{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T14:43:48Z","timestamp":1783694628934,"version":"3.55.0"},"reference-count":36,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2024,2,20]],"date-time":"2024-02-20T00:00:00Z","timestamp":1708387200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dentistry Journal"],"abstract":"<jats:p>Reconstruction of sufficient buccal peri-implant keratinised mucosa width (PIKM-W) is reported to reduce the symptoms of peri-implantitis. In order to reduce the drawbacks of autogenous graft harvesting, we investigated a novel porcine dermal matrix (XDM, mucoderm\u00ae) using a modified surgical technique for augmentation of PIKM-W. Twenty-four patients were recruited with insufficient (&lt;2 mm) PIKM-W. After split thickness flap preparation, the XDM was trimmed, rehydrated and tightly attached to the recipient periosteal bed using modified internal\/external horizontal periosteal mattress sutures via secondary wound healing. Change of the PIKM-W and dimension of the graft remodelling were evaluated at 6 and 12 months postoperatively. The mean PIKM-W changed from 0.42 \u00b1 0.47 to 3.17 \u00b1 1.21 mm at 6 M and to 2.36 \u00b1 1.34 mm at 12 M in the maxilla and from 0.29 \u00b1 0.45 mm to 1.58 \u00b1 1.44 mm at 6 M and to 1.08 \u00b1 1.07 mm at 12 M in the mandible. Graft dimensions decreased by 67.7 \u00b1 11.8% and 81.6 \u00b1 16.6% at 6 M, and continued to 75.9 \u00b1 13.9% and 87.4 \u00b1 12.3% at 12 M, in the maxilla and mandible, respectively. Clinical parameters showed statistically significant intra- and intergroup differences between the baseline and 6 and 12 months (p &lt; 0.05). The present technique using the XDM was safe and successfully reconstructed PIKM-W in both arches. The XDM alone seems to be a suitable alternative to autograft for PIKM-W augmentation in the maxilla.<\/jats:p>","DOI":"10.3390\/dj12030043","type":"journal-article","created":{"date-parts":[[2024,2,20]],"date-time":"2024-02-20T04:36:22Z","timestamp":1708403782000},"page":"43","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Novel Technique to Reconstruct Peri-Implant Keratinised Mucosa Width Using Xenogeneic Dermal Matrix. Clinical Case Series"],"prefix":"10.3390","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0472-4060","authenticated-orcid":false,"given":"Attila","family":"Horv\u00e1th","sequence":"first","affiliation":[{"name":"Department of Periodontology, Semmelweis University, 1088 Budapest, Hungary"},{"name":"Evident Pro Private Practice, 1118 Budapest, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6891-6494","authenticated-orcid":false,"given":"P\u00e9ter","family":"Windisch","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Semmelweis University, 1088 Budapest, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6398-1836","authenticated-orcid":false,"given":"D\u00e1niel","family":"Palkovics","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Semmelweis University, 1088 Budapest, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7609-2322","authenticated-orcid":false,"given":"Xinda","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Semmelweis University, 1088 Budapest, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,2,20]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1111\/clr.13114","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","journal-title":"Clin. 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