{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T11:08:44Z","timestamp":1771672124311,"version":"3.50.1"},"reference-count":20,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2018,10,28]],"date-time":"2018-10-28T00:00:00Z","timestamp":1540684800000},"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 Esthet Restor Dent"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Various minimally invasive surgical approaches are proposed for the management of gingival recession. A modified surgical approach coined as minimally invasive coronally advanced flap (MICAF) was compared with modified coronally advanced flap (MCAF) for the management of multiple adjacent gingival recession defects.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>Seven systemically healthy subjects with bilateral multiple adjacent maxillary facial gingival recession defects (Miller I) were included in this study. In each patient, MICAF performed on one side and on the other side MCAF was performed. Comparisons of the surgical sites were made with clinical measurements at 6 months follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>No statistically significant differences were observed between MICAF and MCAF sites in the change in gingival recession depth, gingival recession width, clinical attachment level, width of the keratinized tissue, mean, and complete root coverage after 6 months. However, patient reported outcomes of esthetics and postoperative morbidity were statistically significant (<jats:italic>P<\/jats:italic>\u2009&lt;0.001) between the MICAF and the MCAF sides with better results in the MICAF side.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Within the confines of this study, the results depicted that MICAF is more patient\u2010friendly procedure with better patient acceptance. Further, long\u2010term studies with more sample sizes are needed for a stronger evidence base.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical Significance<\/jats:title><jats:p>Miller Class I gingival recessions can be treated with the MICAF with successful clinical outcomes and patient acceptance. This paper reports the clinical and patient reported outcomes of the MICAF and the MCAF.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jerd.12418","type":"journal-article","created":{"date-parts":[[2018,10,29]],"date-time":"2018-10-29T06:25:38Z","timestamp":1540794338000},"page":"509-515","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Comparison of minimally invasive coronally advanced flap and modified coronally advanced flap for the management of multiple adjacent gingival recession defects: A split mouth randomized control trial"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0595-0932","authenticated-orcid":false,"given":"Valliammai","family":"Rajendran","sequence":"first","affiliation":[{"name":"Department of Periodontology, Manipal College of Dental Sciences, Mangalore Manipal Academy of Higher Education (MAHE)  Manipal Karnataka India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashita","family":"Uppoor","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Manipal College of Dental Sciences, Mangalore Manipal Academy of Higher Education (MAHE)  Manipal Karnataka India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Kadakampally","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Manipal College of Dental Sciences, Mangalore Manipal Academy of Higher Education (MAHE)  Manipal Karnataka India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yamini","family":"Mannava","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Manipal College of Dental Sciences, Mangalore Manipal Academy of Higher Education (MAHE)  Manipal Karnataka India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,10,28]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.2008.01267.x"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0757.2008.00262.x"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2010.090540"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2009.080565"},{"key":"e_1_2_8_6_1","first-page":"960","article-title":"Granulation tissue removal in routine and minimally invasive surgical procedures","volume":"16","author":"Harrel SK","year":"1995","journal-title":"Compend Contin Educ Dent"},{"key":"e_1_2_8_7_1","first-page":"653","article-title":"Minimally invasive treatment of maxillary anterior gingival recession defects by vestibular incision subperiosteal tunnel access and platelet\u2010derived growth factor BB","volume":"31","author":"Zadeh HH","year":"2011","journal-title":"Int J Periodont Rest Dent"},{"key":"e_1_2_8_8_1","article-title":"Minimally invasive treatment of soft tissue deficiency around an implant\u2010supported restoration in the esthetic zone: modified VISTA technique case report","volume":"41","author":"Chun\u2010Teh L","year":"2013","journal-title":"J Oral Implant"},{"key":"e_1_2_8_9_1","first-page":"4","article-title":"Comparision of coronally advanced and semilunar coronally repositioned flap for the treatment of gingival recession","volume":"8","author":"Moka LR","year":"2014","journal-title":"J Clin Diagn Res"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2000.71.9.1506"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2001.72.8.998"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2001.72.10.1301"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2009.090041"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.2006.01039.x"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2005.76.5.713"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.4103\/0976-237X.194121"},{"key":"e_1_2_8_17_1","doi-asserted-by":"crossref","unstructured":"RichardsonCR AllenEP ChambroneL et al.. 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