{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T11:05:14Z","timestamp":1791889514207,"version":"4.3.4"},"reference-count":52,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2017,4,12]],"date-time":"2017-04-12T00:00:00Z","timestamp":1491955200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001807","name":"Funda\u00e7\u00e3o de Amparo \u00e0 Pesquisa do Estado de S\u00e3o Paulo","doi-asserted-by":"publisher","award":["2014\/00119\u20100"],"award-info":[{"award-number":["2014\/00119\u20100"]}],"id":[{"id":"10.13039\/501100001807","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001807","name":"Funda\u00e7\u00e3o de Amparo \u00e0 Pesquisa do Estado de S\u00e3o Paulo","doi-asserted-by":"publisher","award":["2015\/14119\u20105"],"award-info":[{"award-number":["2015\/14119\u20105"]}],"id":[{"id":"10.13039\/501100001807","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Clinic Periodontology"],"published-print":{"date-parts":[[2017,5]]},"abstract":"Abstract<\/jats:title>Background<\/jats:title>Although ample evidence supports connective tissue graft (CTG<\/jats:styled-content>) use for root coverage, there is need for research on recipient site preparation approaches. The purpose of this study was to compare the outcomes of trapezoidal coronally advanced flap (CAF<\/jats:styled-content>) and coronally advanced tunnel flap (TUN<\/jats:styled-content>) when used in conjunction with CTG<\/jats:styled-content>.<\/jats:p><\/jats:sec>Methods<\/jats:title>Forty\u2010two patients presenting 42 single maxillary, Miller Class I and II<\/jats:styled-content>, gingival recession defects were randomly assigned to receive either CAF<\/jats:styled-content>\u00a0+\u00a0CTG<\/jats:styled-content> (N<\/jats:italic>\u00a0=\u00a021) or TUN<\/jats:styled-content>\u00a0+\u00a0CTG<\/jats:styled-content> (N<\/jats:italic>\u00a0=\u00a021). Clinical, patient\u2010centred, and aesthetic outcomes were assessed.<\/jats:p><\/jats:sec>Results<\/jats:title>Six months postoperatively, both groups resulted in significant reduction in recession depth and increases in keratinized tissue thickness and width. CAF<\/jats:styled-content>\u00a0+\u00a0CTG<\/jats:styled-content> and TUN<\/jats:styled-content>\u00a0+\u00a0CTG<\/jats:styled-content> mean root coverage was 87.2\u00a0\u00b1\u00a027.1% and 77.4\u00a0\u00b1\u00a020.4% respectively (p\u00a0<\/jats:italic>=\u00a0<\/jats:italic>0.02). Complete root coverage was achieved in 71.4% and 28.6% of defects treated with CAF<\/jats:styled-content>\u00a0+\u00a0CTG<\/jats:styled-content> and TUN<\/jats:styled-content>\u00a0+\u00a0CTG<\/jats:styled-content> respectively (p\u00a0<\/jats:italic>=\u00a0<\/jats:italic>0.01). At 7\u00a0days postoperatively, TUN<\/jats:styled-content>\u00a0+\u00a0CTG<\/jats:styled-content> patients reported significantly less pain experience (p\u00a0<\/jats:italic>=\u00a0<\/jats:italic>0.04). Both approaches reduced dentine hypersensitivity by approximately 85% (p\u00a0<\/jats:italic><\u00a0<\/jats:italic>0.05). Patient\u2010based aesthetic evaluation indicated significant improvement for both groups. Although patient\u2010 and professional\u2010based aesthetic assessments revealed no differences between groups, tissue texture was significantly better for TUN<\/jats:styled-content>\u00a0+\u00a0CTG<\/jats:styled-content> (p\u00a0<\/jats:italic>=\u00a0<\/jats:italic>0.02).<\/jats:p><\/jats:sec>Conclusions<\/jats:title>For root coverage of single maxillary recession defects, CAF<\/jats:styled-content>\u00a0+\u00a0CTG<\/jats:styled-content> was more effective than TUN<\/jats:styled-content>\u00a0+\u00a0CTG<\/jats:styled-content> (ClinicalTrial.org\u2010NCT<\/jats:styled-content>02814279).<\/jats:p><\/jats:sec>","DOI":"10.1111\/jcpe.12714","type":"journal-article","created":{"date-parts":[[2017,2,23]],"date-time":"2017-02-23T22:36:28Z","timestamp":1487889388000},"page":"540-547","source":"Crossref","is-referenced-by-count":65,"title":["Connective tissue graft and tunnel or trapezoidal flap for the treatment of single maxillary gingival recessions: a randomized clinical trial"],"prefix":"10.1111","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9468-0729","authenticated-orcid":false,"given":"Mauro Pedrine","family":"Santamaria","sequence":"first","affiliation":[{"name":"Department of Periodontology College of Dentistry \u2013 FOSJC UNESP \u2013 S\u00e3o Paulo State University S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felipe Lucas da Silva","family":"Neves","sequence":"additional","affiliation":[{"name":"Department of Periodontology College of Dentistry \u2013 FOSJC UNESP \u2013 S\u00e3o Paulo State University S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camila Augusto","family":"Silveira","sequence":"additional","affiliation":[{"name":"Department of Periodontology College of Dentistry \u2013 FOSJC UNESP \u2013 S\u00e3o Paulo State University S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingrid Fernandes","family":"Mathias","sequence":"additional","affiliation":[{"name":"Department of Restorative Dentistry College of Dentistry \u2013 FOSJC UNESP \u2013 S\u00e3o Paulo State University S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie Botti","family":"Fernandes\u2010Dias","sequence":"additional","affiliation":[{"name":"Department of Periodontology College of Dentistry \u2013 FOSJC UNESP \u2013 S\u00e3o Paulo State University S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Aparecida Neves","family":"Jardini","sequence":"additional","affiliation":[{"name":"Department of Periodontology College of Dentistry \u2013 FOSJC UNESP \u2013 S\u00e3o Paulo State University S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dimitris N.","family":"Tatakis","sequence":"additional","affiliation":[{"name":"Division of Periodontology College of Dentistry The Ohio State University Columbus OH USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,4,12]]},"reference":[{"key":"e_1_2_5_2_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_3_1","first-page":"302","article-title":"Use of the supraperiosteal envelope in soft tissue grafting for root coverage. 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