{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T14:03:01Z","timestamp":1784296981694,"version":"3.55.0"},"reference-count":101,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T00:00:00Z","timestamp":1770940800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T00:00:00Z","timestamp":1770940800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100007619","name":"Osteology Foundation","doi-asserted-by":"publisher","award":["21\u2010169"],"award-info":[{"award-number":["21\u2010169"]}],"id":[{"id":"10.13039\/501100007619","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100002050","name":"Delta Dental Foundation","doi-asserted-by":"publisher","award":["AWD010089"],"award-info":[{"award-number":["AWD010089"]}],"id":[{"id":"10.13039\/100002050","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Periodontal Research"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This prospective observational study evaluated the clinical, ultrasonographic, and patient\u2010reported (PROMs) outcomes following surgical treatment of refractory\/recurrent peri\u2010implant mucositis (PM) using implant decontamination combined with soft tissue phenotype modification via a free gingival graft (FGG).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Subjects presenting with PM unresponsive to two consecutive cycles of non\u2010surgical therapy\u2014and exhibiting both inadequate midbuccal mucosa width (KMW \u2264\u20091\u2009mm) and absence of adherent\/firm mucosa (AM)\u2014were included. Treatment consisted of an apically positioned flap (APF) with thorough decontamination of implant surfaces and restorative components, combined by placement of a facial FGG. Clinical, high\u2010frequency ultrasonographic, and PROMs data were assessed at 2\u2009weeks, and at 3, 6, and 12\u2009months post\u2010operatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty subjects with 27 implants were treated. At 12\u2009months, 22 implants (81.5%) were classified as clinically healthy. Significant reductions were observed in bleeding on probing (\u221285.2%), suppuration (\u221218.5%), and probing pocket depth (PPD: \u22120.3\u2009mm). In parallel, significant gains were noted in KMW (+4.42\u2009mm), mucosal recession coverage (+45.7%), and mucosal thickness (MT: +0.87 and 1.04\u2009mm at 1.5 and 3\u2009mm apical to the mucosal margin, respectively). Ultrasonography revealed significantly decreased perfusion parameters and a marked increase in tissue \u201cstiffness\u201d in the coronal facial zone, with 100% of treated sites exhibiting a non\u2010displaceable band of AM. PROMs showed marked improvements in overall discomfort, discomfort during probing, and overall satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Within the limitations of this study, surgical treatment of refractory PM using APF\u2009+\u2009FGG was effective in disease resolution, achieving reductions in PPD and clinical inflammation, significant gains in MT and KMW, partial recession coverage, and the re\u2010establishment of a non\u2010mobile band of AM. Ultrasonographic data confirmed reduced inflammatory perfusion and enhanced soft tissue stiffness in the grafted area, particularly in the most coronal region.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jre.70090","type":"journal-article","created":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T12:49:24Z","timestamp":1770986964000},"page":"606-623","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Peri\u2010Implant Soft\u2010Tissue Phenotype Modification for Refractory Peri\u2010Implant Mucositis: A 12\u2010Month Prospective Clinical Study With Ultrasonographic Analysis"],"prefix":"10.1111","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5347-6577","authenticated-orcid":false,"given":"Shayan","family":"Barootchi","sequence":"first","affiliation":[{"name":"Department of Oral Medicine, Infection, and Immunity, Division of Periodontology Harvard School of Dental Medicine  Boston 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