{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T10:22:32Z","timestamp":1773051752668,"version":"3.50.1"},"reference-count":56,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2016,1,7]],"date-time":"2016-01-07T00:00:00Z","timestamp":1452124800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Oral Implants Res"],"published-print":{"date-parts":[[2016,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Esthetic assessment of immediately restored implants combined with <jats:styled-content style=\"fixed-case\">GBR<\/jats:styled-content> and free connective tissue (CT) graft<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A case\u2013control, retrospective study involving 34 patients treated with maxillary anterior single implants, immediately placed and restored. Clinical and esthetic results were analyzed using standard clinical examination and a comprehensive index, comprising pink esthetic and white esthetic scores (<jats:styled-content style=\"fixed-case\">PES<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">WES<\/jats:styled-content>). The height of the implant crown and the corresponding height of the contralateral tooth crown were measured to identify mucosal recessions. The distance from the mucosal margin to the implant shoulder (<jats:styled-content style=\"fixed-case\">DIM<\/jats:styled-content>) was measured on the master model.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty of 34 implants fulfilled the strict success criteria set for dental implants with regard to osseointegration. Success was defined as implants with bone loss not exceeding 1.5\u00a0mm during the first year and loosing not more than 0.2 for each successive year. The other four implants were stable but did not meet the bone loss criteria mentioned above and defined as survived implants. Mean <jats:styled-content style=\"fixed-case\">PES<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">WES<\/jats:styled-content> was 14.44\u00a0\u00b1\u00a02.34 (range: 9\u201320). Mean <jats:styled-content style=\"fixed-case\">PES<\/jats:styled-content> was 7.12\u00a0\u00b1\u00a01.89 (range: 1\u201310). The highest mean values were achieved for the variable of root convexity\/soft tissue color and texture (1.71\u00a0\u00b1\u00a00.46) whereas the mesial papilla (1.09\u00a0\u00b1\u00a00.62) proved to be the least pleasing. The mean <jats:styled-content style=\"fixed-case\">WES<\/jats:styled-content> was 7.32\u00a0\u00b1\u00a01.25 (range: 5\u201310). The difference between IC and contralateral TC was 0.54\u00a0mm. The mean value for the facial <jats:styled-content style=\"fixed-case\">DIM<\/jats:styled-content> was 3.82\u00a0\u00b1\u00a00.87\u00a0mm.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>An evaluation of soft and hard tissue augmentation in immediately restored immediate implant procedures was employed to obtain stable hard and soft tissues. The combined <jats:styled-content style=\"fixed-case\">GBR<\/jats:styled-content> and CT graft procedure achieved favorable peri\u2010implant soft tissue condition and esthetic results. However, recession and incomplete papillas were frequently observed.<\/jats:p><\/jats:sec>","DOI":"10.1111\/clr.12755","type":"journal-article","created":{"date-parts":[[2016,1,8]],"date-time":"2016-01-08T07:39:14Z","timestamp":1452238754000},"page":"1414-1422","source":"Crossref","is-referenced-by-count":32,"title":["Esthetic assessment of immediately restored implants combined with <scp>GBR<\/scp> and free connective tissue graft"],"prefix":"10.1111","volume":"27","author":[{"given":"Roni","family":"Kolerman","sequence":"first","affiliation":[{"name":"Department of Periodontology and Dental Implantology The Maurice and Gabriela Goldschleger School of Dental Medicine Tel Aviv University Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Nissan","sequence":"additional","affiliation":[{"name":"Department of Oral Rehabilitation The Maurice and Gabriela Goldschleger School of Dental Medicine Tel Aviv University Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eitan","family":"Mijiritsky","sequence":"additional","affiliation":[{"name":"Department of Oral Rehabilitation The Maurice and Gabriela Goldschleger School of Dental Medicine Tel Aviv University Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nasreen","family":"Hamoudi","sequence":"additional","affiliation":[{"name":"General Practitioner, Private Practice Calanswa Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlo","family":"Mangano","sequence":"additional","affiliation":[{"name":"Dental School University of Varese Varese Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haim","family":"Tal","sequence":"additional","affiliation":[{"name":"Department of Periodontology and Dental Implantology The Maurice and Gabriela Goldschleger School of Dental Medicine Tel Aviv University Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,1,7]]},"reference":[{"key":"e_1_2_5_2_1","first-page":"229","article-title":"Problems and proposals for recording gingivitis and plaque","volume":"25","author":"Ainamo J.","year":"1975","journal-title":"International Dental Journal"},{"key":"e_1_2_5_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":"Alberktsson T.","year":"1986","journal-title":"International Journal of Oral & Maxillofacial Implants"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0501.2002.130307.x"},{"key":"e_1_2_5_5_1","first-page":"702","article-title":"Single\u2010tooth restorations supported by osseointegrated implants: results and experiences from a prospective study after 2 to 3\u00a0years","volume":"10","author":"Andersson B.","year":"1995","journal-title":"International Journal of Oral &Maxillofacial Implants"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.2005.00642.x"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2006.060072"},{"key":"e_1_2_5_8_1","first-page":"376","article-title":"Guided tissue regeneration for implants placed into extraction sockets and for implant dehiscence's: surgical techniques and case report","volume":"10","author":"Becker W.","year":"1990","journal-title":"International Journal of Periodontics & Restorative Dent"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1991.62.11.703"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2009.080435"},{"key":"e_1_2_5_11_1","first-page":"399","article-title":"Immediately loaded implants supporting fixed prostheses in the edentulous maxilla: a preliminary clinical and radiologic report","volume":"20","author":"Bergkvist G.","year":"2005","journal-title":"International Journal of Oral & Maxillofacial Implants"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2013.120635"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0501.1996.070212.x"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2009.080360"},{"key":"e_1_2_5_15_1","first-page":"43","article-title":"Stability of contour augmentation optimizing esthetics for implant restorations in the anterior maxilla: anatomic and surgical considerations","volume":"19","author":"Buser D.","year":"2004","journal-title":"International Journal of Oral & Maxillofacial Implants"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2010.100408"},{"key":"e_1_2_5_17_1","first-page":"267","article-title":"Immediate loading of single tooth implants: immediate versus non\u2010immediate implantation. 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