Evidence map›Paper›PMID 40047188›Full record

ArticleJournal of periodontal & implant science2025

Association of flap tension with flap design and graft volume in soft tissue augmentation: a cadaveric study in pigs.

Miha Pirc, Leonardo Mancini, Nicolas Müller, Hyun-Chang Lim, Ronald E Jung, Daniel S Thoma, Stefan P Bienz

Abstract read
In one paragraph

Article in Journal of periodontal & implant science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Miha PircClinic of Reconstructive Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland.ORCID https://orcid.org/0000-0003-0831-8905
Leonardo ManciniClinic of Reconstructive Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland.ORCID https://orcid.org/0000-0002-7030-155X
Nicolas MüllerClinic of Reconstructive Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland.ORCID https://orcid.org/0009-0005-3002-0920
Hyun-Chang LimClinic of Reconstructive Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland.ORCID http://orcid.org/0000-0001-7695-1708
Ronald E JungClinic of Reconstructive Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland.ORCID https://orcid.org/0000-0003-2055-1320
Daniel S ThomaClinic of Reconstructive Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland.ORCID https://orcid.org/0000-0002-1764-7447
Stefan P BienzClinic of Reconstructive Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland. stefan.bienz@zzm.uzh.ch.ORCID https://orcid.org/0000-0002-5262-6756

Funding

Clinic of Reconstructive Dentistry at the University of Zurich
6 · The paper itself

Abstract

purposeThis study was performed to evaluate the effects of flap design, grafting material, and graft dimension on flap tension and the initial volume increase achieved in soft tissue augmentation.

methodsSix fresh porcine jaw cadavers were used in this study. Each side of the jaw was randomly assigned to receive either a standard split-thickness flap or a split-thickness flap with a palatal island. Following flap preparation, random allocation was employed to determine the order of 4 treatment modalities: 3 mm of a volume-stable collagen matrix (VCMX), 6 mm VCMX, 3 mm of a subepithelial connective tissue graft (SCTG), and 6 mm SCTG. Flap tension was measured and the wound was closed after the insertion of each specimen. Intraoral scans were taken before flap preparation and after closure to facilitate profilometric analysis.

resultsThe palatal island flap exhibited significantly greater overall (

conclusionsThe findings of this cadaveric study indicate that the use of a palatal island flap effectively reduces flap tension. While both materials (VCMX and SCTG) yielded similar increases in volume, the palatal island flap demonstrated greater volume gains than the split-thickness flap for each grafting material.

Indexed as

Alveolar ridge augmentationAutograftsComputer-assisted image processingTissue scaffolds

Identifiers

PMID40047188
PMCPMC12411139

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.