{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T09:22:12Z","timestamp":1788168132414,"version":"build-2803163510"},"reference-count":82,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"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"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To critically summarize the current evidence on the role of the peri\u2010implant soft tissue phenotype [specifically the width of keratinized peri\u2010implant mucosa (KPIM) and the soft tissue thickness (STT)] and of the soft tissue grafting procedures used for the prevention and management of peri\u2010implant diseases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>A narrative review of the literature was conducted, using PubMed for articles published up to December 2025, complemented by manual searching of reference lists. All different study designs were considered, prioritizing the highest available level of evidence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Peri\u2010implant diseases are multifactorial biofilm\u2010induced chronic inflammatory conditions. Their onset, progression, and response to treatment are influenced by the characteristics of the peri\u2010implant soft tissues, which, unlike periodontal tissues, form a weaker biological seal, rendering them more susceptible to inflammation\u2010driven tissue breakdown. A reduced width of KPIM is consistently associated with higher plaque accumulation, mucosal inflammation, discomfort during oral hygiene, and a greater prevalence of peri\u2010implant diseases. It should be emphasized, however, that most of this evidence derives from cross\u2010sectional and observational studies. KPIM augmentation procedures improve peri\u2010implant soft tissue health and patient\u2010reported outcomes, and STT augmentation by increasing mucosal thickness (MT) may enhance soft\u2010tissue margin stability and reduce marginal bone loss. These benefits are best supported for surrogate outcomes, whereas the independent effect of soft tissue augmentation (STA) on the prevention of peri\u2010implantitis remains less certain. In the treatment of peri\u2010implantitis, there is some evidence that simultaneous or staged STA (particularly KPIM reconstruction) may improve clinical stability; however, its effect on disease resolution remains unclear, as most available studies lack a negative control group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Soft tissue grafting is a clinically relevant, phenotype\u2010modifying strategy for preventing and managing peri\u2010implant diseases. Risk\u2010based, phenotype\u2010driven decision\u2010making (distinguishing KPIM augmentation from targeted STT augmentation) is essential for optimizing treatment outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/prd.70084","type":"journal-article","created":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T09:00:31Z","timestamp":1788166831000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Soft tissue grafting for the prevention and management of peri\u2010implantitis"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2525-8529","authenticated-orcid":false,"given":"Eduardo","family":"Montero","sequence":"first","affiliation":[{"name":"Section of Graduate Periodontology University Complutense of Madrid  Madrid Spain"},{"name":"ETEP (Etiology and Therapy of Periodontal and Peri\u2010Implant Diseases) Research Group University Complutense of Madrid  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3698-4772","authenticated-orcid":false,"given":"Ignacio","family":"Sanz\u2010S\u00e1nchez","sequence":"additional","affiliation":[{"name":"Section of Graduate Periodontology University Complutense of Madrid  Madrid Spain"},{"name":"ETEP (Etiology and Therapy of Periodontal and Peri\u2010Implant Diseases) Research Group University Complutense of Madrid  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Myroslav","family":"Solonko","sequence":"additional","affiliation":[{"name":"Section of Graduate Periodontology University Complutense of Madrid  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0859-3149","authenticated-orcid":false,"given":"Javier","family":"Sanz","sequence":"additional","affiliation":[{"name":"Section of Graduate Periodontology University Complutense of Madrid  Madrid Spain"},{"name":"ETEP (Etiology and Therapy of Periodontal and Peri\u2010Implant Diseases) Research Group University Complutense of Madrid  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-1080-6285","authenticated-orcid":false,"given":"Javier","family":"Calatrava","sequence":"additional","affiliation":[{"name":"Section of Graduate Periodontology University Complutense of Madrid  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6293-5755","authenticated-orcid":false,"given":"Mariano","family":"Sanz","sequence":"additional","affiliation":[{"name":"Section of Graduate Periodontology University Complutense of Madrid  Madrid Spain"},{"name":"ETEP (Etiology and Therapy of Periodontal and Peri\u2010Implant Diseases) Research Group University Complutense of Madrid  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,31]]},"reference":[{"issue":"1","key":"e_1_2_13_2_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1111\/j.1600-0501.2006.01380.x","article-title":"Morphogenesis of the peri\u2010implant mucosa: an experimental study in dogs","volume":"18","author":"Berglundh T","year":"2007","journal-title":"Clin Oral Implants Res"},{"issue":"10","key":"e_1_2_13_3_1","doi-asserted-by":"crossref","first-page":"658","DOI":"10.1034\/j.1600-051X.1999.261005.x","article-title":"The barrier between the keratinized mucosa and the dental implant. 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