{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T03:59:30Z","timestamp":1770782370199,"version":"3.50.0"},"reference-count":42,"publisher":"American Academy of Implant Dentistry","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:p>This case report illustrates the use of a novel design for a tunneled connective tissue pedicled flap in socket sealing for guided bone regeneration procedures, specifically in the management of compromised sockets. The purpose of this flap is to optimize soft tissue healing and esthetics in these situations, permitting primary closure without buccal flap advancement. Initially, after creating the surgical access with a sulcular and a mesial releasing incision, extraction of the fractured tooth and immediate implant placement were performed. A xenograft and collagen membrane were then placed. Subsequently, a tunnel pedicled connective tissue flap was created on the palate and rotated to the buccal, covering the collagen membrane. This approach avoided the need for an additional distal releasing incision, which may compromise a source of blood supply, thereby decreasing tissue nutrition and potentially resulting in loss of vestibular depth. The tunnel allowed for positioning the pedicled connective graft submucosally, maintaining access to the blood supply via the base. The healing of the soft tissues was uneventful with adequate vascularization and rapid epithelialization. After 3 months, reentry was performed using a circular scalpel, and an implant-supported provisional prosthesis was delivered. After 30 days of tissue conditioning, a ceramic crown was placed over the osseointegrated implant, resulting in a satisfactory esthetic outcome. The new flap design, called the tunneled pedicled connective tissue flap, proved effective for alveolar soft tissue sealing, providing adequate nutrition in guided bone regeneration procedures for compromised sockets. Prospective clinical studies with longer follow-up periods are needed to understand better the potential use of this new flap design for alveolar socket sealing and alveolar ridge preservation procedures on a routine basis.<\/jats:p>","DOI":"10.1563\/aaid-joi-d-24-00239","type":"journal-article","created":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:30:57Z","timestamp":1754008257000},"page":"491-499","source":"Crossref","is-referenced-by-count":0,"title":["A Novel Surgical Technique for Maxillary Alveolar Sealing: Use of a Tunneled Pedicled Connective Tissue Flap in Ridge Preservation Procedures"],"prefix":"10.1563","volume":"51","author":[{"given":"Andr\u00e9 Antonio","family":"Pelegrine","sequence":"first","affiliation":[{"name":"Division of Implant Dentistry, Faculdade de Odontologia S\u00e3o Leopoldo Mandic, Campinas, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolina","family":"Mannina","sequence":"additional","affiliation":[{"name":"Division of Implant Dentistry, Faculdade de Odontologia S\u00e3o Leopoldo Mandic, Campinas, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00cdcaro Tiago","family":"Moraes da Silva","sequence":"additional","affiliation":[{"name":"Division of Implant Dentistry, Faculdade de Odontologia S\u00e3o Leopoldo Mandic, Campinas, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S\u00e9rgio Aguiar","family":"de Lima","sequence":"additional","affiliation":[{"name":"Division of Prosthodontics, Faculdade de Odontologia S\u00e3o Leopoldo Mandic, Campinas, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandre","family":"Tedesco","sequence":"additional","affiliation":[{"name":"Division of Prosthodontics, Faculdade de Odontologia S\u00e3o Leopoldo Mandic, Campinas, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paulla","family":"Ribeiro","sequence":"additional","affiliation":[{"name":"Division of Prosthodontics, Faculdade de Odontologia S\u00e3o Leopoldo Mandic, Campinas, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Regina Sanglard","family":"de Souza","sequence":"additional","affiliation":[{"name":"Division of Prosthodontics, Faculdade de Odontologia S\u00e3o Leopoldo Mandic, Campinas, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio Carlos","family":"Aloise","sequence":"additional","affiliation":[{"name":"Division of Implant Dentistry, Faculdade de Odontologia S\u00e3o Leopoldo Mandic, Campinas, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcelo