Evidence map›Paper›PMID 40495112›Full record

ArticleJournal of clinical periodontology2025

Aesthetics and Patient-Reported Outcomes in Periodontology and Implant Dentistry: Consensus Report.

Maurizio Tonetti, Mariano Sanz, Francesco Cairo, Jose Nart, Iain Chapple, Mario Aimetti, Sofia Aroca, Gustavo Avila-Ortiz, Juan Blanco, Antonio Bujaldón and 31 more

Abstract readConsensus Statement
In one paragraph

Article in Journal of clinical periodontology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

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

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  11. Impact of the Buccal Dehiscence Morphotype on the Regenerative Strategy in Immediate Implant Placement.Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] · 2026
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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

41 authors.

Maurizio TonettiShanghai PerioImplant Innovation Center, Institute for Oral, Craniofacial and Sensory Research, Shanghai Key Laboratory of Stomatology, National Clinical Research Centre for Oral Diseases, Shanghai Ninth People Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.ORCID 0000-0002-2743-0137
Mariano SanzETEP (Etiology and Therapy of Periodontal and Peri-Implant Diseases) Research Group, University Complutense of Madrid, Madrid, Spain.ORCID 0000-0002-6293-5755
Francesco CairoResearch Unit in Periodontology and Periodontal Medicine, Department of Clinical and Experimental Medicine, University of Florence, Florence, Italy.ORCID 0000-0003-3781-1715
Jose NartDepartment of Periodontology, Universitat Internacional de Catalunya, Barcelona, Spain.ORCID 0000-0002-2363-4992
Iain ChappleBirmingham NIHR Biomedical Research Centre in Inflammation, University of Birmingham, Birmingham, UK.ORCID 0000-0003-2697-7082
Mario AimettiDepartment of Surgical Sciences, C.I.R. Dental School, University of Turin, Turin, Italy.ORCID 0000-0003-0657-0787
Sofia Aroca26K Center for Clinical Research, Paris, France.ORCID 0000-0001-8927-0303
Gustavo Avila-OrtizDepartment of Oral Medicine, Infection, and Immunity, Harvard School of Dental Medicine, Harvard University, Boston, Massachusetts, USA.ORCID 0000-0002-5763-0201
Juan BlancoSurgery and Medical-Surgical Specialties, Facultad de Medicina y Odontología, Santiago de Compostela University, Santiago de Compostela, Spain.ORCID 0000-0001-9251-513X
Antonio BujaldónPrivate Practice, Almería, Spain.
Raffaele CavalcantiCampus Bio-Medico, University of Rome, Rome, Italy.ORCID 0000-0003-3391-6536
Pierpaolo CortelliniEuropean Research Group on Periodontology (ERGOPERIO), Bern, Switzerland.ORCID 0000-0003-0937-2807
Jan CosynDepartment of Periodontology and Oral Implantology, Ghent University, Ghent, Belgium.ORCID 0000-0001-5042-2875
Monique DanserDepartment of Periodontology, Academic Centre for Dentistry Amsterdam, University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.ORCID 0009-0000-5764-3670
Massimo de Sanctis26K Center for Clinical Research, Paris, France.ORCID 0000-0002-5915-566X
Jan DerksDepartment of Periodontology, Institute of Odontology, The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.ORCID 0000-0002-1133-6074
Henrik DommischDepartment of Periodontology, Oral Medicine and Oral Surgery, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität Zu Berlin, and Berlin Institute of Health, Berlin, Germany.ORCID 0000-0003-1043-2651
Elena FigueroETEP (Etiology and Therapy of Periodontal and Peri-Implant Diseases) Research Group, University Complutense of Madrid, Madrid, Spain.ORCID 0000-0002-3129-1416
Rodolfo GianserraSection of Periodontology, School of Dentistry, Sapienza University of Rome, Rome, Italy.ORCID 0009-0003-7482-6964
Filippo GrazianiDepartment of Surgical, Medical and Molecular Pathology and Critical Care Medicine, School of Dentistry, University of Pisa, Pisa, Italy.ORCID 0000-0001-8780-7306
Søren JepsenDepartment of Periodontology, Operative and Preventive Dentistry, University Hospital Bonn, Bonn, Germany.ORCID 0000-0002-4160-5837
Moritz KebschullBirmingham NIHR Biomedical Research Centre in Inflammation, University of Birmingham, Birmingham, UK.ORCID 0000-0003-1863-0679
France LambertDepartment of Periodontology, Oro-Dental and Implant Surgery, CHU of Liège, Liège University, Liège, Belgium.ORCID 0000-0002-1018-2544
Eduardo MonteroETEP (Etiology and Therapy of Periodontal and Peri-Implant Diseases) Research Group, University Complutense of Madrid, Madrid, Spain.ORCID 0000-0003-2525-8529
Nadja NaenniClinic of Reconstructive Dentistry, Center of Dentistry, University of Zurich, Zurich, Switzerland.ORCID 0000-0002-6689-2684
Ian NeedlemanDepartment of Periodontology, Eastman Dental Institute, UCL, London, UK.ORCID 0000-0003-4696-1651
Andrea PilloniSection of Periodontology, School of Dentistry, Sapienza University of Rome, Rome, Italy.ORCID 0000-0002-6268-1863
Ausra RamanauskaiteDepartment of Oral Surgery and Implantology, Carolinum, Goethe University, Frankfurt, Germany.ORCID 0000-0002-1649-1882
Mario RoccuzzoPrivate Practice, Torino, Italy.ORCID 0000-0002-2135-6503
Ignacio Sanz-MartínPrivate Practice, Lausanne, Switzerland.ORCID 0000-0001-7037-1163
Ignacio Sanz-SánchezETEP (Etiology and Therapy of Periodontal and Peri-Implant Diseases) Research Group, University Complutense of Madrid, Madrid, Spain.ORCID 0000-0002-3698-4772
Frank SchwarzDepartment of Oral Surgery and Implantology, Carolinum, Goethe University, Frankfurt, Germany.ORCID 0000-0001-5515-227X
Anton SculeanDepartment of Periodontology, School of Dental Medicine, University of Bern, Bern, Switzerland.ORCID 0000-0003-2836-5477
Martina StefaniniDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.ORCID 0000-0002-9154-637X
Daniel ThomaClinic of Reconstructive Dentistry, Center for Dental Medicine, University of Zurich, Zurich, Switzerland.ORCID 0000-0002-1764-7447
Leonardo TrombelliResearch Centre for the Study of Periodontal and Peri-Implant Diseases, University of Ferrara, Ferrara, Italy.ORCID 0000-0002-1147-2199
Cristina VallesDepartment of Periodontology, Universitat Internacional de Catalunya, Barcelona, Spain.ORCID 0000-0002-2690-1208
Nicola WestPeriodontology, Bristol Dental School, University of Bristol, Bristol, UK.ORCID 0000-0002-9127-5530
Giovanni ZucchelliDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.ORCID 0000-0002-6471-039X
Otto ZuhrDepartment of Periodontology, Center of Dentistry and Oral Medicine (Carolinum), Johann Wolfgang Goethe-University, Frankfurt am Main, Germany.ORCID 0000-0001-8315-2015
David HerreraETEP (Etiology and Therapy of Periodontal and Peri-Implant Diseases) Research Group, University Complutense of Madrid, Madrid, Spain.ORCID 0000-0002-5554-2777

