{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T01:44:07Z","timestamp":1792287847908,"version":"4.4.0"},"reference-count":30,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,12,22]],"date-time":"2022-12-22T00:00:00Z","timestamp":1671667200000},"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":[[2023,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>This study introduces the root plastique technique (RPT), the aim of which is to modify the gingival phenotype of sites with gingival recessions (GRs) associated with non\u2010carious cervical lesions (NCCLs) prior to surgical treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>RPT was performed in 22 subjects with 53 RT1 A\/B + GRs. Changes in keratinized tissue thickness (KTT), keratinized tissue width (KTW), relative gingival recession (RGR), relative clinical attachment level (RCAL), and probing pocket depth (PPD) were measured at baseline (T0) and 2 months (T1) after the procedure was performed. All analyses were performed by means of hierarchical models.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study revealed statistically significant changes (<jats:italic>P<\/jats:italic> &lt; 0.01) in KTT (0.45 \u00b1 0.04 mm), RGR (0.80 \u00b1 0.13 mm), KTW (0.67 \u00b1 0.07 mm), and RCAL (\u20100.72 \u00b1 0.16 mm). No changes in PPD (<jats:italic>P<\/jats:italic> &gt; 0.05) were observed. Regression analyses of KTT increase and RGR reduction at T0 showed statistically significant correlation between the two variables (<jats:italic>P<\/jats:italic> &lt; 0.05). All the teeth with a KTT of &lt;0.8 mm at T0 (<jats:italic>N<\/jats:italic> = 14) reached or surpassed this threshold at T1.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>RPT increases KTT and KTW. In most of the sites, a reduction in GR was also achieved.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jper.22-0414","type":"journal-article","created":{"date-parts":[[2022,11,23]],"date-time":"2022-11-23T13:36:02Z","timestamp":1669210562000},"page":"641-651","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Minimally invasive gingival phenotype modification in gingival recession associated with a non\u2010carious cervical lesion using the root plastique technique: A quasi\u2010experimental one\u2010group pretest\u2010posttest study"],"prefix":"10.1002","volume":"94","author":[{"given":"Luigi","family":"Romano","sequence":"first","affiliation":[{"name":"Department of Medical, Oral, and Biotechnological Sciences G. D'Annunzio University  Chieti\u2010Pescara Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele","family":"Paolantonio","sequence":"additional","affiliation":[{"name":"Department of Medical, Oral, and Biotechnological Sciences G. D'Annunzio University  Chieti\u2010Pescara Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paolo","family":"De Ninis","sequence":"additional","affiliation":[{"name":"Luisa D'Annunzio Institute for High Culture  Pescara Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5067-7317","authenticated-orcid":false,"given":"Muhammad H. A.","family":"Saleh","sequence":"additional","affiliation":[{"name":"Department of Periodontics and Oral Medicine University of Michigan School of Dentistry  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruna","family":"Sinjari","sequence":"additional","affiliation":[{"name":"Department of Medical, Oral, and Biotechnological Sciences G. D'Annunzio University  Chieti\u2010Pescara Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edit","family":"Xhajanka","sequence":"additional","affiliation":[{"name":"Department of Dental Medicine Medical University of Tirana, Rruga e Dibr\u00ebs  Tirana Albania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beatrice","family":"Femminella","sequence":"additional","affiliation":[{"name":"Department of Medical, Oral, and Biotechnological Sciences G. D'Annunzio University  Chieti\u2010Pescara Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4238-1799","authenticated-orcid":false,"given":"Hom\u2010lay","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Periodontics and Oral Medicine University of Michigan School of Dentistry  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3029-8130","authenticated-orcid":false,"given":"Andrea","family":"Ravid\u00e1","sequence":"additional","affiliation":[{"name":"Department of Periodontics &amp; Oral Medicine University of Pittsburgh  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,12,22]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.17-0733"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.13353"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jre.12094"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12114"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-019-02996-9"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.16-0671"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.1976.tb01607.x"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/154405910608500405"},{"key":"e_1_2_8_10_1","first-page":"183","article-title":"Noncarious cervical lesions (NCCL)\u2014a clinical concept based on the literature review. Part 2: restoration","volume":"24","author":"Pecie R","year":"2011","journal-title":"Am J Dent"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12932"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2010.090631"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2013.120447"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.2009.01389.x"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12590"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2005.76.6.899"},{"key":"e_1_2_8_17_1","first-page":"229","article-title":"Problems and proposals for recording gingivitis and plaque","volume":"25","author":"Ainamo J","year":"1975","journal-title":"Int Dent J"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2010.090366"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12444"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.19-0646"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-04898-2_387"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jml.2012.11.001"},{"key":"e_1_2_8_23_1","first-page":"10","article-title":"Biologically oriented preparation technique (BOPT): a new approach for prosthetic restoration of periodontically healthy teeth","volume":"8","author":"Loi I","year":"2013","journal-title":"Eur J Esthet Dent"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.2012.719"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.21-0358"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0765.1976.tb00069.x"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12330"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.4103\/0972-124X.138699"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/2380084420942171"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a112321"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyh299"}],"container-title":["Journal of Periodontology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/JPER.22-0414","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/JPER.22-0414","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aap.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/JPER.22-0414","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T08:59:10Z","timestamp":1760864350000},"score":1,"resource":{"primary":{"URL":"https:\/\/aap.onlinelibrary.wiley.com\/doi\/10.1002\/JPER.22-0414"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,22]]},"references-count":30,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2023,5]]}},"alternative-id":["10.1002\/JPER.22-0414"],"URL":"https:\/\/doi.org\/10.1002\/jper.22-0414","archive":["Portico"],"relation":{},"ISSN":["0022-3492","1943-3670"],"issn-type":[{"value":"0022-3492","type":"print"},{"value":"1943-3670","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,12,22]]},"assertion":[{"value":"2022-07-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-11-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-12-22","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}