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Consequently, as demonstrated by the increasing recently published evidence, a careful pre\u2010 and intra\u2010operative flap evaluation to ensure an ideal and hermetic tension\u2010free wound closure is of paramount importance to successfully treat bony defects. In this respect, several surgical interventions mainly aimed to increase the amount of keratinized mucosa either to allow an optimal healing after a reconstructive procedure or to establish an optimal peri\u2010implant soft tissue seal have been proposed. The present review summarizes the level of evidence on the surgical clinical aspects which have an impact on the soft tissue handling associated with bone reconstructive procedures and on the importance of soft tissue conditions to enhance and maintain peri\u2010implant health in the long\u2010term.<\/jats:p>","DOI":"10.1111\/prd.12496","type":"journal-article","created":{"date-parts":[[2023,6,8]],"date-time":"2023-06-08T01:03:47Z","timestamp":1686186227000},"page":"129-138","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":32,"title":["The importance of soft tissue condition in bone regenerative procedures to ensure long\u2010term peri\u2010implant health"],"prefix":"10.1111","volume":"93","author":[{"given":"Mario","family":"Roccuzzo","sequence":"first","affiliation":[{"name":"Private Practice  Torino Italy"},{"name":"Division of Maxillo\u2010Facial Surgery University of Torino  Torino Italy"},{"name":"Department of Periodontics and Oral Medicine University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8079-0860","authenticated-orcid":false,"given":"Andrea","family":"Roccuzzo","sequence":"additional","affiliation":[{"name":"Department of Periodontology, School of Dental Medicine University of Bern  Bern Switzerland"},{"name":"Department of Oral and Maxillo\u2010Facial Surgery Copenhagen University Hospital (Rigshospitalet)  Copenhagen Denmark"},{"name":"Department of Restorative, Pediatric and Preventive Dentistry, School of Dental Medicine University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Crystal","family":"Marruganti","sequence":"additional","affiliation":[{"name":"Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine University of Pisa  Pisa Italy"},{"name":"Sub\u2010Unit of Periodontology, Halitosis and Periodontal Medicine 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