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The primary outcome was keratinized gingival tissue width (KGW) and percentage of root coverage (%RC). The treatment effect of different biomaterials was estimated using predictive interval plots and ranked based on biomaterials performance, using multidimensional scale ranking.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>CAF\u2009+\u2009connective tissue graft (CTG), CAF\u2009+\u2009platelet concentrate matrix (PCM) and acellular dermal matrix (ADM) ranked at the top positions in performance in improving KGW. The highest ranked materials in improving percentage of root coverage in gingival recession were CAF\u2009+\u2009collagen matrix (CM)\u2009+\u2009gingival fibroblasts (GF), CAF\u2009+\u2009ADM\u2009+\u2009platelet rich plasma (PRP) and CAF\u2009+\u2009ADM, as compared to CAF alone.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>CTG, ADM, platelet concentrates, and CM\u2009+\u2009GFs, when used in adjunct to CAF, showed improved stability over \u226512\u2009months of follow\u2010up, better percentage of root coverage, and improved keratinized gingival width.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cre2.461","type":"journal-article","created":{"date-parts":[[2021,11,30]],"date-time":"2021-11-30T16:40:33Z","timestamp":1638290433000},"page":"421-438","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Stability of biomaterials used in adjunct to coronally advanced flap: A systematic review and 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