{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T23:00:00Z","timestamp":1771628400427,"version":"3.50.1"},"reference-count":62,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,3,12]],"date-time":"2023-03-12T00:00:00Z","timestamp":1678579200000},"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":["Clinical Oral Implants Res"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To compare esthetics at single immediately placed implants with and without soft tissue augmentation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Patients with non\u2010restorable maxillary teeth in the esthetic zone were assigned into 2 groups: immediately placed implants with simultaneous vascularized interpositional periosteal connective tissue grafting (VIP\u2010CTG) or non\u2010grafted immediately placed implants (NG). The outcomes included: pink esthetic score (PES), gingival thickness, keratinized tissue width, buccal bone changes, marginal bone loss, pain, and satisfaction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eighteen implants were included. At 2\u2009years the mean value for PES was 12\u2009\u00b1\u20093.2 for the VIP\u2010CTG and 12.9\u2009\u00b1\u20091.3 for the NG (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.855). Mucosal thickness and keratinized tissue width showed no statistically significant difference between the two groups (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.253) and (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.931) respectively. Clinically buccal bone showed mean bone loss of 2.03\u2009\u00b1\u20091.57\u2009mm for VIP\u2010CTG and 1.09\u2009\u00b1\u20091.3\u2009mm for NG (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.247) and radiographically showed 1.67\u2009\u00b1\u20090.84\u2009mm at the VIP\u2010CTG and 1.16\u2009\u00b1\u20090.47\u2009mm at the NG (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.118). No statistically significant difference between both groups was demonstrated regarding marginal bone level changes (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.142), pain (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.622), or satisfaction (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.562) at any time point.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Simultaneous soft tissue grafting with immediate implant placement did not provide a more favorable outcome regarding esthetics or alveolar bone preservation effect. Undisturbed healing with the least surgical intervention seems to provide more favorable outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/clr.14056","type":"journal-article","created":{"date-parts":[[2023,3,5]],"date-time":"2023-03-05T08:36:45Z","timestamp":1678005405000},"page":"498-511","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Esthetics and bone changes of immediate implants with or without vascularized interpositional periosteal connective tissue grafting: A 2\u2010year randomized controlled trial"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6626-9844","authenticated-orcid":false,"given":"Suzy Nabil","family":"Naiem","sequence":"first","affiliation":[{"name":"Department of Oral Medicine, Periodontology Department, Faculty of Dentistry Cairo University  Cairo Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manal","family":"Hosny","sequence":"additional","affiliation":[{"name":"Department of Oral Medicine, Periodontology Department, Faculty of Dentistry Cairo University  Cairo Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9101-4851","authenticated-orcid":false,"given":"Hani","family":"ElNahass","sequence":"additional","affiliation":[{"name":"Department of Oral Medicine, Periodontology Department, Faculty of Dentistry Cairo University  Cairo Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,3,12]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.2005.00726.x"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0501.2006.01317.x"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jerd.12538"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2009.080435"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.12233"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.12048"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.2004.00565.x"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aen103"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0501.2012.02450.x"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034513506713"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.11607\/jomi.2014suppl.g3.3"},{"key":"e_1_2_10_13_1","first-page":"186","article-title":"Clinical and esthetic outcomes of implants placed in postextraction sites","volume":"24","author":"Chen S. 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