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

aesthetic scores; connective tissue grafts; gingival recession; patient‐reported; patient‐reported outcome measures; peri‐implant soft‐tissue dehiscence; soft‐tissue substitutes; Dental Implants; Humans; Gingival Recession/surgery; Consensus; Dental Implantation, Endosseous; Patient Reported Outcome Measures; Esthetics, Dental; Periodontics

Abstract :

[en] [en] BACKGROUND: Aesthetics 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. METHODS: The workshop discussions were informed by five specifically commissioned systematic reviews covering PREs, PROs and clinician-reported outcomes (CROs), including effectiveness, aesthetics and other concerns. RESULTS: Following 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. CONCLUSIONS: Clinician 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.

Disciplines :

Dentistry & oral medicine

Author, co-author :

Tonetti, Maurizio ; Shanghai 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

Sanz, Mariano ; ETEP (Etiology and Therapy of Periodontal and Peri-Implant Diseases) Research Group, University Complutense of Madrid, Madrid, Spain

Cairo, Francesco ; Research Unit in Periodontology and Periodontal Medicine, Department of Clinical and Experimental Medicine, University of Florence, Florence, Italy

Nart, Jose ; Department of Periodontology, Universitat Internacional de Catalunya, Barcelona, Spain

Chapple, Iain ; Birmingham NIHR Biomedical Research Centre in Inflammation, University of Birmingham, Birmingham, UK ; Periodontal Research Group, Dentistry, School of Health Sciences, College of Medicine & Health, University of Birmingham, Birmingham, UK ; Birmingham Community Healthcare NHS Foundation Trust, Birmingham, UK

Aimetti, Mario ; Department of Surgical Sciences, C.I.R. Dental School, University of Turin, Turin, Italy

Aroca, Sofia ; 26K Center for Clinical Research, Paris, France

Avila-Ortiz, Gustavo ; Department of Oral Medicine, Infection, and Immunity, Harvard School of Dental Medicine, Harvard University, Boston, Massachusetts, USA

Blanco, Juan ; Surgery and Medical-Surgical Specialties, Facultad de Medicina y Odontología, Santiago de Compostela University, Santiago de Compostela, Spain

Bujaldón, Antonio; Private Practice, Almería, Spain

More authors (31 more)

Language :

English

Title :

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

Publication date :

September 2025

Journal title :

Journal of Clinical Periodontology

ISSN :

0303-6979

eISSN :

1600-051X

Publisher :

John Wiley and Sons Inc, United States

Volume :

Issue :

Pages :

1222 - 1244

Peer reviewed :

Peer Reviewed verified by ORBi

Additional URL :

https://onlinelibrary.wiley.com/doi/pdf/10.1111/jcpe.14182

Funding text :

This study was supported by Societ\u00E1 Italiana di Parodontologia e Implantologia, Sociedad Espa\u00F1ola de Periodoncia y Osteointegraci\u00F3n, and the European Federation of Periodontology, in part through unrestricted grants from Curasept S.p.A. Saronno, Italy, and Klockner S.A., Barcelona and Madrid, Spain. Funding:

Available on ORBi :

since 11 February 2026

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