{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T21:41:13Z","timestamp":1789594873244,"version":"build-2803163510"},"reference-count":75,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2019,7,19]],"date-time":"2019-07-19T00:00:00Z","timestamp":1563494400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100007270","name":"University of Michigan","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007270","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clinic Periodontology"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To evaluate the long\u2010term outcomes of Acellular Dermal Matrix (ADM) with Coronally Advanced Flap (CAF) or Tunnel technique (TUN) in the treatment of multiple adjacent gingival recessions (MAGRs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and methods<\/jats:title>\n                    <jats:p>Nineteen of the original 24 patients contributing to a total number of 33 sites for CAF and 34 for TUN were available for the 12\u00a0years follow\u2010up examination. Recession depth, mean root coverage (mRC), keratinized tissue width (KTW), gingival thickness (GT) were evaluated and compared with baseline values and 6\u2010months results. Regression analysis was performed to identify factors related to the stability of the gingival margin.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A highly significant drop in mRC was observed for both groups from the 6\u00a0months timepoint to the 12\u00a0years recall (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a0.001). While there were no statistically significant differences between the two groups in terms of Clinical Attachment Level (CAL), KTW, GT changes and Root Coverage Esthetic Score at each timepoint (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&gt;\u00a0.05). KTW\u00a0\u2265\u00a02\u00a0mm and GT\u00a0\u2265\u00a01.2\u00a0mm at 6\u2010months were two predictors for stability of the gingival margin (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a0.03 and\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a0.01, respectively).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A significant relapse of the gingival margin of MAGRs treated with CAF or TUN\u00a0+\u00a0ADM was observed after 12\u00a0years.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jcpe.13163","type":"journal-article","created":{"date-parts":[[2019,6,26]],"date-time":"2019-06-26T12:20:57Z","timestamp":1561551657000},"page":"937-948","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":99,"title":["Acellular dermal matrix and coronally advanced flap or tunnel technique in the treatment of multiple adjacent gingival recessions. A 12\u2010year follow\u2010up from a randomized clinical trial"],"prefix":"10.1111","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4864-3964","authenticated-orcid":false,"given":"Lorenzo","family":"Tavelli","sequence":"first","affiliation":[{"name":"Department of Periodontics &amp; Oral Medicine University of Michigan School of Dentistry Ann Arbor MI USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5347-6577","authenticated-orcid":false,"given":"Shayan","family":"Barootchi","sequence":"additional","affiliation":[{"name":"Department of Periodontics &amp; Oral Medicine University of Michigan School of Dentistry Ann Arbor MI USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2579-9464","authenticated-orcid":false,"given":"Riccardo","family":"Di Gianfilippo","sequence":"additional","affiliation":[{"name":"Department of Periodontics &amp; Oral Medicine University of Michigan School of Dentistry Ann Arbor MI USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marmar","family":"Modarressi","sequence":"additional","affiliation":[{"name":"Department of Periodontics &amp; Oral Medicine University of Michigan School of Dentistry Ann Arbor MI USA"},{"name":"Private Practice Chicago IL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3781-1715","authenticated-orcid":false,"given":"Francesco","family":"Cairo","sequence":"additional","affiliation":[{"name":"Research Unit in Periodontology and Periodontal Medicine Department of Surgery and Translational Medicine University of Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3836-147X","authenticated-orcid":false,"given":"Giulio","family":"Rasperini","sequence":"additional","affiliation":[{"name":"Department of Biomedical, Surgical and Dental Sciences Foundation IRCCS Ca\u2019 Granda Polyclinic, University of Milan Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4238-1799","authenticated-orcid":false,"given":"Hom\u2010Lay","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Periodontics &amp; Oral Medicine University of Michigan School of Dentistry Ann Arbor MI USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,7,19]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12211"},{"key":"e_1_2_9_3_1","first-page":"216","article-title":"Use of the supraperiosteal envelope in soft tissue grafting for root coverage. 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