{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T11:05:15Z","timestamp":1791889515519,"version":"4.3.4"},"reference-count":38,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2013,11,10]],"date-time":"2013-11-10T00:00:00Z","timestamp":1384041600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Clinic Periodontology"],"published-print":{"date-parts":[[2014,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this randomized clinical trial (<jats:styled-content style=\"fixed-case\">RCT<\/jats:styled-content>) was to introduce 3D digital measuring methods for evaluating the outcomes after surgical root coverage (RC) and to assess the clinical performance of the tunnel technique with subepithelial connective tissue graft (<jats:styled-content style=\"fixed-case\">TUN<\/jats:styled-content>) <jats:italic>versus<\/jats:italic> the coronally advanced flap (<jats:styled-content style=\"fixed-case\">CAF<\/jats:styled-content>) with enamel matrix derivative in the treatment of shallow localized gingival recession defects.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and Methods<\/jats:title><jats:p>Twenty\u2010four patients contributed a total of 47 Miller class I or <jats:styled-content style=\"fixed-case\">II<\/jats:styled-content> recessions for scientific evaluation. Clinical outcomes were evaluated at 6 and 12\u00a0months. Precise study models gained at baseline and follow\u2010up examinations were optically scanned and virtually superimposed for digital evaluation of clinical outcome measures including percentage of RC and complete root coverage (<jats:styled-content style=\"fixed-case\">CRC<\/jats:styled-content>). Patient\u2010centred outcomes were evaluated with questionnaires. Final aesthetic outcomes were assessed using the root coverage esthetic score (<jats:styled-content style=\"fixed-case\">RES<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At 12\u00a0months, <jats:styled-content style=\"fixed-case\">RC<\/jats:styled-content> was 98.4% for <jats:styled-content style=\"fixed-case\">TUN<\/jats:styled-content>\u2010treated and 71.8% for <jats:styled-content style=\"fixed-case\">CAF<\/jats:styled-content>\u2010treated defects (<jats:italic>p\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.0004). <jats:styled-content style=\"fixed-case\">CRC<\/jats:styled-content> was observed in 78.6% (<jats:styled-content style=\"fixed-case\">TUN<\/jats:styled-content>) and 21.4% (<jats:styled-content style=\"fixed-case\">CAF<\/jats:styled-content>) of the cases (<jats:italic>p\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.0070). Results for patient\u2010centred outcomes were equivalent for both groups but evaluation of the final aesthetic outcomes using the <jats:styled-content style=\"fixed-case\">RES<\/jats:styled-content> revealed a significant difference (9.06 <jats:italic>versus<\/jats:italic> 6.92, <jats:italic>p\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.0034) in favour of <jats:styled-content style=\"fixed-case\">TUN<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">TUN<\/jats:styled-content> resulted in significantly better clinical outcomes compared with <jats:styled-content style=\"fixed-case\">CAF<\/jats:styled-content>. The new measuring method provided high accuracy and unforeseen precision in the evaluation of treatment outcomes after surgical RC.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jcpe.12178","type":"journal-article","created":{"date-parts":[[2013,10,12]],"date-time":"2013-10-12T02:35:28Z","timestamp":1381545328000},"page":"582-592","source":"Crossref","is-referenced-by-count":105,"title":["Tunnel technique with connective tissue graft <i>versus<\/i> coronally advanced flap with enamel matrix derivative for root coverage: a <scp>RCT<\/scp> using 3D digital measuring methods. Part I. 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