{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T16:34:29Z","timestamp":1785602069228,"version":"3.56.0"},"reference-count":47,"publisher":"Wiley","issue":"s15","license":[{"start":{"date-parts":[[2014,3,19]],"date-time":"2014-03-19T00:00:00Z","timestamp":1395187200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100007514","name":"University of Pisa","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100007514","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Italian Ministry Health and the Tuscan Region","award":["GR-2009-1592229"],"award-info":[{"award-number":["GR-2009-1592229"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Clinic Periodontology"],"published-print":{"date-parts":[[2014,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To systematically review the efficacy of periodontal plastic procedures (<jats:styled-content style=\"fixed-case\">PPP<\/jats:styled-content>) in the treatment of multiple gingival recessions (<jats:styled-content style=\"fixed-case\">MGR<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Randomized clinical trials (<jats:styled-content style=\"fixed-case\">RCT<\/jats:styled-content>) on <jats:styled-content style=\"fixed-case\">MGR<\/jats:styled-content> treatment with at least 6\u00a0months duration were identified through electronic databases and hand\u2010searched journals. Primary outcomes were complete root coverage (<jats:styled-content style=\"fixed-case\">CRC<\/jats:styled-content>) and percentage of root coverage (<jats:styled-content style=\"fixed-case\">PRC<\/jats:styled-content>). Weighted means and forest plots were calculated for all <jats:styled-content style=\"fixed-case\">PPP<\/jats:styled-content>. Subgroup analysis was performed according to the type of flap. A Bayesian network meta\u2010analysis (<jats:styled-content style=\"fixed-case\">NM<\/jats:styled-content>) on secondary outcomes was also performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Nine trials including 208 subjects and 858 recessions were identified. <jats:styled-content style=\"fixed-case\">CRC<\/jats:styled-content> after <jats:styled-content style=\"fixed-case\">PPP<\/jats:styled-content> was 24\u201389%. Mean weighted <jats:styled-content style=\"fixed-case\">PRC<\/jats:styled-content> was 86.27% (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 80.71\u201391.83; <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.01). Heterogeneity of the literature prevented inter\u2010techniques comparison. Coronally advanced flap (<jats:styled-content style=\"fixed-case\">CAF<\/jats:styled-content>) shows the higher variability in terms of <jats:styled-content style=\"fixed-case\">CRC<\/jats:styled-content>. Modified <jats:styled-content style=\"fixed-case\">CAF<\/jats:styled-content> and tunnel approaches show higher level of <jats:styled-content style=\"fixed-case\">CRC<\/jats:styled-content>. The <jats:styled-content style=\"fixed-case\">NM<\/jats:styled-content> suggests that <jats:styled-content style=\"fixed-case\">CAF<\/jats:styled-content> plus graft showed the higher probability of being the best treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Limited evidence is available for <jats:styled-content style=\"fixed-case\">MGR<\/jats:styled-content> coverage. <jats:styled-content style=\"fixed-case\">PPP<\/jats:styled-content> are associated with high level of efficacy, in terms of <jats:styled-content style=\"fixed-case\">PRC<\/jats:styled-content>, and high variability of <jats:styled-content style=\"fixed-case\">CRC<\/jats:styled-content>. Indirect evidence indicates that <jats:styled-content style=\"fixed-case\">CAF<\/jats:styled-content> may benefit from newer variations of the technique and by the additional use of grafting.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jcpe.12172","type":"journal-article","created":{"date-parts":[[2014,3,19]],"date-time":"2014-03-19T07:14:56Z","timestamp":1395213296000},"source":"Crossref","is-referenced-by-count":118,"title":["Efficacy of periodontal plastic procedures in the treatment of multiple gingival recessions"],"prefix":"10.1111","volume":"41","author":[{"given":"Filippo","family":"Graziani","sequence":"first","affiliation":[{"name":"Unit of Dentistry and Oral Surgery Department of Surgical &amp; Medical Pathology University of Pisa Pisa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Gennai","sequence":"additional","affiliation":[{"name":"Unit of Dentistry and Oral Surgery Department of Surgical &amp; Medical Pathology University of Pisa Pisa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvia","family":"Rold\u00e1n","sequence":"additional","affiliation":[{"name":"Section of Graduate Periodontology University Complutense Madrid Spain"},{"name":"ETEP (Etiology and Therapy of Periodontal Diseases) Research Group University Complutense Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Discepoli","sequence":"additional","affiliation":[{"name":"Unit of Dentistry and Oral Surgery Department of Surgical &amp; Medical Pathology University of Pisa Pisa Italy"},{"name":"Section of Graduate Periodontology University Complutense Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacpop","family":"Buti","sequence":"additional","affiliation":[{"name":"School of Dentistry The University of Manchester Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phoebus","family":"Madianos","sequence":"additional","affiliation":[{"name":"School of Dentistry University of Athens Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Herrera","sequence":"additional","affiliation":[{"name":"Section of Graduate Periodontology University Complutense Madrid Spain"},{"name":"ETEP (Etiology and Therapy of Periodontal Diseases) Research Group University Complutense Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,3,19]]},"reference":[{"key":"e_1_2_5_2_1","first-page":"216","article-title":"Use of the supraperiosteal envelope in soft tissue grafting for root coverage. 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