Evidence map›Paper›PMID 42709945›Full record

ArticleClinical and experimental dental research2026

Collagen Substitutes in Oral Soft Tissue Augmentation: An In Vitro-Ex Vivo Study on Expansion and Elasticity.

Leonardo Mancini, Stephanie Wenk, Lorenzo Tavelli, Ronald E Jung, Nadja Naenni, Daniel S Thoma

Abstract read
In one paragraph

Article in Clinical and experimental dental research, 2026. 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

6 authors.

Leonardo ManciniClinic of Reconstructive Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland.ORCID https://orcid.org/0000-0002-7030-155X
Stephanie WenkClinic of Reconstructive Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland.ORCID https://orcid.org/0009-0006-6880-6520
Lorenzo TavelliCenter for Clinical Research and Evidence Synthesis in Oral Tissue Regeneration (CRITERION), Ann Arbor, Michigan, USA.ORCID https://orcid.org/0000-0003-4864-3964
Ronald E JungClinic of Reconstructive Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland.ORCID https://orcid.org/0000-0003-2055-1320
Nadja NaenniClinic of Reconstructive Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland.ORCID https://orcid.org/0000-0002-6689-2684
Daniel S ThomaClinic of Reconstructive Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland.ORCID https://orcid.org/0000-0002-1764-7447

Funding

Nobel Biocare 2025-1859
6 · The paper itself

Abstract

objectiveThis study aimed to evaluate the hydration-induced volumetric expansion and elasticity of collagen-based soft tissue substitutes following exposure to blood using three-dimensional (3D) analysis and high-frequency ultrasonography (HFUS). MATERIALS AND

methodsSeven commercially available collagen matrices were analyzed: Fibro-Gide (6 mm and 3 mm), Mucogain (5 mm and 3 mm), Volumax, Collagen Graft II, and Mucograft. The investigation consisted of two experimental phases. In the in vitro phase, samples were immersed in stabilized porcine blood to assess absorption index (AI), 3D volumetric changes, and ultrasonographic (HFUS) parameters, including density and elasticity. In the ex vivo phase, matrices were placed beneath envelope flaps in porcine maxillae, with optical 3D scanning performed before and after blood saturation. Statistical analysis included generalized estimating equations for repeated measures and nonparametric testing, with significance set at α = 0.05.

resultsVolume stable matrices exhibited significantly greater absorption and volumetric expansion compared to non-stable matrices. Fibro-Gide 6 mm demonstrated the highest absorption index (17.0 ± 0.6 mg) and volumetric increase (268.4 ± 54.8 mm

conclusionsVolume-stable collagen matrices show pronounced fluid uptake and expansion. Clinically, this effect should be considered, as excessive swelling may increase flap tension and compromise wound stability, necessitating careful trimming and adequate flap release.

Indexed as

CollagenAnimalsElasticityImaging, Three-DimensionalIn Vitro TechniquesMaxillaSwineUltrasonographyCollagen3D volumetric analysisblood wettingcollagen matrixcross‐linked collagendental implantssoft tissue substitute

Identifiers

PMID42709945
PMCPMC13552866

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.