{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T11:05:18Z","timestamp":1791889518540,"version":"4.3.4"},"reference-count":30,"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":[{"name":"Geistlich AG"}],"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>Aim<\/jats:title><jats:p>The scope of the discussions of this consensus report was to assess the strength of the scientific evidence and make clinical and research recommendations for surgical interventions to cover exposed root surfaces and enhance soft tissues at implants.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Discussions were informed by three systematic reviews covering single recessions, multiple recessions and soft\u2010tissue deficiencies at implants. The strength of the evidence was assessed using a modification in <jats:styled-content style=\"fixed-case\">GRADE<\/jats:styled-content>. The group also emphasized the need to report the experience of the surgeon and the performance of the control intervention (<jats:styled-content style=\"fixed-case\">CONSORT<\/jats:styled-content> guidelines for non\u2010pharmacological treatment).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A moderate strength of evidence supported the following statements for single (moderately deep, mostly maxillary) recessions without inter\u2010dental attachment loss: (i) The addition of a connective tissue graft (<jats:styled-content style=\"fixed-case\">CTG<\/jats:styled-content>) improved outcomes of coronally advanced flaps (<jats:styled-content style=\"fixed-case\">CAF<\/jats:styled-content>). (ii) The addition of enamel matrix derivative (<jats:styled-content style=\"fixed-case\">EMD<\/jats:styled-content>) improved the outcomes of <jats:styled-content style=\"fixed-case\">CAF<\/jats:styled-content>. For multiple recessions, preliminary data indicate that flaps specifically designed to treat this condition are worthy of additional attention. Emerging data indicate that it is possible to obtain complete root coverage at sites with some inter\u2010dental attachment loss. With regards to soft\u2010tissue deficiencies at implants, several procedures are available, but great heterogeneity among studies does not allow drawing conclusions at this time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The group highlighted that periodontal plastic procedures are complex, technique\u2010sensitive interventions that require advanced skills and expertise. At single recessions, the addition of autologous <jats:styled-content style=\"fixed-case\">CTG<\/jats:styled-content> or <jats:styled-content style=\"fixed-case\">EMD<\/jats:styled-content> under <jats:styled-content style=\"fixed-case\">CAF<\/jats:styled-content> improves complete root coverage and may be considered the procedure of choice at maxillary anterior and premolar teeth. The adjunctive benefit needs to be put in the context of increased morbidity of the donor area or increased cost. Additional research is needed to: (i) assess the role of alternatives to autologous soft\u2010tissue grafting in combination with <jats:styled-content style=\"fixed-case\">CAF<\/jats:styled-content>; (ii) identify the optimal surgical design and the need for additional soft\u2010tissue grafting (or alternatives) at multiple recessions, recessions with inter\u2010dental attachment loss and soft\u2010tissue deficiencies at implants.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jcpe.12219","type":"journal-article","created":{"date-parts":[[2014,3,19]],"date-time":"2014-03-19T07:14:56Z","timestamp":1395213296000},"source":"Crossref","is-referenced-by-count":153,"title":["Clinical efficacy of periodontal plastic surgery procedures: Consensus Report of Group 2 of the 10th European Workshop on Periodontology"],"prefix":"10.1111","volume":"41","author":[{"given":"Maurizio S.","family":"Tonetti","sequence":"first","affiliation":[{"name":"European Research Group on Periodontology Genova Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u00f8ren","family":"Jepsen","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Operative and Preventive Dentistry University of Bonn Bonn Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Working Group 2 of the European Workshop on Periodontology","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,3,19]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1999.70.1.30"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.2009.01492.x"},{"key":"e_1_2_14_4_1","first-page":"???","article-title":"Root caries: a periodontal perspective","author":"Bignozzi I.","year":"2013","journal-title":"Journal of Periodontal Research"},{"key":"e_1_2_14_5_1","doi-asserted-by":"crossref","first-page":"W60","DOI":"10.7326\/0003-4819-148-4-200802190-00008-w1","article-title":"Methods and processes of the CONSORT group: example of an extension for trials assessing nonpharmacologic treatments","author":"Boutron I.","year":"2008","journal-title":"Annals of Internal Medicine"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12028"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.2012.01903.x"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2010.100278"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.2011.01732.x"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12182"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.2008.01267.x"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2009.080565"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.2008.01346.x"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2012.120143"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12172"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39489.470347.AD"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0757.2004.03681.x"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.2008.01348.x"},{"key":"e_1_2_14_19_1","first-page":"8","article-title":"A classification of marginal tissue recession","volume":"5","author":"Miller P. 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