Lucchesi","family":"Teixeira","sequence":"additional","affiliation":[{"name":"Division of Prosthodontics, Faculdade de Odontologia S\u00e3o Leopoldo Mandic, Campinas, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter Karyen","family":"Moy","sequence":"additional","affiliation":[{"name":"Department of Oral & Maxillofacial Surgery, University of California, Los Angeles, California"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"434","reference":[{"key":"i1548-1336-51-6-491-b01","series-title":"J Clin Periodontol","first-page":"212","article-title":"Dimensional ridge alterations following tooth extraction. An experimental study in the dog","volume":"32","author":"Ara\u00fajo","year":"2005","unstructured":"Ara\u00fajo MG,\nLindhe J. Dimensional ridge alterations following tooth extraction. An experimental study in the dog. J Clin Periodontol. 2005;32:212\u2013218."},{"key":"i1548-1336-51-6-491-b02","series-title":"Clin Oral Implants Res","first-page":"535","article-title":"Clinical and histomorphometric evaluation of extraction sockets treated with an autologous bone marrow graft","volume":"21","author":"Pelegrine","year":"2010","unstructured":"Pelegrine AA,\nda Costa CE,\nCorrea ME,\nMarques JF Jr. Clinical and histomorphometric evaluation of extraction sockets treated with an autologous bone marrow graft. Clin Oral Implants Res. 2010;21:535\u2013542."},{"key":"i1548-1336-51-6-491-b03","series-title":"J Dent Res","first-page":"402","article-title":"Efficacy of alveolar ridge preservation: a randomized controlled trial","volume":"99","author":"Avila-Ortiz","year":"2020","unstructured":"Avila-Ortiz G,\nGubler M,\nRomero-Bustillos M,\nNicholas CL,\nZimmerman MB,\nBarwacz CA. Efficacy of alveolar ridge preservation: a randomized controlled trial. J Dent Res. 2020;99:402\u2013409."},{"key":"i1548-1336-51-6-491-b04","series-title":"Periodontol 2000","first-page":"9","article-title":"Guided bone regeneration in implant dentistry: basic principle, progress over 35\u2009years, and recent research activities","volume":"93","author":"Buser","year":"2023","unstructured":"Buser D,\nUrban I,\nMonje A,\nKunrath MF,\nDahlin C. Guided bone regeneration in implant dentistry: basic principle, progress over 35\u2009years, and recent research activities. Periodontol 2000. 2023;93:9\u201325."},{"key":"i1548-1336-51-6-491-b05","series-title":"J Periodontol","first-page":"945","article-title":"Implementing socket seal surgery as a socket preservation technique for pontic site development: surgical steps revisited\u2014a report of two cases","volume":"79","author":"Landsberg","year":"2008","unstructured":"Landsberg CJ. Implementing socket seal surgery as a socket preservation technique for pontic site development: surgical steps revisited\u2014a report of two cases. J Periodontol. 2008;79:945\u2013954."},{"key":"i1548-1336-51-6-491-b06","series-title":"Int J Periodontics Restorative Dent","first-page":"e1","article-title":"Scar tissue formation following alveolar ridge preservation: a case control study","volume":"38","author":"Fickl","year":"2018","unstructured":"Fickl S,\nKauffmann F,\nStappert CF,\nKauffmann A,\nSchlagenhauf U. Scar tissue formation following alveolar ridge preservation: a case control study. Int J Periodontics Restorative Dent. 2018;38:e1\u2013e7."},{"key":"i1548-1336-51-6-491-b07","series-title":"BMC Oral Health","first-page":"874","article-title":"Augmentation of single tooth extraction socket with deficient buccal walls using bovine xenograft with platelet-rich fibrin membrane","volume":"23","author":"Elbanna","year":"2023","unstructured":"Elbanna RM,\nAbdelaziz MS,\nAlameldeen HE. Augmentation of single tooth extraction socket with deficient buccal walls using bovine xenograft with platelet-rich fibrin membrane. BMC Oral Health. 2023;23:874."},{"key":"i1548-1336-51-6-491-b08","series-title":"Pract Periodontics Aesthet Dent","first-page":"11","article-title":"A modified surgical\/prosthetic approach for optimal single implant supported crown. Part I\u2014the socket seal surgery","volume":"6","author":"Landsberg","year":"1994","unstructured":"Landsberg CJ,\nBichacho N. A modified surgical\/prosthetic approach for optimal single implant supported crown. Part I\u2014the socket seal surgery. Pract Periodontics Aesthet Dent. 1994;6:11\u201317."