{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:47:06Z","timestamp":1787014026327,"version":"build-2736575974"},"reference-count":42,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,1,19]],"date-time":"2025-01-19T00:00:00Z","timestamp":1737244800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100009879","name":"Regione Emilia-Romagna","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100009879","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Oral Implants Res"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the effectiveness of Sub\u2010periosteal Peri\u2010implant Augmented Layer (SPAL) technique performed with deproteinized bovine bone mineral (DBBM), delivered either as particulate (pDBBM) or block (bDBBM), in correcting a peri implant bone dehiscence (PIBD). Implants showing a thick (\u2265\u20092\u2009mm) peri\u2010implant buccal bone plate (PBBP) at placement were also examined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>\n                      Patients with a PIBD \u2265\u20091\u2009mm, treated with SPAL with either pDBBM (SPAL\n                      <jats:sub>particulate<\/jats:sub>\n                      ) or bDBBM (SPAL\n                      <jats:sub>block<\/jats:sub>\n                      ), and patients with an implant showing a PBBP \u2265\u20092\u2009mm at insertion (CONTROL) were included. Re\u2010entry was performed either at 6\u2009months (SPAL groups) or 3\u2009months (CONTROL). The rate of patients presenting no PIBD at re\u2010entry was the primary outcome. Bone dehiscence height (BDH) and width (BDW), thickness of buccal tissues (BTT) and marginal bone level (MBL) were secondary outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Thirty\u2010nine implants in 39 patients (14 in SPAL\n                      <jats:sub>particulate<\/jats:sub>\n                      ,14 in SPAL\n                      <jats:sub>block<\/jats:sub>\n                      and 11 in CONTROL) were analyzed. No PIBD were found in SPAL\n                      <jats:sub>particulate<\/jats:sub>\n                      whereas in SPAL\n                      <jats:sub>block<\/jats:sub>\n                      one PIBD was present. Two patients in CONTROL presented a PIBD. A reduction in both BDH and BDW was observed in both SPAL\n                      <jats:sub>particulate<\/jats:sub>\n                      (2.7\u2009\u00b1\u20091.6\u2009mm for BDH and 3.9\u2009\u00b1\u20090.2\u2009mm for BDW) and SPAL\n                      <jats:sub>block<\/jats:sub>\n                      (2.5\u2009\u00b1\u20091.8\u2009mm for BDH and 3.8\u2009\u00b1\u20091.1\u2009mm for BDW). SPAL\n                      <jats:sub>block<\/jats:sub>\n                      showed a higher BTT than SPAL\n                      <jats:sub>particulate<\/jats:sub>\n                      at re\u2010entry (3.6\u2009\u00b1\u20091.3\u2009mm for SPAL\n                      <jats:sub>block<\/jats:sub>\n                      and 2.6\u2009\u00b1\u20090.6\u2009mm for SPAL\n                      <jats:sub>particulate<\/jats:sub>\n                      ,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0160). All groups showed similar MBL.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>SPAL performed with either a pDBBM or bDBBM is similarly effective in correcting a PIBD as well as in increasing\u00a0BTT.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/clr.14400","type":"journal-article","created":{"date-parts":[[2025,1,19]],"date-time":"2025-01-19T22:22:21Z","timestamp":1737325341000},"page":"481-493","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Correction of Peri\u2010Implant Buccal Bone Dehiscence Following Sub\u2010Periosteal Peri\u2010Implant Augmented Layer Technique With Either Block or Particulate Xenograft: A Retrospective 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