{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,15]],"date-time":"2025-11-15T06:58:31Z","timestamp":1763189911425,"version":"3.45.0"},"reference-count":29,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,8,30]],"date-time":"2025-08-30T00:00:00Z","timestamp":1756512000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Esthet Restor Dent"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Peri\u2010implant soft tissue is considered critical for maintaining peri\u2010implant health, minimizing esthetic and biological complications, and promoting the long\u2010term stability of implant\u2010supported restorations. This article describes a straightforward and minimally invasive technique for augmenting the peri\u2010implant mucosa thickness (MT) in the mandibular posterior area using a rotated pedicled flap (MRPF).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Considerations<\/jats:title>\n                    <jats:p>The described surgical procedure was conducted on sixteen systemically healthy adults (8 males, 8 females) with posterior mandibular partial edentulism and a thin tissue phenotype. Periodontal plastic surgery was performed at the second stage of implant surgery using a rotated pedicled mucoperiosteal flap (MRPF) obtained from the adjacent distal mandibular retromolar area. Clinical and digital analysis variables demonstrated a peri\u2010implant mucosal thickness increase (2.72\u2009\u00b1\u20090.69\u2009mm) at 12\u2009months follow\u2010up after the definitive implant\u2010supported restoration delivery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Despite the limitations of this study, the proposed surgical technique successfully increased the buccal peri\u2010implant MT. However, further randomized controlled studies are required to assess the efficacy of MRPF.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Significance<\/jats:title>\n                    <jats:p>The quality and quantity of peri\u2010implant mucosa are considered to have a potential impact on maintaining peri\u2010implant health. MRPF may increase peri\u2010implant MT in the mandibular posterior area. Notably, no additional donor site is required for this procedure, leading to a potential reduction in patient morbidity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jerd.70017","type":"journal-article","created":{"date-parts":[[2025,8,30]],"date-time":"2025-08-30T12:35:43Z","timestamp":1756557343000},"page":"2485-2492","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Mandibular Rotated Pediculated Flap: A Technique to Increase Peri\u2010Implant Mucosa Thickness"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-9376-4970","authenticated-orcid":false,"given":"Fernando","family":"Cebri\u00e1n","sequence":"first","affiliation":[{"name":"Department of Periodontology and Implantology Rey Juan Carlos University of Madrid  Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-3871-241X","authenticated-orcid":false,"given":"Francisco","family":"Carroquino","sequence":"additional","affiliation":[{"name":"Private Practice  Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7438-5044","authenticated-orcid":false,"given":"Ignacio","family":"Pedrinaci","sequence":"additional","affiliation":[{"name":"Division of Regenerative and Implant Sciences, Department of Restorative Dentistry and Biomaterials Sciences Harvard School of Dental Medicine  Boston Massachusetts USA"},{"name":"Department of Periodontology Complutense University of Madrid  Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,8,30]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/jper.19\u20100566"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.13955"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jerd.13306"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.11607\/prd.2918"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.13417"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/jper.21\u20100402"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/cid.12155"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2024.105224"},{"issue":"4","key":"e_1_2_10_10_1","first-page":"712","article-title":"The Influence of Soft Tissue Thickness on Crestal Bone Changes Around Implants: a 1\u2010Year Prospective Controlled Clinical Trial","volume":"24","author":"Linkevicius T.","year":"2009","journal-title":"International Journal of Oral & Maxillofacial Implants"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1708\u20108208.2012.00474.x"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.13806"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/jper.19\u20100350"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12820"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2006.050296"},{"issue":"5","key":"e_1_2_10_16_1","first-page":"449","article-title":"Complications With Surgical Procedures Utilizing Connective Tissue Grafts: a Follow\u2010up of 500 Consecutively Treated Cases","volume":"25","author":"Harris R. J.","year":"2005","journal-title":"International Journal of Periodontics & Restorative Dentistry"},{"issue":"2","key":"e_1_2_10_17_1","first-page":"195","article-title":"A Rotated Palatal Flap Ridge Preservation Technique to Enhance Restorative and Hard and Soft Tissue Esthetics for Tooth Replacement in the Anterior Maxilla","volume":"30","author":"Bitter R. N.","year":"2010","journal-title":"International Journal of Periodontics and Restorative Dentistry"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600\u20100501.2000.011001083.x"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.4081\/cp.2019.1110"},{"issue":"1","key":"e_1_2_10_20_1","first-page":"18","article-title":"The Buccal Pedicle Flap Technique for Periimplant Soft Tissue Boosting","volume":"14","author":"Tabanella G.","year":"2019","journal-title":"International Journal of Esthetic Dentistry"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/jper.22\u20100493"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100501.2006.01380.x"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.13292"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784\u2010022\u201004680\u2010x"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12750"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.3390\/polym13111810"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/scs.0000000000002625"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784\u2010018\u20102516\u20109"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/jper.18\u20100615"},{"issue":"2","key":"e_1_2_10_30_1","first-page":"105","article-title":"3D Surface Defect Map for Characterising the Buccolingual Profile of Peri\u2010Implant Tissues","volume":"16","author":"Mancini L.","year":"2023","journal-title":"International Journal of Oral Implantology (Berlin, Germany)"}],"container-title":["Journal of Esthetic and Restorative Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jerd.70017","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,15]],"date-time":"2025-11-15T06:57:26Z","timestamp":1763189846000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jerd.70017"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,30]]},"references-count":29,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1111\/jerd.70017"],"URL":"https:\/\/doi.org\/10.1111\/jerd.70017","archive":["Portico"],"relation":{},"ISSN":["1496-4155","1708-8240"],"issn-type":[{"type":"print","value":"1496-4155"},{"type":"electronic","value":"1708-8240"}],"subject":[],"published":{"date-parts":[[2025,8,30]]},"assertion":[{"value":"2025-05-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-21","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-30","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}