are needed to confirm the causality for ongoing investigation into the specific aspects and mechanisms involved.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/cid.70115","type":"journal-article","created":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T10:15:23Z","timestamp":1767953723000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Marginal Bone Level Changes in Implant\u2010Supported Fixed Prostheses in a Retrospective Study: A Multifactorial Analysis"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-4821-4660","authenticated-orcid":false,"given":"Wilawan","family":"Chaiyaporn","sequence":"first","affiliation":[{"name":"Department of Periodontology, Faculty of Dentistry Chulalongkorn University  Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teerawut","family":"Tangsathian","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Faculty of Dentistry Chulalongkorn University  Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kakanang","family":"Supanimitkul","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Faculty of Dentistry Chulalongkorn University  Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Navawan","family":"Sophon","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Faculty of Dentistry Chulalongkorn University  Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tharntip","family":"Suwanwichit","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Faculty of Dentistry Chulalongkorn University  Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Attawood","family":"Lertpimonchai","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Faculty of Dentistry Chulalongkorn University  Bangkok Thailand"},{"name":"Center of Excellence in Periodontal Disease and Dental Implant Chulalongkorn University  Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1917-1988","authenticated-orcid":false,"given":"George","family":"Pelekos","sequence":"additional","affiliation":[{"name":"Division of Periodontology and Implant Dentistry, Faculty of Dentistry The University of Hong Kong  Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8812-0992","authenticated-orcid":false,"given":"Sirikarn P.","family":"Arunyanak","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Faculty of Dentistry Chulalongkorn University  Bangkok Thailand"},{"name":"Center of Excellence in Periodontal Disease and Dental Implant Chulalongkorn University  Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6270-0892","authenticated-orcid":false,"given":"Kajorn","family":"Kungsadalpipob","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Faculty of Dentistry Chulalongkorn University  Bangkok Thailand"},{"name":"Center of Excellence in Periodontal Disease and Dental Implant Chulalongkorn University  Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,9]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.11607\/jomi.2014suppl.g5.2"},{"issue":"1","key":"e_1_2_11_3_1","first-page":"11","article-title":"The Long\u2010Term Efficacy of Currently Used Dental Implants: A Review and Proposed Criteria of Success","volume":"1","author":"Albrektsson T.","year":"1986","journal-title":"International Journal of Oral & Maxillofacial Implants"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0501.2007.01448.x"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12954"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.13700"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12957"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.13823"},{"issue":"20","key":"e_1_2_11_9_1","first-page":"S278","article-title":"Peri\u2010Implant Health, Peri\u2010Implant Mucositis, and Peri\u2010Implantitis: Case Definitions and Diagnostic Considerations","volume":"45","author":"Renvert S.","year":"2018","journal-title":"Journal of Clinical Periodontology"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.13684"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.13397"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.12609"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijms24043202"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0501.2002.130301.x"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034515608832"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.12209"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2006.050393"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40729-020-00227-5"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41415-024-7402-z"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.3390\/app15052286"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/cid.12600"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.prosdent.2005.04.018"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/154405910308200316"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.11607\/jomi.5732"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0501.1996.070103.x"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/cid.13155"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.prosdent.2015.08.026"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12829"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.11607\/ijp.8174"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2016.150571"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.13461"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0501.000.00934.x"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.11607\/jomi.2013.g5"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.12208"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2014.140438"},{"key":"e_1_2_11_36_1","first-page":"150","article-title":"Consensus Statements and Recommended Clinical Procedures Regarding Implant Survival and Complications","volume":"19","author":"Lang N. P.","year":"2004","journal-title":"International Journal of Oral & Maxillofacial Implants"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-302X.1987.tb00298.x"},{"issue":"2","key":"e_1_2_11_38_1","first-page":"167","article-title":"Association Between Keratinized Mucosa Width and Peri\u2010Implant Diagnostic Parameters in Asian Maintenance Compliers: A Cross\u2010Sectional Study","volume":"23","author":"Manopattanasoontorn S.","year":"2021","journal-title":"Journal of the International Academy of Periodontology"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.prosdent.2016.12.001"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.13823"},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-023-02989-x"},{"key":"e_1_2_11_42_1","doi-asserted-by":"publisher","DOI":"10.3758\/BRM.41.4.1149"},{"key":"e_1_2_11_43_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.2008.01274.x"},{"key":"e_1_2_11_44_1","first-page":"1","article-title":"Etiology, Pathogenesis and Treatment of Peri\u2010Implantitis: A European Perspective","author":"Berglundh T.","year":"2024","journal-title":"Periodontology 2000"},{"key":"e_1_2_11_45_1","doi-asserted-by":"publisher","DOI":"10.1111\/prd.12255"},{"key":"e_1_2_11_46_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.13653"},{"key":"e_1_2_11_47_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.12557"},{"key":"e_1_2_11_48_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.13766"},{"key":"e_1_2_11_49_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.12703"},{"key":"e_1_2_11_50_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.18-0471"},{"key":"e_1_2_11_51_1","doi-asserted-by":"publisher","DOI":"10.1111\/cid.13356"},{"key":"e_1_2_11_52_1","doi-asserted-by":"publisher","DOI":"10.11607\/jomi.6950"},{"key":"e_1_2_11_53_1","doi-asserted-by":"publisher","DOI":"10.1111\/prd.12584"},{"key":"e_1_2_11_54_1","doi-asserted-by":"publisher","DOI":"10.3390\/ma13204511"},{"key":"e_1_2_11_55_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2004.75.10.1404"},{"key":"e_1_2_11_56_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.archoralbio.2017.07.022"},{"key":"e_1_2_11_57_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2003.74.3.346"},{"issue":"4","key":"e_1_2_11_58_1","first-page":"712","article-title":"The Influence of Soft Tissue Thickness on Crestal Bone Changes Around Implants: A 1\u2010Year Prospective Controlled Clinical Trial","volume":"24","author":"Linkevicius T.","year":"2009","journal-title":"International Journal of Oral & Maxillofacial Implants"},{"key":"e_1_2_11_59_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.1996.tb00520.x"},{"key":"e_1_2_11_60_1","doi-asserted-by":"publisher","DOI":"10.1111\/jerd.13003"},{"key":"e_1_2_11_61_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-024-04480-7"},{"key":"e_1_2_11_62_1","doi-asserted-by":"publisher","DOI":"10.1111\/cid.13214"},{"key":"e_1_2_11_63_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.14327"},{"key":"e_1_2_11_64_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2005.76.4.534"},{"key":"e_1_2_11_65_1","doi-asserted-by":"publisher","DOI":"10.1111\/jre.13238"},{"key":"e_1_2_11_66_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.14147"},{"key":"e_1_2_11_67_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.12772"},{"key":"e_1_2_11_68_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.archoralbio.2020.104931"},{"key":"e_1_2_11_69_1","doi-asserted-by":"publisher","DOI":"10.1002\/cre2.750"}],"container-title":["Clinical Implant Dentistry and Related Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cid.70115","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/cid.70115","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cid.70115","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T05:49:06Z","timestamp":1773726546000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/cid.70115"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,9]]},"references-count":68,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["10.1111\/cid.70115"],"URL":"https:\/\/doi.org\/10.1111\/cid.70115","archive":["Portico"],"relation":{},"ISSN":["1523-0899","1708-8208"],"issn-type":[{"value":"1523-0899","type":"print"},{"value":"1708-8208","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,9]]},"assertion":[{"value":"2025-05-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-12","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70115"}}