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Among all the different techniques, the use of a graft under a coronally advanced flap results in the best short\u2010 and long\u2010term outcomes in terms of root coverage and gain in keratinized tissue. The use of a coronally advanced flap\u2003+\u2003connective tissue graft would appear to be the best choice for root coverage. However, harvesting a graft from the palate adds morbidity, surgical chair\u2010time and requires increased surgical skills. A potential alternative could be the use of enamel matrix derivatives under a coronally advanced flap, and this achieves similar clinical outcomes and is less invasive, but adds economic costs to the treatment. Evidence shows that a coronally advanced flap alone in many instances results in complete root coverage and is stable over time. A coronally advanced flap is less invasive for the patient, requires less chair\u2010time and probably less surgical skill. It would therefore be desirable to use a coronally advanced flap approach when indicated. It has been hypothesized that a coronally advanced flap approach alone could be successfully applied when the residual gingiva is thick and wide, although existing evidence does not support this hypothesis in full. Accordingly, the adjunctive use of a graft or enamel matrix derivatives could be restricted to sites at which there is thin and narrow residual gingiva.<\/jats:p>","DOI":"10.1111\/j.1600-0757.2011.00434.x","type":"journal-article","created":{"date-parts":[[2012,4,17]],"date-time":"2012-04-17T10:19:40Z","timestamp":1334657980000},"page":"158-184","source":"Crossref","is-referenced-by-count":98,"title":["Coronally advanced flap and combination therapy for root coverage. 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