“…Overall, 17 studies were selected, including 9 RCTs, 4 NRCTs, 3 case–control studies, and 1 cohort study (Tables 4 and S3). Six studies (Buyukozdemir Askin et al, 2015; Kikuchi et al, 2022; Oh et al, 2017, 2020; M. Roccuzzo et al, 2016; Zheng et al, 2021) compared peri‐implant tissue health parameters between sites with PIKM deficiency receiving a free gingival graft (FGG) to increase PIKM width versus no intervention. When pooling all studies together, meta‐analyses showed a non‐significant difference in PPD between the PIKM‐augmented and non‐augmented sites but a significantly lower clinical soft tissue inflammation index (BOP/GI) (SMD = –1.18; 95% CI: −1.85 to −0.51; p = .0006; I 2 : 69%) around the dental implants receiving FGG to augment PIKM (Figure 6).…”