{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T04:05:16Z","timestamp":1793765116534,"version":"4.6.1"},"reference-count":63,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,7,17]],"date-time":"2025-07-17T00:00:00Z","timestamp":1752710400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,7,17]],"date-time":"2025-07-17T00:00:00Z","timestamp":1752710400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Periodontology 2000"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The aim of this systematic review was to assess the performance of soft tissue augmentation (STA) procedures, with or without a modification of the prosthetic rehabilitation, for the treatment of buccal peri\u2010implant soft tissue dehiscence (PSTD) in terms of esthetics and patient\u2010reported outcomes. A systematic review protocol was developed following the PRISMA checklist. Electronic and hand searches were conducted to identify randomized clinical trials (RCTs) and prospective studies on the treatment of buccal PSTD in implants without peri\u2010implantitis, with a follow\u2010up of at least 6\u2009months. Professional assessment of esthetics and self\u2010reported patient satisfaction were considered the primary outcomes, while clinical variables were considered secondary outcomes. Meta\u2010analysis was carried out when possible using a fixed\u2010 or random\u2010effect model. Eight publications reporting on five studies (two RCTs and three prospective studies), published from 2013 to 2024 and including a total of 87 patients, were included in this systematic review. All studies evaluated a coronally advanced flap (CAF) with connective tissue graft (CTG) or substitutes, whereas one arm of an RCT employed a tunnel procedure. Two studies included changing of the prosthetic component. Three studies were rated at low risk of bias. A total of 10 meta\u2010analyses were performed. STA using CAF achieved a final professional esthetic score of 7.7 on a 0\u201310 scale (95% CI: 6.63; 8.83) and showed improvements in terms of patient\u2010reported esthetics on a 0\u2013100 visual analogue scale (60.8; 95% CI: 46.56; 75.01), with moderate\u2010to\u2010high heterogeneity. The estimated reduction in PSTD depth was 2.2\u2009mm (95% CI: 1.76; 2.69), with an estimated rate of complete PSTD coverage of 71% (95% CI: 59; 82). Based on limited evidence, it can be concluded that STA procedures around implants affected by buccal PSTD appear to positively influence both professional and patient\u2010reported esthetics outcomes.<\/jats:p>","DOI":"10.1111\/prd.12633","type":"journal-article","created":{"date-parts":[[2025,7,17]],"date-time":"2025-07-17T12:55:21Z","timestamp":1752756921000},"page":"42-60","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Impact of soft tissue augmentation procedures on esthetics and patient satisfaction in the treatment of peri\u2010implant buccal soft tissue dehiscences: A systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"99","author":[{"given":"Jos\u00e9","family":"Nart","sequence":"first","affiliation":[{"name":"Department of Periodontology Universitat Internacional de Catalunya  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina","family":"Valles","sequence":"additional","affiliation":[{"name":"Department of Periodontology Universitat Internacional de Catalunya  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javi","family":"Vilarrasa","sequence":"additional","affiliation":[{"name":"Department of Periodontology Universitat Internacional de Catalunya  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federica","family":"Romano","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences University of Turin  Turin Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giacomo","family":"Baima","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences University of Turin  Turin Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mario","family":"Aimetti","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences University of Turin  Turin Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,7,17]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.13888"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.13417"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.18-0616"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.19-0716"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12955"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.19-0490"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.21-0402"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0501.2009.01887.x"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/prd.12220"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.13918"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.13952"},{"issue":"2","key":"e_1_2_8_13_1","article-title":"5\u2010year 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