{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:24:25Z","timestamp":1787775865296,"version":"build-2784847793"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 1","license":[{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,5]]},"abstract":"\n A\n BSTRACT<\/jats:sc>\n <\/jats:title>\n \n Background:<\/jats:title>\n The periodontal biotype is a crucial factor influencing the esthetic outcome of implant-supported restorations. This prospective study evaluated the long-term impact of periodontal biotype on the esthetic stability of single-tooth implant-supported restorations in the anterior maxilla over a 5-year period, with a specific focus on the influence of platform-switching and immediate provisionalization.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n Patients with a single missing tooth between the maxillary canines requiring implant placement were included. Periodontal biotype was assessed at baseline using the established criteria of probing depth \u22643 mm and gingival thickness \u22652 mm for thick biotype. All patients received Straumann Bone Level implants with a platform-switched design. Immediate provisionalization was performed following implant placement. Esthetic outcomes were evaluated annually for 5 years using the Pink Esthetic Score (PES) and White Esthetic Score (WES). Changes in soft tissue parameters, including gingival recession, papilla height, and mucosal level changes, were also recorded.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n A total of 86 patients (45 thick biotype, 41 thin biotype) were included. At 5 years, both biotypes demonstrated remarkably stable esthetic outcomes with consistently high PES and WES scores. However, the thin biotype exhibited significantly greater mean gingival recession (1.2 mm vs. 0.5 mm,\n P<\/jats:italic>\n < 0.05) and a higher incidence of mucosal level changes (17% vs. 4%,\n P<\/jats:italic>\n < 0.05) compared to the thick biotype. Papilla height remained stable in both groups.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n While both thick and thin biotypes demonstrated acceptable esthetic outcomes at 5 years with platform-switched implants and immediate provisionalization, thin biotype was associated with increased susceptibility to gingival recession and mucosal level changes. These findings underscore the crucial role of meticulous soft tissue management and individualized treatment planning in patients with thin biotypes. They are key to achieving optimal long-term esthetic results in implant dentistry and highlight the significance of your role as a dental professional.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/jpbs.jpbs_10_25","type":"journal-article","created":{"date-parts":[[2025,5,10]],"date-time":"2025-05-10T04:02:25Z","timestamp":1746849745000},"page":"S555-S557","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Impact of Periodontal Biotype on the Long-Term Esthetics of Implant-Supported Restorations: A 5-Year Prospective Study"],"prefix":"10.4103","volume":"17","author":[{"given":"Anuj Singh","family":"Parihar","sequence":"first","affiliation":[{"name":"Department of Periodontology, People\u2019s Dental Academy, Bhopal, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nimisha","family":"Nandanan","sequence":"additional","affiliation":[{"name":"BDS, MDS in Periodontics and Implantology, PhD Scholar, Periodontist, Shri Vinobha Bhave Civil Hospital, Silvassa, Dadra and Nagar Haveli"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vino Tito V","family":"Kurien","sequence":"additional","affiliation":[{"name":"Assistant Professor, Department of Periodontology, Saraswati Dhanwantari Dental College, Parbhani, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Subhash","family":"Bandgar","sequence":"additional","affiliation":[{"name":"Associate Professor, Nair Hospital Dental College, Mumbai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaurav","family":"Patri","sequence":"additional","affiliation":[{"name":"Professor and HOD, Department of Conservative and Endodontics, Kalinga Institute of Dental Sciences (KIDS), Kalinga Institute of Industrial Technology (KIIT) Deemed to be University, Bhubaneswar, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rashmi","family":"Laddha","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Dr. RR Kambe Dental College and Hospital, Akola, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Santosh","family":"kumar","sequence":"additional","affiliation":[{"name":"Professor and Head, Department of Periodontology, Karnavati School of Dentistry, Karnavati University, Gandhinagar, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,5,10]]},"reference":[{"key":"R1-20250513","first-page":"345","article-title":"Relationship between clinical periodontal biotype and labial plate thickness:A systematic review","volume":"31","author":"Cook","year":"2011","journal-title":"Int J Periodontics Restorative Dent"},{"key":"R2-20250513","first-page":"1017","article-title":"Clinical parameters associated with gingival thickness","volume":"30","author":"Sanz","year":"2003","journal-title":"J Clin Periodontol"},{"key":"R3-20250513","first-page":"1182","article-title":"Platform switching and immediate loading for single implants in the esthetic zone:A randomized clinical trial with 1-year follow-up","volume":"39","author":"Vignoletti","year":"2012","journal-title":"J Clin Periodontol"},{"key":"R4-20250513","first-page":"9","article-title":"Platform switching:A new concept in implant dentistry for controlling post-restorative crestal bone levels","volume":"26","author":"Lazzara","year":"2006","journal-title":"Int J Periodontics Restorative Dent"},{"key":"R5-20250513","first-page":"31","article-title":"Immediate placement and provisionalization of maxillary anterior single implants:1-year prospective study","volume":"18","author":"Kan","year":"2003","journal-title":"Int J Oral Maxillofac Implants"},{"key":"R6-20250513","doi-asserted-by":"crossref","first-page":"639","DOI":"10.1111\/j.1600-0501.2005.01193.x","article-title":"Evaluation of soft tissue around single-tooth implant crowns:The pink esthetic score","volume":"16","author":"F\u00fcrhauser","year":"2005","journal-title":"Clin Oral Implants Res"},{"key":"R7-20250513","first-page":"744","article-title":"Influence of implant surface on bone apposition:A histomorphometric study in miniature pigs","volume":"68A","author":"Belser","year":"2004","journal-title":"J Biomed Mater Res"},{"key":"R8-20250513","first-page":"1251","article-title":"Peri-implant soft tissue stability at platform-switched implants:A systematic review and meta-analysis","volume":"31","author":"Monje","year":"2020","journal-title":"Clin Oral Implants Res"},{"key":"R9-20250513","first-page":"382","article-title":"Immediate implant placement and provisionalization:A systematic review and meta-analysis","volume":"35","author":"Tomasi","year":"2020","journal-title":"Int J Oral Maxillofac Implants"}],"container-title":["Journal of Pharmacy and Bioallied Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jpbs.jpbs_10_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:43:55Z","timestamp":1787773435000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jpbs.jpbs_10_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5]]},"references-count":9,"journal-issue":{"issue":"Suppl 1","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jpbs.jpbs_10_25","relation":{},"ISSN":["0976-4879","0975-7406"],"issn-type":[{"value":"0976-4879","type":"print"},{"value":"0975-7406","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5]]},"assertion":[{"value":"2025-01-03","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-27","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}