{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T17:09:09Z","timestamp":1788282549247,"version":"build-2803163510"},"reference-count":42,"publisher":"Wiley","issue":"S23","license":[{"start":{"date-parts":[[2022,6,28]],"date-time":"2022-06-28T00:00:00Z","timestamp":1656374400000},"content-version":"vor","delay-in-days":27,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Oral Implants Res"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To identify the factors associated with buccal peri\u2010implant soft tissue dehiscences (BSTDs) and their frequency of occurrence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>Randomized controlled trials, controlled clinical trials, cohort studies, and case series assessing the frequency of occurrence of BSTD were included. BSTD was defined as an apical migration of the peri\u2010implant soft tissues of \u22651\u00a0mm from the baseline examination (final restoration) or in comparison with the adjacent or contralateral natural tooth. Frequency distributions of BSTD related to the presence or absence of any surgical, prosthetic, or anatomic factor that may have contributed to the development of BSTD were recorded. Random\u2010effects meta\u2010analyses using odds ratios (OR) were performed to investigate the association of certain factors with the development of BSTD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twenty\u2010four articles were finally included belonging to 22\u00a0clinical investigations. Patients at higher risk of developing BSTD were associated with thin biotype (OR\u00a0=\u00a02.85 [1.40, 5.8],\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a05,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a0.003) and with buccally placed implants (OR\u00a0=\u00a014.37 [4.58, 45.14],\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a03,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0\u2264\u00a0.001). Patients without connective tissue grafting (CTG) had greater odds of developing BSTD (OR\u00a0=\u00a09.00 [3.11, 26.02],\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a05,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0\u2264\u00a0.001), while buccal bone plate thickness of &lt;1\u00a0mm and immediately placed implants were not associated with greater BSTD (OR\u00a0=\u00a01.29 [0.35, 4.77],\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a02,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a0.704 and OR\u00a0=\u00a01.56 [0.46, 5.26],\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a04,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a0.477, respectively). The frequency of occurrence of BSTD varied across the included studies with a range from 0% to 61%.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Thin tissue biotype and buccally placed implants were associated with BSTD, whereas CTG seemed to have a protective effect. Thin buccal plates and immediately placed implants did not demonstrate a higher risk of BSTD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/clr.13888","type":"journal-article","created":{"date-parts":[[2022,6,28]],"date-time":"2022-06-28T14:27:20Z","timestamp":1656426440000},"page":"109-124","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":32,"title":["Buccal soft tissue dehiscence defects at dental implants\u2014associated factors and frequency of occurrence: A systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"33","author":[{"given":"Ignacio","family":"Sanz\u2010Mart\u00edn","sequence":"first","affiliation":[{"name":"Private Practice  Lausanne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3338-6379","authenticated-orcid":false,"given":"Erik","family":"Regidor","sequence":"additional","affiliation":[{"name":"Thinking Perio Research Periocentrum Bilbao Private Practice  Bilbao Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5042-2875","authenticated-orcid":false,"given":"Jan","family":"Cosyn","sequence":"additional","affiliation":[{"name":"Department of Periodontology and Oral Implantology Faculty of Medicine and Health Sciences Department of Periodontology and Oral Implantology Ghent University  Ghent Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8997-700X","authenticated-orcid":false,"given":"Daniel B.","family":"Wiedemeier","sequence":"additional","affiliation":[{"name":"Statistical Services Center of Dental Medicine University of Zurich  Zurich Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1764-7447","authenticated-orcid":false,"given":"Daniel S.","family":"Thoma","sequence":"additional","affiliation":[{"name":"Clinic of Reconstructive Dentistry Center of Dental Medicine University of Zurich  Zurich Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,6,28]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/cid.12487"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.19\u20100566"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u2010051x.1976.tb00040.x"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600\u20100501.1996.070401.x"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100501.2004.01020.x"},{"issue":"4","key":"e_1_2_9_7_1","first-page":"469","article-title":"Changes of the alveolar ridge dimension and gingival recession associated with implant position and tissue phenotype with immediate implant placement: A randomised controlled clinical trial","volume":"12","author":"Bittner N.","year":"2019","journal-title":"International Journal of Oral Implantology."},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.13658"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.11607\/jomi.3617"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100501.2009.01724.x"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u2010051X.2011.01748.x"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12571"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u2010051X.2012.01888.x"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u2010051X.2012.01921.x"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.11607\/prd.3292"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12049"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100501.2007.01413.x"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.13536"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12955"},{"key":"e_1_2_9_20_1","volume-title":"Cochrane handbook for systematic reviews of interventions version 5.1.0","author":"Higgins J. 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