{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T05:17:27Z","timestamp":1788326247758,"version":"build-2803163510"},"reference-count":51,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,9,14]],"date-time":"2024-09-14T00:00:00Z","timestamp":1726272000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["aap.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Adv Periodontics"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>To analyze the evidence about the influence of the suturing technique and material in terms of the percentage of mean root coverage (%MRC) following root coverage therapy in teeth diagnosed with single\/localized gingival recession defects (GRD) via a monolaminar coronally advanced flap.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The protocol of this systematic review was registered in PROSPERO (CRD42024514043). A literature search was conducted to identify investigations that fulfilled the eligibility criteria. Variables of interest were extracted, subsequently categorized, and qualitatively analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 15 randomized clinical trials, including 301 localized GRD in non\u2010molar sites classified as Miller class I\u2010II\/RT1, in 253 patients were included. The studies reporting the combination of sling and single interrupted sutures, or interrupted sutures alone showed an MRC of 70.2%\u00b116.6%, and 74.1%\u00b10.75%, respectively. The highest MRC was observed in the studies using polyglactin 910 with a pooled value of 76.6% \u00b1 15.3%, and monofilament materials, with a pooled MRC of 74.8%\u00b17.1%. When the suturing diameter was evaluated, the highest pooled MRC with values of 79.1%\u00b19.8% was observed with the use of 5\u20100.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>For the treatment of single\/localized GRD in non\u2010molar sites via a monolaminar coronally advanced flap, the use of a combination of sling and single interrupted sutures, or single interrupted sutures, polyglactin 910 or monofilament materials, and material diameter of 5\u20100 showed a higher MRC as compared to the use of expanded polytetrafluoroethylene, and silk with\/without dressing, and other suture diameters.<\/jats:p><\/jats:sec><jats:sec><jats:title>Key points<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>There were no differences in the percentage of root coverage achieved between the use of sling and single interrupted, versus single interrupted sutures alone on the treatment of single\/localized GRD in non\u2010molar sites.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Polyglactin 910 and monofilament sutures resulted in a higher percentage of root coverage achieved as compared to expanded polytetrafluoroethylene, and silk with\/without dressing.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>The use of 5\u20100 material diameter showed the highest percentage of root coverage achieved.<\/jats:p><\/jats:list-item>\n<\/jats:list><\/jats:p><\/jats:sec><jats:sec><jats:title>Plain language summary<\/jats:title><jats:p>This study was primarily aimed at evaluating how different suturing techniques and materials could affect the percentage of root coverage in single\/localized recession defects, without the use of soft tissue substitutes or autogenous soft tissue grafts. After the pooled analyses of 15 randomized clinical trials that fulfilled the inclusion criteria, we observed that the adequate selection of suturing techniques, materials, and size could lead to a higher percentage of root coverage. Specifically, the use of single interrupted with or without sling sutures at the most coronal portion, Polyglactin 910 or monofilament materials, and size of 5\u20100 showed a higher percentage of root coverage as compared to the use of expanded polytetrafluoroethylene, and silk with\/without dressing, and other suture diameters.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cap.10312","type":"journal-article","created":{"date-parts":[[2024,9,14]],"date-time":"2024-09-14T09:48:17Z","timestamp":1726307297000},"page":"179-190","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Effect of suturing in root coverage via coronally advanced flaps: A systematic review"],"prefix":"10.1002","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0513-8960","authenticated-orcid":false,"given":"Alina","family":"Ariceta","sequence":"first","affiliation":[{"name":"Department of Periodontology School of Dentistry Catholic 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