Evidence map›Paper›PMID 40050830›Full record

SynthesisBMC oral health2025

The relationship between adequate keratinized mucosa and peri-implant disease: a systematic review and meta-analysis.

Zheng Zhang, Zhenyu Zhang, Pengcheng Wang, Youli Zheng, Zhitao Wang, Zuomin Wang

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

6 authors.

Zheng Zhang *Tianjin Stomatological Hospital, School of Medicine, Nankai University, Tianjin, 300041, China.
Zhenyu Zhang *The School of Pharmacy, Jiamusi University, Jiamusi, 154007, China.
Pengcheng Wang *Department of Stomatology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, 100020, China.
Youli ZhengThe School and Hospital of Stomatology, Tianjin Medical University, Tianjin, 300070, China.
Zhitao WangTianjin Stomatological Hospital, School of Medicine, Nankai University, Tianjin, 300041, China. wangzhitao6@hotmail.com.
Zuomin WangDepartment of Stomatology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, 100020, China. wzuomin@sina.cn.

Funding

Key Discipline Construction Project of Tianjin Stomatological Hospital 2022P01Natural Science Foundation of Tianjin 23JCYBJC01130Tianjin Health Research Project TJWJ2023MS034Tianjin High-level Talents Development Program for the Health Fields TJSQNYXXR-D2-114
6 · The paper itself

Abstract

backgroundControversial conclusions have been drawn from recent researches that examined the impact of keratinized mucosa width on clinical parameters of peri-implant health status. The purpose of this meta-analysis is to assess the effect of keratinized mucosa width on these clinical parameters by combining data from different studies.

methodsA systematic literature search was performed using PubMed, Web of Science, China National Knowledge Infrastructure (CNKI), and VIP Data from the beginning of the database until May 2024. Mean difference (MD) along with the 95% confidence interval (CI) were calculated for plaque index (PI), gingival index (GI), bleeding index (BI), probing depth (PD), clinical attachment level (CAL) and bone loss (BL). The Q test and I

resultsA total of 30 articles were included for meta-analysis. Implants with adequate width of keratinized mucosa (≥ 2 mm) presented significantly reduced PI (MD: -0.30, 95% CI: -0.42 to -0.17), GI (MD: -0.26, 95% CI: -0.38 to -0.13), BI (MD: -0.20, 95% CI: -0.33 to -0.07), and BL (MD: -0.27, 95% CI: -0.42 to -0.12). Although significant heterogeneity was detected among the included studies, sensitivity analysis further demonstrated the robustness of the results.

conclusionsThe meta-analysis demonstrated that adequate width of keratinised mucosa (≥ 2 mm) around dental implants is associated with reduced plaque accumulation, tissue inflammation, and bone loss.

Indexed as

Dental ImplantsMouth MucosaPeri-ImplantitisAlveolar Bone LossDental Plaque IndexHumansKeratinsPeriodontal IndexDental ImplantsKeratinsDental implantsInflammationKeratinized mucosaMeta-analysis

Identifiers

PMID40050830
PMCPMC11883984

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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.