{"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":1789495844616,"version":"build-2803163510"},"reference-count":31,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2018,9,14]],"date-time":"2018-09-14T00:00:00Z","timestamp":1536883200000},"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":[[2018,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To evaluate the possible benefit on wound healing and flap stability of periosteum inclusion, comparing a \u201csplit\u2013full\u2013split\u201d thickness flap elevation versus a \u201csplit\u201d thickness approach performed during <jats:styled-content style=\"fixed-case\">CAF<\/jats:styled-content> for the treatment of isolated\u2010type gingival recessions in the upper jaw.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and Methods<\/jats:title><jats:p>Forty patients were randomized, 20 were treated with \u201csplit\u2013full\u2013split\u201d (test group) and 20 with a \u201csplit\u201d approach (control group). Analysed parameters at 1\u00a0year were <jats:styled-content style=\"fixed-case\">CRC<\/jats:styled-content>, percentage of recession coverage (<jats:styled-content style=\"fixed-case\">RC<\/jats:styled-content>), keratinized tissue (<jats:styled-content style=\"fixed-case\">KT<\/jats:styled-content>) gain and patient\u2010related outcome measurements.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>After 12\u00a0months, <jats:styled-content style=\"fixed-case\">CRC<\/jats:styled-content> was 80% in the test group and 35% in the control group. Percentages of <jats:styled-content style=\"fixed-case\">RC<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">KT<\/jats:styled-content> gain were higher in the test group, and a significant association between <jats:styled-content style=\"fixed-case\">CRC<\/jats:styled-content> and the thickness of the flap after elevation was found. Patient\u2010related outcomes measurements were better for the test group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Flap thickness preservation and the presence of the periosteum in part of the flap may play a fundamental role in obtaining <jats:styled-content style=\"fixed-case\">CRC<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jcpe.12998","type":"journal-article","created":{"date-parts":[[2018,8,12]],"date-time":"2018-08-12T20:49:56Z","timestamp":1534106996000},"page":"1238-1246","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Biologically guided flap stability: the role of flap thickness including periosteum retention on the performance of the coronally advanced flap\u2013A double\u2010blind randomized clinical trial"],"prefix":"10.1111","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1827-5200","authenticated-orcid":false,"given":"Marco","family":"Clementini","sequence":"first","affiliation":[{"name":"Department of Periodontology Universit\u00e0 Vita\u2010Salute San Raffaele  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Discepoli","sequence":"additional","affiliation":[{"name":"Department of Medical Biotechnologies Unit of Periodontics Universit\u00e0 degli Studi di Siena  Siena Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlotta","family":"Danesi","sequence":"additional","affiliation":[{"name":"Department of Periodontology Universit\u00e0 Vita\u2010Salute San Raffaele  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Massimo","family":"de Sanctis","sequence":"additional","affiliation":[{"name":"Department of Periodontology Universit\u00e0 Vita\u2010Salute San Raffaele  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,9,14]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1989.60.6.316"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1999.70.9.1077"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.1975.tb01721.x"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12182"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2015.130674"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2016.150625"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.2005.00831.x"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-12-386035-4.00001-X"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1993.64.9.883"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2006.060107"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1969.40.8.441"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1538-7836.2006.01861.x"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2011.100586"},{"key":"e_1_2_8_15_1","first-page":"8","article-title":"A classification of marginal tissue recession","volume":"5","author":"Miller P. 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