{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T16:04:40Z","timestamp":1792512280468,"version":"4.5.0"},"reference-count":28,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,1,30]],"date-time":"2023-01-30T00:00:00Z","timestamp":1675036800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["aap.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Periodontology"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The aim of this study was to evaluate clinical and patient\u2010reported outcomes following surgical root coverage at RT1 gingival recession defects at mandibular incisors, using either a conventional free gingival graft (FGG) or a modified FGG (ModFGG).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Total of 30 patients with RT1 gingival recessions at mandibular incisors were enrolled and randomly allocated to either a control (FGG) or test group (ModFGG). Evaluations of clinical changes (recession depth, height of keratinized tissue) and patient satisfaction were performed over a follow\u2010up period of 12 months. Post\u2010surgical changes of keratinized tissue height (shrinkage) were assessed from 1 month and onward.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>ModFGG resulted in more pronounced root coverage at 1 year compared to FGG (91.8%\u00a0vs. 60.7%, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001). Height of keratinized tissue was improved by 4.2 and 2.2\u00a0mm (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001), respectively, with significantly less shrinkage in ModFGG. Post\u2010surgical morbidity was significantly lower for ModFGG at 2\u00a0weeks and patient satisfaction was significantly higher 12 months after treatment (9.1\u00a0vs. 5.4; <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>ModFGG represents a valid approach for the management of RT1 recession defects at mandibular incisors. The technique is superior to traditional FGG in terms of root coverage, the gain of keratinized tissue height, and patient satisfaction.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jper.22-0581","type":"journal-article","created":{"date-parts":[[2023,1,10]],"date-time":"2023-01-10T23:09:37Z","timestamp":1673392177000},"page":"722-730","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Modified free gingival graft technique for treatment of gingival recession defects at mandibular incisors: A randomized clinical trial"],"prefix":"10.1002","volume":"94","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8084-3873","authenticated-orcid":false,"given":"Olivier","family":"Carcuac","sequence":"first","affiliation":[{"name":"Department of Periodontology Institute of Odontology The Sahlgrenska Academy University of Gothenburg  Gothenburg Sweden"},{"name":"ConfiDent Dental Surgery Clinic Palm Jumeirah  Dubai United Arab Emirates"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5172-5165","authenticated-orcid":false,"given":"Anna","family":"Trullenque\u2010Eriksson","sequence":"additional","affiliation":[{"name":"Department of Periodontology Institute of Odontology The Sahlgrenska Academy University of Gothenburg  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1133-6074","authenticated-orcid":false,"given":"Jan","family":"Derks","sequence":"additional","affiliation":[{"name":"Department of Periodontology Institute of Odontology The Sahlgrenska Academy University of Gothenburg  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,1,30]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"World Workshop in Periodontics","author":"Periodontology 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