{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T21:16:39Z","timestamp":1771535799174,"version":"3.50.1"},"reference-count":19,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2015,1,7]],"date-time":"2015-01-07T00:00:00Z","timestamp":1420588800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Esthet Restor Dent"],"published-print":{"date-parts":[[2015,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To clinically evaluate in humans the effectiveness of a modified flap for root coverage associated with connective tissue graft or acellular dermal matrix graft after a postoperative period of 12 months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Thirty bilateral gingival recessions were selected and randomly assigned into experimental groups. All of them were treated with a modified surgical flap, with the releasing incisions placed on the mesial and distal line angles of the adjacent teeth, distant from the main defect, providing a broader flap. One site was treated with the autograft and the contralateral site, with the allograft. Probing depth, clinical attachment level, gingival recession, and keratinized tissue width were measured at baseline and after 12 months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Both procedures significantly improved the clinical parameters evaluated, without statistically significant differences between them. While the autograft group had a mean gingival recession reduction from 3.15 to 0.67\u2009mm, in the allograft group, it was from 3.47 to 0.93\u2009mm.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The extended flap technique can improve the root coverage results using the subepithelial connective tissue graft or the acellular dermal matrix.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical Significance<\/jats:title><jats:p>Graft survival plays a decisive role in mucogingival therapy results and the selection of the appropriate surgical technique is important to achieve it. This 12\u2010month randomized study showed that an extended flap is able to improve the results of root coverage of localized gingival recessions not only when using the acellular dermal matrix as shown in a previous study, but also when using the subepithelial connective tissue. On this basis, this surgical technique can be suggested as the procedure of choice for treating this type of defect.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jerd.12122","type":"journal-article","created":{"date-parts":[[2015,1,7]],"date-time":"2015-01-07T07:12:53Z","timestamp":1420614773000},"page":"84-91","source":"Crossref","is-referenced-by-count":13,"title":["A Modified Surgical Flap for Root Coverage in Association with Grafting Materials"],"prefix":"10.1111","volume":"27","author":[{"given":"Raquel R. M.","family":"Barros","sequence":"first","affiliation":[{"name":"Department of Bucco\u2010Maxillo\u2010Facial Surgery and Traumatology and Periodontology School of Dentistry of Ribeir\u00e3o Preto University of S\u00e3o Paulo  Avenida do Caf\u00e9 \u2010 s\/n Ribeir\u00e3o Preto SP 14040\u2010904 Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guilherme O.","family":"Macedo","sequence":"additional","affiliation":[{"name":"School of Dentistry Tiradentes University  R. Lagarto 264\u2010Centro Aracaju SE 49010\u2010390 Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adriana Corr\u00eaa","family":"de Queiroz","sequence":"additional","affiliation":[{"name":"School of Dentistry Federal University of Amazonas  Av. Ministro Valdemar Pedrosa 1539 Centro Manaus AM 69025\u2010050 Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"Jr.","given":"Arthur B.","family":"Novaes","sequence":"additional","affiliation":[{"name":"Department of Bucco\u2010Maxillo\u2010Facial Surgery and Traumatology and Periodontology School of Dentistry of Ribeir\u00e3o Preto University of S\u00e3o Paulo  Avenida do Caf\u00e9 \u2010 s\/n Ribeir\u00e3o Preto SP 14040\u2010904 Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,1,7]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2005.76.11.1842"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2001.72.11.1477"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2001.72.8.998"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2002.73.11.1299"},{"key":"e_1_2_7_6_1","first-page":"123","article-title":"Acellular dermal matrix allograft. 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