{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T12:29:11Z","timestamp":1776774551353,"version":"3.51.2"},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,10,16]],"date-time":"2020-10-16T00:00:00Z","timestamp":1602806400000},"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":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>To determine if there is a difference in the amount of shrinkage during healing of free soft tissue autografts (FSTAs) using different surgical techniques\u2014suturing the vestibular flap margin apically to the base of the recipient bed versus leaving the flap margin free and unsutured.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Twenty\u2010eight patients with mucogingival defects requiring FSTAs were recruited and enrolled in the study. Patients were randomized into test and control groups (14 per group) and received \u22651 FSTAs on non\u2010molar mandibular teeth. In the test group the mucosal flap margin was sutured apically to the periosteum at the base of the graft; whereas, the mucosal flap margin in the control group was left free. Graft dimensional measurements were taken at time of surgery, then at 1, 3, and 6 months post\u2010surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty\u2010five grafts were performed (15 test, 20 control). All FSTAs experienced vertical shrinkage after 6 months, but there was no significant difference (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.51) in the mean amount of shrinkage after 6 months between the test (23.20%\u00a0\u00b1\u00a020.88%) and control (21.10%\u00a0\u00b1\u00a021.88%) groups. There was significantly greater horizontal shrinkage in the test (loss of 7.59%\u00a0\u00b1\u00a010.20%) compared with the control (small gain of 0.32%\u00a0\u00b1\u00a04.20%) group (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The findings suggest that there is similar vertical shrinkage when performing FSTA surgery when the mucosal flap margin is left free and unsutured when compared with leaving the flap margin free.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jper.20-0033","type":"journal-article","created":{"date-parts":[[2020,7,27]],"date-time":"2020-07-27T06:11:17Z","timestamp":1595830277000},"page":"45-53","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Impact of different surgical protocols on dimensional changes of free soft tissue autografts: A randomized controlled trial"],"prefix":"10.1002","volume":"92","author":[{"given":"Akemi","family":"Arzouman","sequence":"first","affiliation":[{"name":"Department of Periodontics UT Health San Antonio School of Dentistry  San Antonio TX"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David E.","family":"Deas","sequence":"additional","affiliation":[{"name":"Department of Periodontics UT Health San Antonio School of Dentistry  San Antonio TX"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael P.","family":"Mills","sequence":"additional","affiliation":[{"name":"Department of Periodontics UT Health San Antonio School of Dentistry  San Antonio TX"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guy","family":"Huynh\u2010Ba","sequence":"additional","affiliation":[{"name":"Department of Periodontics UT Health San Antonio School of Dentistry  San Antonio TX"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas J.","family":"Prihoda","sequence":"additional","affiliation":[{"name":"Department of Pathology UT Health San Antonio  San Antonio TX"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian L.","family":"Mealey","sequence":"additional","affiliation":[{"name":"Department of Periodontics UT Health San Antonio School of Dentistry  San Antonio TX"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,10,16]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2015.130684"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1975.46.12.701"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.1987.tb00964.x"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2009.090122"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.1985.tb00938.x"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1999.70.10.1174"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1972.43.10.623"},{"key":"e_1_2_8_9_1","first-page":"107","article-title":"Periosteal fenestation in mucogingival surgery","volume":"9","author":"Robinson RE","year":"1961","journal-title":"J Western Society of Periodontology"},{"key":"e_1_2_8_10_1","first-page":"243","article-title":"Free gingival grafts","volume":"4","author":"Nabers JM","year":"1966","journal-title":"Periodontics"},{"key":"e_1_2_8_11_1","first-page":"5","article-title":"Free autogenous gingival grafts. 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