{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T02:33:43Z","timestamp":1781145223594,"version":"3.54.1"},"reference-count":24,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,10,21]],"date-time":"2020-10-21T00:00:00Z","timestamp":1603238400000},"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":[[2021,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>This split\u2010mouth randomized clinical trial compared two different types of subepithelial connective tissue grafts (SCTG) considering clinical parameters and patient\u2010centered outcomes in patients with bilateral recession type 1 multiple gingival recessions after 6 months postoperatively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 21 patients were surgically treated with coronally advanced flap (CAF) associated with SCTG harvested by: double blade scalpel (DBS) and de\u2010epithelialized (DE) SCTG. Periodontal clinical parameters and esthetics were evaluated by a calibrated periodontist at baseline and after 6 months. Patient\u2010centered outcomes related to pain\/discomfort and esthetics were assessed with visual analogue scale after 7 days and 6 months, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All clinical parameters, with the exception of probing depth, demonstrated differences in intragroup evaluation, comparing baseline to 6\u2010month evaluation (<jats:italic>P<\/jats:italic>\u00a0&lt;0.05). Both groups presented reduction of recession depth and recession width and gain of keratinized tissue thickness, keratinized tissue width, and clinical attachment level (<jats:italic>P<\/jats:italic>\u00a0&lt;0.05). Intergroup comparison (DBS \u00d7 DE) demonstrated no significant differences considering clinical parameters and periods. Both techniques improved esthetics evaluated by patients, without a difference between groups in patients and professional analysis. However, DBS group presented inferior pain\/discomfort compared with DE (<jats:italic>P<\/jats:italic>\u00a0&lt;0.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>DBS and DE associated with CAF presented satisfactory clinical outcomes. However, DBS presented inferior morbidity, an important fact for decision\u2010making process.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jper.19-0646","type":"journal-article","created":{"date-parts":[[2020,9,30]],"date-time":"2020-09-30T15:51:41Z","timestamp":1601481101000},"page":"814-822","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Clinical and patient\u2010centered outcomes using two types of subepithelial connective tissue grafts: A split\u2010mouth randomized clinical trial"],"prefix":"10.1002","volume":"92","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0286-7575","authenticated-orcid":false,"given":"Mariana Schutzer Ragghianti","family":"Zangrando","sequence":"first","affiliation":[{"name":"Department of Periodontics, Bauru School of Dentistry University of S\u00e3o Paulo  Bauru S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ricardo Rabelo","family":"Eustachio","sequence":"additional","affiliation":[{"name":"Department of Periodontics, Bauru School of Dentistry University of S\u00e3o Paulo  Bauru S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria L\u00facia Rubo","family":"de Rezende","sequence":"additional","affiliation":[{"name":"Department of Periodontics, Bauru School of Dentistry University of S\u00e3o Paulo  Bauru S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5640-9292","authenticated-orcid":false,"given":"Adriana Campos Passanezi","family":"Sant'ana","sequence":"additional","affiliation":[{"name":"Department of Periodontics, Bauru School of Dentistry University of S\u00e3o Paulo  Bauru S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carla Andreotti","family":"Damante","sequence":"additional","affiliation":[{"name":"Department of Periodontics, Bauru School of Dentistry University of S\u00e3o Paulo  Bauru S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebasti\u00e3o Luiz Aguiar","family":"Greghi","sequence":"additional","affiliation":[{"name":"Department of Periodontics, Bauru School of Dentistry University of S\u00e3o Paulo  Bauru S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,10,21]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"Glossary of Periodontal Terms","year":"2001"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1992.63.6.489"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12185"},{"key":"e_1_2_9_5_1","doi-asserted-by":"crossref","first-page":"728","DOI":"10.1111\/j.1600-051X.2010.01550.x","article-title":"Patient morbidity and root coverage outcome after subepithelial connective tissue and de\u2010epithelialized grafts: a comparative 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