},{"key":"i1548-1336-51-6-491-b09","series-title":"J Oral Maxillofac Surg","first-page":"484","article-title":"Long-term results from soft and hard tissue augmentation by a modified vascularized interpositional periosteal-connective tissue technique in the maxillary anterior region","volume":"70","author":"Kim","year":"2012","unstructured":"Kim CS,\nJang YJ,\nChoi SH,\nCho KS. Long-term results from soft and hard tissue augmentation by a modified vascularized interpositional periosteal-connective tissue technique in the maxillary anterior region. J Oral Maxillofac Surg. 2012;70:484\u2013491."},{"key":"i1548-1336-51-6-491-b10","series-title":"Aust Dent J","first-page":"51","article-title":"Comparison of periosteal pedicle graft and subepithelial connective tissue graft for the treatment of gingival recession defects","volume":"57","author":"Mahajan","year":"2012","unstructured":"Mahajan A,\nBharadwaj A,\nMahajan P. Comparison of periosteal pedicle graft and subepithelial connective tissue graft for the treatment of gingival recession defects. Aust Dent J. 2012;57:51\u201357."},{"key":"i1548-1336-51-6-491-b11","series-title":"J Periodontol","first-page":"1075","article-title":"Efficacy of tunnel technique in the treatment of localized and multiple gingival recessions: a systematic review and meta-analysis","volume":"89","author":"Tavelli","year":"2018","unstructured":"Tavelli L,\nBarootchi S,\nNguyen TVN,\nTattan M,\nRavid\u00e0 A,\nWang HL. Efficacy of tunnel technique in the treatment of localized and multiple gingival recessions: a systematic review and meta-analysis. J Periodontol. 2018;89:1075\u20131090."},{"key":"i1548-1336-51-6-491-b12","series-title":"Clin Implant Dent Relat Res","first-page":"339","article-title":"Immediate implant placement with or without socket grafting: a systematic review and meta-analysis","volume":"24","author":"Seyssens","year":"2022","unstructured":"Seyssens L,\nEeckhout C,\nCosyn J. Immediate implant placement with or without socket grafting: a systematic review and meta-analysis. Clin Implant Dent Relat Res. 2022;24:339\u2013351."},{"key":"i1548-1336-51-6-491-b13","series-title":"J Indian Soc Periodontol","first-page":"267","article-title":"A staged approach of implant placement in immediate extraction sockets for preservation of peri-implant soft and hard tissue","volume":"18","author":"Vinnakota","year":"2014","unstructured":"Vinnakota DN,\nAkula SR,\nKrishna Reddy VV,\nSankar VV. A staged approach of implant placement in immediate extraction sockets for preservation of peri-implant soft and hard tissue. J Indian Soc Periodontol. 2014;18:267\u2013271."},{"key":"i1548-1336-51-6-491-b14","series-title":"Acta Odontol Latinoam","first-page":"119","article-title":"Impact of soft tissue graft on the preservation of compromised sockets: a randomized controlled clinical pilot study","volume":"34","author":"Segnini","year":"2021","unstructured":"Segnini B,\nBorges-Filho FF,\nNicoli LG, et al. Impact of soft tissue graft on the preservation of compromised sockets: a randomized controlled clinical pilot study. Acta Odontol Latinoam. 2021;34:119\u2013126."},{"key":"i1548-1336-51-6-491-b15","series-title":"J Clin Med","first-page":"922","article-title":"A retrospective digital analysis of contour changing after tooth extraction with or without using less traumatic surgical procedures","volume":"11","author":"Menchini-Fabris","year":"2022","unstructured":"Menchini-Fabris GB,\nToti P,\nCrespi R,\nCrespi G,\nCosola S,\nCovani U. A retrospective digital analysis of contour changing after tooth extraction with or without using less traumatic surgical procedures. J Clin Med. 2022;11:922."},{"key":"i1548-1336-51-6-491-b16","series-title":"Int J Implant Dent","first-page":"20","article-title":"How does dental implant macrogeometry affect primary implant stability? A narrative review","volume":"9","author":"Heimes","year":"2023","unstructured":"Heimes D,\nBecker P,\nPabst A, et al. How does dental implant macrogeometry affect primary implant stability? A narrative review. Int J Implant Dent. 2023;9:20."