{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T05:18:38Z","timestamp":1783055918551,"version":"3.54.6"},"reference-count":25,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T00:00:00Z","timestamp":1782950400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T00:00:00Z","timestamp":1782950400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["aap.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Periodontology"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This 6\u2010year observational follow\u2010up of a randomized, parallel\u2010arm clinical trial evaluated the association between toothbrush type and periodontal phenotype on the long\u2010term stability of the gingival margin (GM) following coronally advanced flap (CAF) surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Thirty\u2010one of the original 60 subjects were reevaluated after 6 years. Treated gingival recessions were allocated to manual or oscillating\u2010rotating toothbrush use. Periodontal phenotype was qualitatively assessed at baseline using a color\u2010coded probe. Recession depth (RD), mean root coverage (mRC), and complete root coverage (CRC) were recorded over time and compared between groups. Data were analyzed using random\u2010intercept models and non\u2010parametric tests (\u03b1 = 0.05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      GM relapse occurred in both groups. Loss of CRC occurred earlier in the manual toothbrush group (6 months) than in the oscillating\u2010rotating group (2 years). At 6 years, both groups showed a significant reduction in CRC (manual: 58.8%,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001; oscillating\u2010rotating: 57.1%,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001), with no statistically significant differences between toothbrush types. Periodontal phenotype and oscillating\u2010rotating toothbrush use, assessed at the 6\u2010year time point, were associated with greater GM stability.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Within the limitations of this 6\u2010year follow\u2010up, CAF surgery in thin and medium periodontal phenotypes was associated with gingival recession recurrence over time, while oscillating\u2010rotating toothbrush use was associated with delayed GM breakdown.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jper.70163","type":"journal-article","created":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T04:39:31Z","timestamp":1783053571000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of toothbrush type and periodontal phenotype on root coverage stability: A 6\u2010year observational follow\u2010up of a randomized clinical trial"],"prefix":"10.1002","author":[{"given":"Raffaele","family":"Acunzo","sequence":"first","affiliation":[{"name":"Department of Biomedical Surgical and Dental Sciences University of Milan  Milan Italy"},{"name":"Foundation IRCCS Ca\u2019 Granda Polyclinic  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6691-015X","authenticated-orcid":false,"given":"Enrico","family":"Limiroli","sequence":"additional","affiliation":[{"name":"Department of Biomedical Surgical and Dental Sciences University of Milan  Milan Italy"},{"name":"Foundation IRCCS Ca\u2019 Granda Polyclinic  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-1044-037X","authenticated-orcid":false,"given":"Silvia","family":"Ricoboni","sequence":"additional","affiliation":[{"name":"Department of Biomedical Surgical and Dental Sciences University of Milan  Milan Italy"},{"name":"Foundation IRCCS Ca\u2019 Granda Polyclinic  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giorgia","family":"Saracino","sequence":"additional","affiliation":[{"name":"Department of Biomedical Surgical and Dental Sciences University of Milan  Milan Italy"},{"name":"Foundation IRCCS Ca\u2019 Granda Polyclinic  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3836-147X","authenticated-orcid":false,"given":"Giulio","family":"Rasperini","sequence":"additional","affiliation":[{"name":"Department of Biomedical Surgical and Dental Sciences University of Milan  Milan Italy"},{"name":"Foundation IRCCS Ca\u2019 Granda Polyclinic  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,2]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12182"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.22\u20100075"},{"issue":"1","key":"e_1_2_12_4_1","first-page":"9","article-title":"Surgical treatment of single gingival recessions: clinical guidelines","volume":"7","author":"Pini\u2010Prato G","year":"2014","journal-title":"Eur J Oral Implantol"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD007161.pub3"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.19\u20100715"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2014.140006"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u2010051X.2011.01744.x"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12932"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.18\u20100615"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.17\u20100379"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/idh.12085"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/idj.12421"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.5681\/joddd.2009.023"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/jre.12540"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100757.2009.00337.x"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2016.150528"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u2010051X.2011.01732.x"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1902\/cap.2011.100002"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.11607\/prd.2239"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.17\u20100619"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.21\u20100067"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784\u2010020\u201003406\u20103"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.22\u20100248"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.21\u20100041"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.13155"}],"container-title":["Journal of Periodontology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aap.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jper.70163","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aap.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jper.70163","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aap.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jper.70163","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T04:39:39Z","timestamp":1783053579000},"score":1,"resource":{"primary":{"URL":"https:\/\/aap.onlinelibrary.wiley.com\/doi\/10.1002\/jper.70163"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,2]]},"references-count":25,"alternative-id":["10.1002\/jper.70163"],"URL":"https:\/\/doi.org\/10.1002\/jper.70163","archive":["Portico"],"relation":{},"ISSN":["0022-3492","1943-3670"],"issn-type":[{"value":"0022-3492","type":"print"},{"value":"1943-3670","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,2]]},"assertion":[{"value":"2025-11-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"jper.70163"}}