Evidence map›Paper›PMID 41618697›Full record

Trial reportClinical oral implants research2026

Effect of Connective Tissue Graft as an Adjunct to Guided Bone Regeneration in the Surgical Treatment of Peri-Implantitis: A Dual-Center Randomized Controlled Trial.

Lucrezia Paterno Holtzman, Iva Milinkovic, Marija Vuckovic, Chiara Malpassi, Marla Cuppini, Alex Solderer, Zoran Aleksic, Luca Cordaro

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Clinical oral implants research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04323540 (Surgical Reconstructive Treatment of Peri-Implantitis With or Without Simultaneous Soft Tissue Augmentation), which is not on this map. Not yet cited in PubMed.

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

NCT04323540 nacompletednot on this map

Surgical Reconstructive Treatment of Peri-Implantitis With or Without Simultaneous Soft Tissue Augmentation: a Multi-center Randomized Controlled Trial

TypeinterventionalSponsorGeorge Eastman Dental Hospital, ItalyRan2021 to 2025Enrolled32ConditionsPeri-ImplantitisArmsPeri-implantitis reconstructive surgery
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Lucrezia Paterno HoltzmanPeriodontology and Prosthodontics, George Eastman Dental Hospital, University Policlinic "La Sapienza", Rome, Italy.ORCID 0000-0002-1397-0984
Iva MilinkovicImplant Center, School of Dental Medicine, University of Belgrade, Belgrade, Republic of Serbia.ORCID 0000-0001-5664-7848
Marija VuckovicDepartment of Periodontology and Oral Medicine, School of Dental Medicine, University of Belgrade, Belgrade, Serbia.ORCID 0000-0003-1379-6717
Chiara MalpassiPeriodontology and Prosthodontics, George Eastman Dental Hospital, University Policlinic "La Sapienza", Rome, Italy.ORCID 0009-0005-6067-5151
Marla CuppiniPeriodontology and Prosthodontics, George Eastman Dental Hospital, University Policlinic "La Sapienza", Rome, Italy.ORCID 0000-0002-8695-6518
Alex SoldererClinic of Conservative and Preventive Dentistry, Center for Dental Medicine, University of Zurich, Zurich, Switzerland.ORCID 0000-0002-8161-4738
Zoran AleksicImplant Center, School of Dental Medicine, University of Belgrade, Belgrade, Republic of Serbia.ORCID 0000-0003-0390-8789
Luca CordaroPeriodontology and Prosthodontics, George Eastman Dental Hospital, University Policlinic "La Sapienza", Rome, Italy.ORCID 0000-0002-7108-0306

Funding

Osteology Foundation 18-117
6 · The paper itself

Abstract

objectivesTo evaluate whether adding a connective tissue graft (CTG) to guided bone regeneration (GBR) improves clinical and radiographic outcomes in surgical peri-implantitis treatment. MATERIALS AND

methodsThirty-two patients with peri-implantitis were randomly assigned to receive GBR and CTG (test group, TG) or GBR alone (control group, CG). Clinical and radiographic parameters were recorded at baseline, 6, and 12 months. The primary outcome was the change in clinical attachment level (CAL), while secondary outcomes included pocket probing depth (PPD), bleeding on probing (BoP), plaque index (PI), keratinized mucosa width (KMW), mucosal thickness (MT), recession (REC), suppuration (SUP), marginal bone levels (MBL), bone defect morphology, and disease resolution (DR).

resultsAt 12 months, CAL gain was significantly higher in TG compared with CG (3.21 ± 1.57 mm vs. 1.65 ± 1.28 mm; p = 0.022), and TG achieved significantly greater increase in KMW (2.25 ± 2.89 mm vs. 0.26 ± 1.49 mm; p = 0.010). Both groups showed significant PPD reduction, with a greater, though not statistically significant, improvement comparing TG with CG (3.25 ± 1.59 mm vs. 1.97 ± 1.23 mm; p = 0.052). Additionally, MBL improved significantly in both groups (p < 0.001), with higher gains in TG (p < 0.001). However, DR was comparable between the two groups.

conclusionsGBR effectively improves peri-implant parameters after 1 year. Adding a CTG enhances CAL and KMW gains and may promote more favorable bone levels, although the impact on DR remains inconclusive. Long-term studies are warranted to confirm these findings.

trial registrationClinicalTrials.gov NCT04323540.

Indexed as

Bone RegenerationConnective TissueGuided Tissue Regeneration, PeriodontalPeri-ImplantitisDental Plaque IndexFemaleHumansMaleMiddle AgedPeriodontal IndexTreatment Outcomeconnective tissue graftdental implantsguided bone regenerationperi‐implantitis

Identifiers

PMID41618697
PMCPMC13051417

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Registered trials

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.