},{"key":"i1548-1336-51-6-491-b17","series-title":"Clin Implant Dent Relat Res","first-page":"156","article-title":"Horizontal ridge augmentation using native collagen membrane vs titanium mesh in atrophic maxillary ridges: randomized clinical trial","volume":"22","author":"Atef","year":"2020","unstructured":"Atef M,\nTarek A,\nShaheen M,\nAlarawi RM,\nAskar N. Horizontal ridge augmentation using native collagen membrane vs titanium mesh in atrophic maxillary ridges: randomized clinical trial. Clin Implant Dent Relat Res. 2020;22:156\u2013166."},{"key":"i1548-1336-51-6-491-b18","series-title":"Int J Periodontics Restorative Dent","first-page":"447","article-title":"Peri-implant soft tissue conditioning with provisional restorations in the esthetic zone: the dynamic compression technique","volume":"33","author":"Wittneben","year":"2013","unstructured":"Wittneben JG,\nBuser D,\nBelser UC,\nBr\u00e4gger U. Peri-implant soft tissue conditioning with provisional restorations in the esthetic zone: the dynamic compression technique. Int J Periodontics Restorative Dent. 2013;33:447\u2013455."},{"issue":"suppl 15","key":"i1548-1336-51-6-491-b19","series-title":"Clin Oral Implants Res","first-page":"32","article-title":"Effects of soft tissue augmentation procedures on peri-implant health or disease: a systematic review and meta-analysis","volume":"29","author":"Thoma","year":"2018","unstructured":"Thoma DS,\nNaenni N,\nFiguero E, et al. Effects of soft tissue augmentation procedures on peri-implant health or disease: a systematic review and meta-analysis. Clin Oral Implants Res. 2018;29(suppl 15):32\u201349."},{"key":"i1548-1336-51-6-491-b20","series-title":"J Clin Periodontol","first-page":"177","article-title":"Long-term stability of gingival margin and periodontal soft-tissue phenotype achieved after mucogingival therapy: a systematic review","volume":"51","author":"Carbone","year":"2024","unstructured":"Carbone AC,\nJoly JC,\nBotelho J, et al. Long-term stability of gingival margin and periodontal soft-tissue phenotype achieved after mucogingival therapy: a systematic review. J Clin Periodontol. 2024;51:177\u2013195."},{"issue":"suppl 11","key":"i1548-1336-51-6-491-b21","series-title":"Clin Oral Implants Res","first-page":"139","article-title":"The effect of zirconia or titanium as abutment material on soft peri-implant tissues: a systematic review and meta-analysis","volume":"26","author":"Linkevicius","year":"2015","unstructured":"Linkevicius T,\nVaitelis J. The effect of zirconia or titanium as abutment material on soft peri-implant tissues: a systematic review and meta-analysis. Clin Oral Implants Res. 2015;26(suppl 11):139\u2013147."},{"key":"i1548-1336-51-6-491-b01","series-title":"J Clin Periodontol","first-page":"212","article-title":"Dimensional ridge alterations following tooth extraction. An experimental study in the dog","volume":"32","author":"Ara\u00fajo","year":"2005","unstructured":"Ara\u00fajo MG,\nLindhe J. Dimensional ridge alterations following tooth extraction. An experimental study in the dog. J Clin Periodontol. 2005;32:212\u2013218."},{"key":"i1548-1336-51-6-491-b02","series-title":"Clin Oral Implants Res","first-page":"535","article-title":"Clinical and histomorphometric evaluation of extraction sockets treated with an autologous bone marrow graft","volume":"21","author":"Pelegrine","year":"2010","unstructured":"Pelegrine AA,\nda Costa CE,\nCorrea ME,\nMarques JF Jr. Clinical and histomorphometric evaluation of extraction sockets treated with an autologous bone marrow graft. Clin Oral Implants Res. 2010;21:535\u2013542."},{"key":"i1548-1336-51-6-491-b03","series-title":"J Dent Res","first-page":"402","article-title":"Efficacy of alveolar ridge preservation: a randomized controlled trial","volume":"99","author":"Avila-Ortiz","year":"2020","unstructured":"Avila-Ortiz G,\nGubler M,\nRomero-Bustillos M,\nNicholas CL,\nZimmerman MB,\nBarwacz CA. Efficacy of alveolar ridge preservation: a randomized controlled trial. J Dent Res. 2020;99:402\u2013409."},{"key":"i1548-1336-51-6-491-b04","series-title":"Periodontol 2000","first-page":"9","article-title":"Guided bone regeneration in implant dentistry: basic principle, progress over 35\u2009years, and recent research activities","volume":"93","author":"Buser","year":"2023","unstructured":"Buser D,\nUrban I,\nMonje A,\nKunrath MF,\nDahlin C. Guided bone regeneration in implant dentistry: basic principle, progress over 35\u2009years, and recent research activities. Periodontol 2000. 2023;93:9\u201325."