Funding

Curasept S.p.A. Saronno, ItalyEuropean Federation of PeriodontologyKlockner S.A., Barcelona and Madrid, SpainSociedad Española de Periodoncia y OsteointegraciónSocietá Italiana di Parodontologia e Implantologia
6 · The paper itself

Abstract

backgroundAesthetics and patient-reported experiences (PREs) and outcomes (PROs) influence treatment choices, but have been largely overlooked in periodontology and implant dentistry. This consensus conference evaluated these factors by focusing on gingival recession defects (GRDs), immediate or early/delayed implant placement and peri-implant buccal soft-tissue dehiscences.

methodsThe workshop discussions were informed by five specifically commissioned systematic reviews covering PREs, PROs and clinician-reported outcomes (CROs), including effectiveness, aesthetics and other concerns.

resultsFollowing treatments such as coronally advanced flaps (CAFs) with a connective tissue graft (CTG) for root coverage (RC), a positive correlation was noted between clinician-reported aesthetic scores and RC measures for GRDs. However, a corresponding correlation for patient-reported aesthetic perceptions was not evident. In dental implant procedures, the addition of a CTG immediately after implant placement significantly mitigated the apical shift in the mid-facial mucosal level. However, clinician- and patient-reported aesthetic scores were not reflective of these changes. Neither set of scores captured the impact of grafting on improving peri-implant soft-tissue volume. In the treatment of peri-implant dehiscences, soft-tissue augmentation (STA), using CTG beneath CAF, resulted in favourable outcomes in clinician- and patient-perceived aesthetics.

conclusionsClinician and patient views provide complementary perspectives for evidence-based clinical decision making. They need to be integrated into select interventions. Specific trials are needed encompassing PREs, PROs and CROs and reporting benefits and harms.

Indexed as

Esthetics, DentalPatient Reported Outcome MeasuresPeriodonticsDental Implantation, EndosseousDental ImplantsGingival RecessionHumansDental Implantsaesthetic scoresconnective tissue graftsgingival recessionpatient‐reportedpatient‐reported outcome measuresperi‐implant soft‐tissue dehiscencesoft‐tissue substitutes

Identifiers

PMID40495112
PMCPMC12377961

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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.