Association of vestibule depth with peri-implant inflammation and soft tissue stability independent of keratinized mucosa width: A cross-sectional study

dc.authorid0009-0002-2210-8701
dc.authorid0000-0001-6508-9016
dc.authorid0000-0002-3734-0098
dc.authorid0000-0001-6109-2218
dc.authorid0000-0002-3689-9789
dc.authorid0000-0002-0335-2330
dc.authorid0000-0001-6695-2133
dc.authorid0000-0001-8456-5583
dc.contributor.authorİnan, Berkin
dc.contributor.authorParlak, Hanife Merva
dc.contributor.authorAkçiçek, Gökçen
dc.contributor.authorGüncü, Mustafa Barış
dc.contributor.authorAkman, Abdullah Cevdet
dc.contributor.authorParmaksız, Ayhan
dc.contributor.authorKeçeli, Hüseyin Gencay
dc.contributor.authorGüncü, Güliz Nigar
dc.date.accessioned2026-08-26T12:56:48Z
dc.date.available2026-08-26T12:56:48Z
dc.date.issued2026
dc.departmentFakülteler, Tıp Fakültesi, Temel Tıp Bilimleri Bölümü, Biyoistatistik Ana Bilim Dalı
dc.description.abstractPurpose: This study evaluated whether vestibule depth (VD) affects peri-implant inflammation and mucosal margin stability in the posterior mandible independently of keratinized mucosa width (KMW). Methods: A total of 129 patients, each with a single implant in the mandibular premolar or molar region, were included. Clinical variables, including gingival index, plaque index (PI), peri-implant probing depth, clinical attachment level (CAL), gingival bleeding time index (GBTI), VD, KMW, mucosal thickness (MT), mucosal recession (MR), peri-implant soft tissue phenotype, and peri-implant soft tissue dehiscence (PISTD), were assessed. Multiple linear regression analysis was performed to determine the associations of GBTI, MR, and PISTD type with the independent variables PI, KMW, age, implant diameter, sex, function time, implant location, CAL, MT, VD, and phenotype classification. Results: Implants with adequate KMW (≥2 mm) displayed greater VD and MT, less MR, and a thicker phenotype than implants with inadequate KMW (<2 mm) (P<0.001 for all). PISTD class II defects were observed more frequently in the group with adequate KMW, whereas class III defects were more common among the patients with inadequate KMW (P=0.001). Implants with sufficient VD (≥6 mm) showed greater KMW and MT and less MR than implants with insufficient VD (<6 mm) (P=0.026 for MR; P<0.001 for all other comparisons). Based on the multiple regression analysis, KMW was significantly associated with GBTI, MR, and PISTD types and subtypes (P<0.05 for all), whereas VD was not significantly associated with any of these variables. Conclusions: VD was not significantly associated with peri-implant inflammation or soft tissue stability, whereas KMW showed a stronger association with these parameters. These findings suggest that KMW, independent of VD, plays an important role in peri-implant soft tissue health in the posterior mandible.
dc.identifier.citationİnan, B., Parlak, H. M., Akçiçek, G., Güncü, M. B., Akman, A. C., Parmaksız, A., Keçeli, H. G., & Güncü, G. N. (2026). Association of vestibule depth with peri-implant inflammation and soft tissue stability independent of keratinized mucosa width: A cross-sectional study. Journal of Periodontal and Implant Science, 56(3), pp. 1-13. https://doi.org/10.5051/jpis.2503220161
dc.identifier.doi10.5051/jpis.2503220161
dc.identifier.endpage13
dc.identifier.issn2093-2278
dc.identifier.issn2093-2286
dc.identifier.issue3
dc.identifier.pmidPMID: 42596709
dc.identifier.scopusqualityQ1
dc.identifier.startpage1
dc.identifier.urihttps://doi.org/10.5051/jpis.2503220161
dc.identifier.urihttps://hdl.handle.net/20.500.13055/1612
dc.identifier.volume56
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.indekslendigikaynak.otherSCI-E - Science Citation Index Expanded
dc.institutionauthorParmaksız, Ayhan
dc.institutionauthorid0000-0002-0335-2330
dc.language.isoen
dc.publisherKorean Academy of Periodontology
dc.relation.ispartofJournal of Periodontal and Implant Science
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectDental Implants
dc.subjectGingival Recession
dc.subjectInflammation
dc.subjectPhenotype
dc.subjectTissues
dc.titleAssociation of vestibule depth with peri-implant inflammation and soft tissue stability independent of keratinized mucosa width: A cross-sectional study
dc.typeArticle
dspace.entity.typePublication

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