},{"key":"i1548-1336-51-6-491-b05","series-title":"J Periodontol","first-page":"945","article-title":"Implementing socket seal surgery as a socket preservation technique for pontic site development: surgical steps revisited\u2014a report of two cases","volume":"79","author":"Landsberg","year":"2008","unstructured":"Landsberg CJ. Implementing socket seal surgery as a socket preservation technique for pontic site development: surgical steps revisited\u2014a report of two cases. J Periodontol. 2008;79:945\u2013954."},{"key":"i1548-1336-51-6-491-b06","series-title":"Int J Periodontics Restorative Dent","first-page":"e1","article-title":"Scar tissue formation following alveolar ridge preservation: a case control study","volume":"38","author":"Fickl","year":"2018","unstructured":"Fickl S,\nKauffmann F,\nStappert CF,\nKauffmann A,\nSchlagenhauf U. Scar tissue formation following alveolar ridge preservation: a case control study. Int J Periodontics Restorative Dent. 2018;38:e1\u2013e7."},{"key":"i1548-1336-51-6-491-b07","series-title":"BMC Oral Health","first-page":"874","article-title":"Augmentation of single tooth extraction socket with deficient buccal walls using bovine xenograft with platelet-rich fibrin membrane","volume":"23","author":"Elbanna","year":"2023","unstructured":"Elbanna RM,\nAbdelaziz MS,\nAlameldeen HE. Augmentation of single tooth extraction socket with deficient buccal walls using bovine xenograft with platelet-rich fibrin membrane. BMC Oral Health. 2023;23:874."},{"key":"i1548-1336-51-6-491-b08","series-title":"Pract Periodontics Aesthet Dent","first-page":"11","article-title":"A modified surgical\/prosthetic approach for optimal single implant supported crown. Part I\u2014the socket seal surgery","volume":"6","author":"Landsberg","year":"1994","unstructured":"Landsberg CJ,\nBichacho N. A modified surgical\/prosthetic approach for optimal single implant supported crown. Part I\u2014the socket seal surgery. Pract Periodontics Aesthet Dent. 1994;6:11\u201317."},{"key":"i1548-1336-51-6-491-b09","series-title":"J Oral Maxillofac Surg","first-page":"484","article-title":"Long-term results from soft and hard tissue augmentation by a modified vascularized interpositional periosteal-connective tissue technique in the maxillary anterior region","volume":"70","author":"Kim","year":"2012","unstructured":"Kim CS,\nJang YJ,\nChoi SH,\nCho KS. Long-term results from soft and hard tissue augmentation by a modified vascularized interpositional periosteal-connective tissue technique in the maxillary anterior region. J Oral Maxillofac Surg. 2012;70:484\u2013491."},{"key":"i1548-1336-51-6-491-b10","series-title":"Aust Dent J","first-page":"51","article-title":"Comparison of periosteal pedicle graft and subepithelial connective tissue graft for the treatment of gingival recession defects","volume":"57","author":"Mahajan","year":"2012","unstructured":"Mahajan A,\nBharadwaj A,\nMahajan P. Comparison of periosteal pedicle graft and subepithelial connective tissue graft for the treatment of gingival recession defects. Aust Dent J. 2012;57:51\u201357."},{"key":"i1548-1336-51-6-491-b11","series-title":"J Periodontol","first-page":"1075","article-title":"Efficacy of tunnel technique in the treatment of localized and multiple gingival recessions: a systematic review and meta-analysis","volume":"89","author":"Tavelli","year":"2018","unstructured":"Tavelli L,\nBarootchi S,\nNguyen TVN,\nTattan M,\nRavid\u00e0 A,\nWang HL. Efficacy of tunnel technique in the treatment of localized and multiple gingival recessions: a systematic review and meta-analysis. J Periodontol. 2018;89:1075\u20131090."},{"key":"i1548-1336-51-6-491-b12","series-title":"Clin Implant Dent Relat Res","first-page":"339","article-title":"Immediate implant placement with or without socket grafting: a systematic review and meta-analysis","volume":"24","author":"Seyssens","year":"2022","unstructured":"Seyssens L,\nEeckhout C,\nCosyn J. Immediate implant placement with or without socket grafting: a systematic review and meta-analysis. Clin Implant Dent Relat Res. 2022;24:339\u2013351."},{"key":"i1548-1336-51-6-491-b13","series-title":"J Indian Soc Periodontol","first-page":"267","article-title":"A staged approach of implant placement in immediate extraction sockets for preservation of peri-implant soft and hard tissue","volume":"18","author":"Vinnakota","year":"2014","unstructured":"Vinnakota DN,\nAkula SR,\nKrishna Reddy VV,\nSankar VV. A staged approach of implant placement in immediate extraction sockets for preservation of peri-implant soft and hard tissue. J Indian Soc Periodontol. 