{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T18:10:44Z","timestamp":1789495844279,"version":"build-2803163510"},"reference-count":41,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2018,8,20]],"date-time":"2018-08-20T00:00:00Z","timestamp":1534723200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clinic Periodontology"],"published-print":{"date-parts":[[2018,9]]},"abstract":"Abstract<\/jats:title>Aim<\/jats:title>To assess the clinical outcomes 9\u00a0years after the surgical treatment of single maxillary gingival recessions and identify predictors for long\u2010term gingival margin stability.<\/jats:p><\/jats:sec>Materials and Methods<\/jats:title>Twenty\u2010five gingival recessions (Miller Class I and II<\/jats:styled-content>) were randomly treated with Coronally Advanced Flap (CAF<\/jats:styled-content>) plus Connective Tissue Graft (CTG<\/jats:styled-content>) or CAF<\/jats:styled-content> alone. Outcomes included complete root coverage (CRC<\/jats:styled-content>), recession reduction (REC<\/jats:styled-content>), keratinized tissue (KT<\/jats:styled-content>) gain and dentin hypersensitivity, and were evaluated at 6\u00a0months, 1 and 9\u00a0years. Multilevel analysis was performed to identify predictors for long\u2010term gingival margin stability.<\/jats:p><\/jats:sec>Results<\/jats:title>Baseline gingival recession was 2.4\u00a0\u00b1\u00a00.8\u00a0mm and 2.4\u00a0\u00b1\u00a01.0\u00a0mm in the CAF<\/jats:styled-content>\u00a0+\u00a0CTG<\/jats:styled-content> and in the CAF<\/jats:styled-content>\u2010treated sites, respectively (p\u00a0<\/jats:italic>=\u00a0<\/jats:italic>0.693). The chance to gain and preserve CRC<\/jats:styled-content> over time is equal to 70% in the CAF<\/jats:styled-content>\u00a0+\u00a0CTG<\/jats:styled-content> group (Relative Risk [RR<\/jats:styled-content>]\u00a0=\u00a01.70, 95% CI<\/jats:styled-content> [0.84\u20133.45]; adjusted RR<\/jats:styled-content>\u00a0=\u00a01.48, 95% CI<\/jats:styled-content> [0.61\u20133.62]). Using the CTG<\/jats:styled-content>, an increase in KT<\/jats:styled-content> was recorded 9\u00a0years after the surgery (p\u00a0<\/jats:italic>=\u00a0<\/jats:italic>0.019). An OR<\/jats:styled-content> of 0.12 (p\u00a0<\/jats:italic>=\u00a0<\/jats:italic>0.022) of not achieving CRC<\/jats:styled-content> was observed in cases with non\u2010carious cervical lesions (NCCL) compared to cases without NCCL<\/jats:styled-content>.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Both treatment modalities demonstrated stability over time. Additional use of CTG<\/jats:styled-content> provided a greater increase in KT<\/jats:styled-content>. The presence of NCCL<\/jats:styled-content> negatively affected CRC<\/jats:styled-content> and REC.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jcpe.12932","type":"journal-article","created":{"date-parts":[[2018,5,19]],"date-time":"2018-05-19T20:14:48Z","timestamp":1526760888000},"page":"1107-1117","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":76,"title":["Predictor factors for long\u2010term outcomes stability of coronally advanced flap with or without connective tissue graft in the treatment of single maxillary gingival recessions: 9\u00a0years results of a randomized controlled clinical trial"],"prefix":"10.1111","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3836-147X","authenticated-orcid":false,"given":"Giulio","family":"Rasperini","sequence":"first","affiliation":[{"name":"Department of Biomedical, Surgical and Dental Sciences University of Milan Milan Italy"},{"name":"Foundation IRCCS Ca\u2019 Granda Polyclinic Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0206-2913","authenticated-orcid":false,"given":"Raffaele","family":"Acunzo","sequence":"additional","affiliation":[{"name":"Department of Biomedical, Surgical and Dental Sciences University of Milan Milan Italy"},{"name":"Foundation IRCCS Ca\u2019 Granda Polyclinic Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaia","family":"Pellegrini","sequence":"additional","affiliation":[{"name":"Department of Biomedical, Surgical and Dental Sciences University of Milan Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9170-0795","authenticated-orcid":false,"given":"Giorgio","family":"Pagni","sequence":"additional","affiliation":[{"name":"Department of Biomedical, Surgical and Dental Sciences University of Milan Milan Italy"},{"name":"Foundation IRCCS Ca\u2019 Granda Polyclinic Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2743-0137","authenticated-orcid":false,"given":"Maurizio","family":"Tonetti","sequence":"additional","affiliation":[{"name":"European Research Group on Periodontology (ERGOPerio) Berne Switzerland"},{"name":"Faculty of Dentistry Department of Periodontology University of Hong Kong Sai Ying Pun Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovan Paolo","family":"Pini Prato","sequence":"additional","affiliation":[{"name":"Accademia Toscana di Ricerca Odontostomatologica (ATRO) Firenze Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierpaolo","family":"Cortellini","sequence":"additional","affiliation":[{"name":"European Research Group on Periodontology (ERGOPerio) Berne Switzerland"},{"name":"Accademia Toscana di Ricerca Odontostomatologica (ATRO) Firenze Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,8,20]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2016.150528"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2000.71.10.1641"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12412"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12182"},{"key":"e_1_2_7_6_1","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1111\/j.1600-051X.2008.01267.x","article-title":"Treatment of gingival recession with coronally advanced flap procedures. 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