{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T18:10:14Z","timestamp":1789495814433,"version":"build-2803163510"},"reference-count":45,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2016,1,8]],"date-time":"2016-01-08T00:00:00Z","timestamp":1452211200000},"content-version":"vor","delay-in-days":38,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Clinic Periodontology"],"published-print":{"date-parts":[[2015,12]]},"abstract":"Abstract<\/jats:title>\n \n Aim<\/jats:title>\n \n The aim of this randomized controlled clinical study was to evaluate the outcomes of acellular dermal matrix (\n ADM<\/jats:styled-content>\n ) graft in combination with tunnel technique (\n TUN<\/jats:styled-content>\n ) on root coverage, aesthetics, and patient satisfaction and to compare with coronally advanced flap (\n CAF<\/jats:styled-content>\n )+\n ADM<\/jats:styled-content>\n in the treatment of multiple gingival recessions.\n <\/jats:p>\n <\/jats:sec>\n \n Material and Methods<\/jats:title>\n \n A total of 20 patients with 58 Miller Class I multiple recessions \u22653\u00a0mm were included and divided into\n TUN<\/jats:styled-content>\n +\n ADM<\/jats:styled-content>\n and\n CAF<\/jats:styled-content>\n +\n ADM<\/jats:styled-content>\n groups. At baseline and 12\u00a0months, probing depth (\n PD<\/jats:styled-content>\n ), clinical attachment level (\n CAL<\/jats:styled-content>\n ), recession height (\n RH<\/jats:styled-content>\n ) and width (\n RW<\/jats:styled-content>\n ), keratinized tissue height (\n KT<\/jats:styled-content>\n ), gingival thickness, and complete and mean root coverage (\n CRC<\/jats:styled-content>\n ,\n MRC<\/jats:styled-content>\n ) were evaluated. Patient satisfaction and root coverage aesthetic scores (\n RES<\/jats:styled-content>\n ) were also assessed.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Mean root coverage was 75.72% in\n TUN<\/jats:styled-content>\n +\n ADM<\/jats:styled-content>\n and 93.81% in\n CAF<\/jats:styled-content>\n +\n ADM<\/jats:styled-content>\n . Intragroup comparisons revealed significant differences at 12\u00a0months for all parameters in both groups (\n p<\/jats:italic>\n \u00a0<\u00a00.05). Intergroup differences were found to be statistically significant for\n RH<\/jats:styled-content>\n and\n RW<\/jats:styled-content>\n reduction,\n KT<\/jats:styled-content>\n increase,\n CAL<\/jats:styled-content>\n gain,\n MRC<\/jats:styled-content>\n ,\n CRC<\/jats:styled-content>\n , and\n RES<\/jats:styled-content>\n in favour of\n CAF<\/jats:styled-content>\n +\n ADM<\/jats:styled-content>\n group (\n p<\/jats:italic>\n \u00a0<\u00a00.05).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n Both techniques were effective in root coverage of multiple recessions; however, better clinical results were achieved with\n CAF<\/jats:styled-content>\n and\n ADM<\/jats:styled-content>\n combination.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jcpe.12477","type":"journal-article","created":{"date-parts":[[2015,10,28]],"date-time":"2015-10-28T01:56:38Z","timestamp":1445997398000},"page":"1135-1142","source":"Crossref","is-referenced-by-count":57,"title":["Tunnel technique\n versus<\/i>\n coronally advanced flap with acellular dermal matrix graft in the treatment of multiple gingival recessions"],"prefix":"10.1111","volume":"42","author":[{"given":"Ilknur","family":"Ozenci","sequence":"first","affiliation":[{"name":"Department of Periodontology Faculty of Dentistry Yeditepe University Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebnem Dirikan","family":"Ipci","sequence":"additional","affiliation":[{"name":"Department of Periodontology Faculty of Dentistry Yeditepe University Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gokser","family":"Cakar","sequence":"additional","affiliation":[{"name":"Department of Periodontology Faculty of Dentistry Yeditepe University Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Selcuk","family":"Yilmaz","sequence":"additional","affiliation":[{"name":"Department of Periodontology Faculty of Dentistry Yeditepe University Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,1,8]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12211"},{"key":"e_1_2_5_3_1","first-page":"229","article-title":"Problems and proposals for recording gingivitis and plaque","volume":"25","author":"Ainamo J.","year":"1975","journal-title":"International Dental Journal"},{"key":"e_1_2_5_4_1","first-page":"216","article-title":"Use of the supraperiosteal envelope in soft tissue grafting for root coverage. 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