{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T20:42:27Z","timestamp":1790023347753,"version":"4.0.1"},"reference-count":57,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2021,5,4]],"date-time":"2021-05-04T00:00:00Z","timestamp":1620086400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clinic Periodontology"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Comparison of the clinical efficacy (digitally volumetric, aesthetic, patient\u2010centred outcomes) of tunnel technique (TUN) with subepithelial connective tissue graft (CTG) versus coronally advanced flap (CAF) with enamel matrix derivate (EMD) 5\u00a0years after gingival recession therapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>In 18 patients contributing 36 RT1 recessions, study models were collected at baseline and follow\u2010ups. Optical scans assessed recessions computer\u2010assisted [recession depth, recession reduction (RECred), complete root coverage (CRC), percentage of root coverage (RC), pointwise (pTHK) and mean areal (aTHK) marginal soft tissue thickness]. Root coverage aesthetic Score (RES) was used for aesthetic evaluation and visual analogue scales for patient\u2010centred data collection applied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Sixty months after surgery, 50.0% (TUN+CTG) and 0.0% (CAF+EMD) of sites showed CRC (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.0118), 82.2% (TUN+CTG) and 32.0% (CAF+EMD) achieved RC, respectively (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.0023). CTG achieved significantly better RECred (TUN+CTG: 1.75\u00b10.74\u00a0mm; CAF+EMD: 0.50\u00a0\u00b1\u00a00.39\u00a0mm;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.0009) and aTHK (TUN+CTG: 0.95\u00a0\u00b1\u00a00.41\u00a0mm; CAF+EMD: 0.26\u00a0\u00b1\u00a00.28\u00a0mm;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.0013). RES showed superior outcomes (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.0533) for TUN+CTG (6.86\u00a0\u00b1\u00a02.31) compared to CAF+EMD (4.63\u00a0\u00b1\u00a01.99). The study failed to find significant differences related to patient\u2010centred outcomes (TUN+CTG: 8.30\u00a0\u00b1\u00a02.21; CAF+EMD: 7.50\u00a0\u00b1\u00a01.51;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.1136).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Five years after treatment, CTG resulted in better clinical and aesthetic outcomes than CAF+EMD. Increased THK was associated with improved outcomes for RECred and RC.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jcpe.13470","type":"journal-article","created":{"date-parts":[[2021,4,13]],"date-time":"2021-04-13T00:27:11Z","timestamp":1618273631000},"page":"949-961","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":39,"title":["Tunnel technique with connective tissue graft versus coronally advanced flap with enamel matrix derivate for root coverage: 5\u2010year results of an RCT using 3D digital measurement technology for volumetric comparison of soft tissue changes"],"prefix":"10.1111","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8315-2015","authenticated-orcid":false,"given":"Otto","family":"Zuhr","sequence":"first","affiliation":[{"name":"Private Practice H\u00fcrzeler\/Zuhr Munich Germany"},{"name":"Department of Periodontology Center of Dentistry and Oral Medicine (Carolinum) Johann Wolfgang Goethe\u2010University Frankfurt\/Main Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dodji","family":"Akakpo","sequence":"additional","affiliation":[{"name":"Private Practice DIE PRAXIS Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1655-8055","authenticated-orcid":false,"given":"Peter","family":"Eickholz","sequence":"additional","affiliation":[{"name":"Department of Periodontology Center of Dentistry and Oral Medicine (Carolinum) Johann Wolfgang Goethe\u2010University Frankfurt\/Main Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirstin","family":"Vach","sequence":"additional","affiliation":[{"name":"Center for Medical Biometry and Medical Informatics Institute for Medical Biometry and Statistics University Medical Center Freiburg Freiburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Markus B.","family":"H\u00fcrzeler","sequence":"additional","affiliation":[{"name":"Private Practice H\u00fcrzeler\/Zuhr Munich Germany"},{"name":"Department of Operative Dentistry and Periodontology University School of Dentistry Albert\u2010Ludwigs\u2010University Freiburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8901-8017","authenticated-orcid":false,"given":"Hari","family":"Petsos","sequence":"additional","affiliation":[{"name":"Department of Periodontology Center of Dentistry and Oral Medicine (Carolinum) Johann Wolfgang Goethe\u2010University Frankfurt\/Main Germany"},{"name":"Private Practice Dr. Korte Soest Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the Research Group for Oral Soft Tissue Biology & Wound 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