{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T07:54:10Z","timestamp":1777276450479,"version":"3.51.4"},"reference-count":30,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2019,7,19]],"date-time":"2019-07-19T00:00:00Z","timestamp":1563494400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aap.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Periodontology"],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The aim of this long\u2010term case series was to assess the development\/prevalence of non\u2010carious cervical lesions (NCCLs) at sites that have and have not been treated with gingival augmentation following free gingival graft (FGG).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Fifty\u2010two patients had at least one test and one control site: 1) test site showing absence of attached gingiva (AG) associated with gingival recession (GR) treated with FGG; and 2) contralateral site with or without AG. Patient\/tooth\/site\u2010associated variables were recorded for each tooth\/site at baseline (T0), 12 months after surgery (T1), during the follow\u2010up period (T2) (15 to 20 years), and at the end of the follow\u2010up period (T3) over 25 to 30 years. Mixed\u2010effects logistic regression was used throughout the study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Forty\u2010nine patients\/130 sites were available for analysis at T2 whereas 44 patients\/120 sites at T3. Twenty\u2010two NCCLs\u00a0&gt;0.5\u00a0mm were restored in the test sites and in 35 in the untreated sites. The development of NCCL over time appeared associated with sites with attached KT\u00a0<jats:italic>&lt;<\/jats:italic>2\u00a0mm (i.e., odds ratio [OR]: 3.80 [<jats:italic>P<\/jats:italic>\u00a0=\u00a00.045] and 3.47 [<jats:italic>P<\/jats:italic>\u00a0=\u00a00.046], 15\u2010 to 20\u2010 and 20\u2010 to 30\u2010year follow\u2010ups, respectively), as well as to teeth presenting a thin\/non\u2010modified periodontal phenotype (i.e., OR: 3.53 [<jats:italic>P<\/jats:italic>\u00a0=\u00a00.037] and 5.51 [<jats:italic>P<\/jats:italic>\u00a0=\u00a00.008], 15\u2010 to 20\u2010 and 20\u2010 to 30\u2010year follow\u2010ups, respectively).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Periodontal phenotype modification achieved by FGG may prevent the development\/progression of NCCL. Evidence suggests that the thickness and width of the AG had a direct influence on the need of restoring these lesions during the 25\u2010 to 30\u2010year observation period.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jper.19-0032","type":"journal-article","created":{"date-parts":[[2019,6,13]],"date-time":"2019-06-13T09:03:42Z","timestamp":1560416622000},"page":"1235-1243","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Effect of gingival augmentation procedure (free gingival graft) on reducing the risk of non\u2010carious cervical lesions: A 25\u2010 to 30\u2010year follow\u2010up study"],"prefix":"10.1002","volume":"90","author":[{"given":"Giancarlo","family":"Agudio","sequence":"first","affiliation":[{"name":"Private practice  Bergamo Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leandro","family":"Chambrone","sequence":"additional","affiliation":[{"name":"MSc Dentistry Program School of Dentistry Ibirapuera University (Unib)  S\u00e3o Paulo SP Brazil"},{"name":"Unit of Basic Oral Investigation (UIBO) School of Dentistry El Bosque University  Bogota Colombia"},{"name":"Department of Periodontics College of Dentistry The University of Iowa  Iowa City IA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Filippo","family":"Selvaggi","sequence":"additional","affiliation":[{"name":"Research Unit in Periodontology and Periodontal Medicine Department of Surgery and Translational Medicine University of Florence  Florence Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovan Paolo","family":"Pini\u2010Prato","sequence":"additional","affiliation":[{"name":"Tuscany Academy of Dental Research (ATRO)  Florence 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