Evidence map›Paper›PMID 41582837›Full record

ArticleJournal of periodontology2026

Diagnostic accuracy of transmucosal probe visualization for peri-implant mucosal phenotype assessment: A cross-sectional study.

Emilio Couso-Queiruga, Manrique Fonseca, Diogo Moreira Rodrigues, Gustavo Avila-Ortiz, Vivianne Chappuis, Clemens Raabe

Abstract readComparative Study
In one paragraph

Article in Journal of periodontology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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.

Emilio Couso-QueirugaDepartment of Oral Surgery and Stomatology, University of Bern School of Dental Medicine, Bern, Switzerland.
Manrique FonsecaDepartment of Reconstructive Dentistry and Gerodontology, University of Bern School of Dental Medicine, Bern, Switzerland.
Diogo Moreira RodriguesDepartment of Periodontology, National Institute of Dental Sciences, Niterói, Rio de Janeiro, Brazil.
Gustavo Avila-OrtizDepartment of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, Michigan, USA.
Vivianne ChappuisDepartment of Oral Surgery and Stomatology, University of Bern School of Dental Medicine, Bern, Switzerland.
Clemens RaabeDepartment of Oral Surgery and Stomatology, University of Bern School of Dental Medicine, Bern, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study evaluated the diagnostic accuracy of visual assessment of mucosal transparency using a standard periodontal probe (VAT) to differentiate between thin and thick peri-implant mucosal phenotypes, compared to horizontal transmucosal probing (HTP). A secondary objective was to assess facial mucosal thickness (FMT) threshold values for peri-implant mucosa phenotype classification.

methodsAdult subjects with at least one non-molar single implant-supported prosthesis (ISP) were screened. To evaluate VAT, a standard periodontal probe was inserted through the peri-implant sulcus on the midfacial aspect. FMT was measured via HTP using an endodontic spreader.

resultsA total of 247 subjects and 281 ISPs constituted the study population. Setting a 2 mm threshold, 66.2% of sites were classified as thick and 33.8% as thin. Compared to HTP, VAT demonstrated a sensitivity (SE) of 12.6%, a specificity (SP) of 96.2%, a positive predictive value (PPV) of 63%, and a negative predictive value (NPV) of 66%. At the 1.5 mm threshold, 86.1% of sites were thick and 13.9% thin, with 25.6% SE, 96.3% SP, 53% PPV, and 89% NPV. At the 1 mm threshold, 92.2% of sites were thick and 7.8% thin, with 41% SE, 96% SP, 47% PPV, and 95% NPV. Receiver operating characteristic analysis revealed the best-fitting balance for PPV (58%) and NPV (91%) at an FMT of 1.25 mm.

conclusionsRegardless of the FMT threshold applied, VAT demonstrated limited diagnostic accuracy, in particular for thin phenotypes, proving unreliable for the dichotomic characterization of thin and thick peri-implant mucosal phenotypes. This study was approved by the ethical committee for clinical studies in the canton of Bern, Switzerland (KEK-BE-No. 2023-01962).

Indexed as

Dental Implants, Single-ToothMouth MucosaAdultAgedCross-Sectional StudiesDental Prosthesis, Implant-SupportedFemaleHumansMaleMiddle AgedPhenotypePredictive Value of TestsSensitivity and Specificitydental implantsestheticsoutcome assessmentoutcome measuresphenotype

Identifiers

PMID41582837
PMCPMC13380343

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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.