2014;18:267\u2013271."},{"key":"i1548-1336-51-6-491-b14","series-title":"Acta Odontol Latinoam","first-page":"119","article-title":"Impact of soft tissue graft on the preservation of compromised sockets: a randomized controlled clinical pilot study","volume":"34","author":"Segnini","year":"2021","unstructured":"Segnini B,\nBorges-Filho FF,\nNicoli LG, et al. Impact of soft tissue graft on the preservation of compromised sockets: a randomized controlled clinical pilot study. Acta Odontol Latinoam. 2021;34:119\u2013126."},{"key":"i1548-1336-51-6-491-b15","series-title":"J Clin Med","first-page":"922","article-title":"A retrospective digital analysis of contour changing after tooth extraction with or without using less traumatic surgical procedures","volume":"11","author":"Menchini-Fabris","year":"2022","unstructured":"Menchini-Fabris GB,\nToti P,\nCrespi R,\nCrespi G,\nCosola S,\nCovani U. A retrospective digital analysis of contour changing after tooth extraction with or without using less traumatic surgical procedures. J Clin Med. 2022;11:922."},{"key":"i1548-1336-51-6-491-b16","series-title":"Int J Implant Dent","first-page":"20","article-title":"How does dental implant macrogeometry affect primary implant stability? A narrative review","volume":"9","author":"Heimes","year":"2023","unstructured":"Heimes D,\nBecker P,\nPabst A, et al. How does dental implant macrogeometry affect primary implant stability? A narrative review. Int J Implant Dent. 2023;9:20."},{"key":"i1548-1336-51-6-491-b17","series-title":"Clin Implant Dent Relat Res","first-page":"156","article-title":"Horizontal ridge augmentation using native collagen membrane vs titanium mesh in atrophic maxillary ridges: randomized clinical trial","volume":"22","author":"Atef","year":"2020","unstructured":"Atef M,\nTarek A,\nShaheen M,\nAlarawi RM,\nAskar N. Horizontal ridge augmentation using native collagen membrane vs titanium mesh in atrophic maxillary ridges: randomized clinical trial. Clin Implant Dent Relat Res. 2020;22:156\u2013166."},{"key":"i1548-1336-51-6-491-b18","series-title":"Int J Periodontics Restorative Dent","first-page":"447","article-title":"Peri-implant soft tissue conditioning with provisional restorations in the esthetic zone: the dynamic compression technique","volume":"33","author":"Wittneben","year":"2013","unstructured":"Wittneben JG,\nBuser D,\nBelser UC,\nBr\u00e4gger U. Peri-implant soft tissue conditioning with provisional restorations in the esthetic zone: the dynamic compression technique. Int J Periodontics Restorative Dent. 2013;33:447\u2013455."},{"issue":"suppl 15","key":"i1548-1336-51-6-491-b19","series-title":"Clin Oral Implants Res","first-page":"32","article-title":"Effects of soft tissue augmentation procedures on peri-implant health or disease: a systematic review and meta-analysis","volume":"29","author":"Thoma","year":"2018","unstructured":"Thoma DS,\nNaenni N,\nFiguero E, et al. Effects of soft tissue augmentation procedures on peri-implant health or disease: a systematic review and meta-analysis. Clin Oral Implants Res. 2018;29(suppl 15):32\u201349."},{"key":"i1548-1336-51-6-491-b20","series-title":"J Clin Periodontol","first-page":"177","article-title":"Long-term stability of gingival margin and periodontal soft-tissue phenotype achieved after mucogingival therapy: a systematic review","volume":"51","author":"Carbone","year":"2024","unstructured":"Carbone AC,\nJoly JC,\nBotelho J, et al. Long-term stability of gingival margin and periodontal soft-tissue phenotype achieved after mucogingival therapy: a systematic review. J Clin Periodontol. 2024;51:177\u2013195."},{"issue":"suppl 11","key":"i1548-1336-51-6-491-b21","series-title":"Clin Oral Implants Res","first-page":"139","article-title":"The effect of zirconia or titanium as abutment material on soft peri-implant tissues: a systematic review and meta-analysis","volume":"26","author":"Linkevicius","year":"2015","unstructured":"Linkevicius T,\nVaitelis J. The effect of zirconia or titanium as abutment material on soft peri-implant tissues: a systematic review and meta-analysis. 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