{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T09:15:32Z","timestamp":1793870132004,"version":"4.6.1"},"reference-count":41,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2012,7,9]],"date-time":"2012-07-09T00:00:00Z","timestamp":1341792000000},"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":[[2013,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The aim of this prospective study was to evaluate the soft tissue changes around implants in the aesthetic zone, placed under a trimodal approach (immediate post\u2010extraction placement, flapless, and immediate provisional restoration) and its relationship to gingival\/periodontal biotype of the patient.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>The sample consisted of 14 patients from two private practices that were in need of a tooth extraction in the anterior maxillary region (cuspid to cuspid) and were candidates to a replacement with a dental implant. An initial measurement (baseline) of the position or the mesial and distal papillae and gingival zenith was made at this time, with a rigid dental\u2010supported stent and an electronic precision caliper, able to the second tenth of a millimeter; after careful tooth extraction, the periodontal thickness, at a point 5\u00a0mm apical to de gingival buccal margin, with an analogical thickness gauge, able to one tenth of a millimeter. Once the implant was inserted an immediate provisional restoration was delivered. To evaluate the soft tissue changes measurements were repeated at 3, 6, and 12\u00a0months. A statistical analysis was performed to evaluate the changes in the gingival margin around the implant restorations and to identify a possible correlation to patient\u2032s periodontal thickness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      All 14 patients received Straumann\n                      <jats:sup>\u00ae<\/jats:sup>\n                      implants (9 Tissue Level [TL] Regular Neck [RN], 2\n                      <jats:styled-content style=\"fixed-case\">TL<\/jats:styled-content>\n                      Narrow Neck [NN], 2 Bone Level [BL] Narrow Crossfit [NC], and 1\n                      <jats:styled-content style=\"fixed-case\">BL<\/jats:styled-content>\n                      Regular Crossfit [RC]). All implants integrated and none had any biological complications. Three provisional restorations presented screw loosening and retightened once and one loss retention and was recemented once. In one patient, with a severe bruxing habit, the final restoration suffered screw loosening and was retightened. Of the final restorations, 12 were screw\u2010retained and 2 cemented on custom\u2010made Zirconia abutments.\n                    <\/jats:p>\n                    <jats:p>A mean recession of the buccal margin of 0.45\u00a0mm was recorded at 12\u00a0months (\u00a0\u00b1\u00a00.25\u00a0mm). An acceptable papilla level was present in all cases at 1\u00a0year, with mean changes of 0.38\u00a0mm (\u00a0\u00b1\u00a00.60) for the mesial and 0.80\u00a0mm (\u00a0\u00b1\u00a00.90) of the distal papilla, respectively. No correlation could be established between the soft tissue changes and the periodontal biotype of the patient.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Within the limitations of this study, the good aesthetic outcome and minimal complications seem to validate the trimodal approach protocol as a reliable and simple protocol to place and restore immediate implants in the aesthetic zone. No correlation between the patient's gingival biotype and the soft tissue alterations could be established. Additional studies are needed to verify long\u2010term aesthetic results with this approach and to better define and quantify biotypes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/j.1600-0501.2012.02516.x","type":"journal-article","created":{"date-parts":[[2012,7,9]],"date-time":"2012-07-09T22:17:26Z","timestamp":1341872246000},"page":"1094-1100","source":"Crossref","is-referenced-by-count":58,"title":["Immediate placement and restoration of implants in the aesthetic zone with a trimodal approach: soft tissue alterations and its relation to gingival biotype"],"prefix":"10.1111","volume":"24","author":[{"given":"Gustavo","family":"Cabello","sequence":"first","affiliation":[{"name":"Private Practice M\u00e1laga Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda","family":"Rioboo","sequence":"additional","affiliation":[{"name":"Private Practice Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javier G.","family":"F\u00e1brega","sequence":"additional","affiliation":[{"name":"Private Practice Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,7,9]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"386","article-title":"Dimensions of the dento\u2010gingival unit in maxillary anterior teeth: a new exploration technique (parallel profile radiograph)","volume":"24","author":"Alpiste\u2010Illueca F.","year":"1994","journal-title":"International Journal Periodontics Restorative Dentistry"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0501.2008.01606.x"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.2005.00726.x"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0501.2006.01317.x"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0501.2006.01315.x"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0501.2009.01725.x"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0501.2004.01020.x"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.2008.01237.x"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0501.2003.140105.x"},{"key":"e_1_2_7_11_1","first-page":"71","article-title":"Immediate placement of implant into impacted maxillary canine extraction socked","volume":"27","author":"Cardaropoli D.","year":"2007","journal-title":"International Journal of Periodontics and Restorative Dentistry"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0501.2005.01210.x"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0501.1999.100301.x"},{"key":"e_1_2_7_14_1","first-page":"267","article-title":"Immediate loading of single tooth implants: immediate versus non\u2010immediate implantation. 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