{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T18:28:48Z","timestamp":1778783328510,"version":"3.51.4"},"reference-count":20,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2018,8,9]],"date-time":"2018-08-09T00:00:00Z","timestamp":1533772800000},"content-version":"vor","delay-in-days":39,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Department of Periodontology"}],"content-domain":{"domain":["aap.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Periodontology"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The root coverage esthetic score (RES) was published in 2009 as an esthetic scoring system to measure visible final outcomes of root coverage procedures performed on Miller I and II recession defects. The aim of this study was to evaluate the intra\u2010examiner, intra\u2010group, and inter\u2010examiner reliability of the RES when used among periodontal faculty, post\u2010graduate students in periodontology, and pre\u2010doctoral DMD students when using the RES at Tufts University School of Dental Medicine (TUSDM).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Thirty\u2010three participants (12 second\u2010year DMD students, 11 periodontal residents, and 10 faculty members) were assembled to evaluate 25 baseline and 6\u2010month post\u2010treatment outcomes of mucogingival surgeries using the RES. Each projection was shown for 30 seconds during which the participants were asked to use the RES scoring system to evaluate the surgical outcomes. The results were then recorded on a standardized worksheet grid. To test intra\u2010examiner reliability, seven of the 25 projections were shown twice. Intra\u2010examiner reliability and inter\u2010examiner reliability were assessed using intraclass correlation coefficient using a two\u2010way mixed effect model, and stratified by education level.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Post\u2010graduate (PG) residents had the highest tendency to agree with each other with an interclass correlation (ICC) of 0.53 (95% confidence interval [CI] 0.36 to 0.74). DMD students had an ICC: 0.51 (95% CI: 0.33 to 0.75), and PG faculty members produced an ICC: 0.41 (95% CI: 0.24 to 0.64). There was no statistically significant difference in ICC among the three groups of participants (Kruskal\u2010Wallis test, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.2440). When the data for each RES element were then combined, the mean ICC for the total inter\u2010rater agreement for RES was 0.48 (95% CI: 0.32 to 0.71). This corresponds to an overall moderate agreement among all participants using the RES to evaluate the 25 surgical outcomes. The intra\u2010examiner reliability within each of the three groups was quite high. The highest mean ICC was produced by PG faculty (0.908). The mean ICCs for PG residents was 0.867, and the mean ICC for DMD students was 0.855. The Kruskal\u2010Wallis test (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.46) failed to find any statistical difference in intra\u2010examiner reliability among the three groups of participants.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The RES is a \u201cmoderately\u201d reliable scoring system for mucogingival treatments in a dental school setting and can be used even by operators with different levels of periodontal experience. This scoring system can be repeated by the same examiner to obtain reliable results.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jper.17-0556","type":"journal-article","created":{"date-parts":[[2018,5,4]],"date-time":"2018-05-04T03:55:16Z","timestamp":1525406116000},"page":"833-839","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["The root coverage esthetic score: Intra\u2010examiner reliability among dental students and dental faculty"],"prefix":"10.1002","volume":"89","author":[{"given":"Federica","family":"Isaia","sequence":"first","affiliation":[{"name":"Department of Periodontology Tufts University School of Dental Medicine  Boston MA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Gyurko","sequence":"additional","affiliation":[{"name":"Department of Periodontology Tufts University School of Dental Medicine  Boston MA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tamar C.","family":"Roomian","sequence":"additional","affiliation":[{"name":"Division of Biostatistics and Experimental Design Tufts University School of Dental Medicine  Boston MA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles E.","family":"Hawley","sequence":"additional","affiliation":[{"name":"Department of Periodontology Tufts University School of Dental Medicine  Boston MA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,8,9]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1902\/annals.1999.4.1.98"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2000.71.5-S.861"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1902\/annals.1996.1.1.702"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0757.2011.00434.x"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1999.70.9.1077"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2004.75.3.470"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.4103\/0972-124X.99265"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2009.080413"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2001.72.8.998"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2004.75.12.1678"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2009.080565"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2010.100278"},{"issue":"2","key":"e_1_2_7_14_1","first-page":"8","article-title":"A classification of marginal gingival recession","volume":"5","author":"Miller PD","year":"1985","journal-title":"Int J Periodontics Restorative Dent."},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.2307\/2529310"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2009.090530"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/jerd.12085"},{"key":"e_1_2_7_18_1","first-page":"603","article-title":"Esthetic evaluation of root coverage outcomes: a case series study","volume":"31","author":"Pini\u2010Prato G","year":"2011","journal-title":"Int J Periodontics Restorative Dent"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2017.170010"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.2008.01348.x"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.2008.01244.x"}],"container-title":["Journal of Periodontology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2FJPER.17-0556","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aap.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/JPER.17-0556","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T12:01:42Z","timestamp":1760875302000},"score":1,"resource":{"primary":{"URL":"https:\/\/aap.onlinelibrary.wiley.com\/doi\/10.1002\/JPER.17-0556"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,7]]},"references-count":20,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2018,7]]}},"alternative-id":["10.1002\/JPER.17-0556"],"URL":"https:\/\/doi.org\/10.1002\/jper.17-0556","archive":["Portico"],"relation":{},"ISSN":["0022-3492","1943-3670"],"issn-type":[{"value":"0022-3492","type":"print"},{"value":"1943-3670","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,7]]},"assertion":[{"value":"2017-09-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-12-26","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-08-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}