{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T21:41:16Z","timestamp":1789594876388,"version":"build-2803163510"},"reference-count":33,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,11,25]],"date-time":"2019-11-25T00:00:00Z","timestamp":1574640000000},"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":[[2020,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the clinical efficacy of xenogeneic acellular dermal matrix (XADM) or connective tissue graft (CTG) combined with modified\u2010coronally advanced flap (M\u2010CAF) in the treatment of multiple gingival recessions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>Twelve participants with bilateral MGRs (multiple gingival recession) (82 gingival recessions) randomly received XADM (test group, 41 teeth) on one side and subepithelial CTG (control group, 41 teeth) on the other side in conjunction with M\u2010CAF in the same session and completed the 18\u2010months study period. Recession depth (RD), recession width (RW), keratinized tissue width (KTW), probing depth (PD), and clinical attachment level (CAL) were recorded at baseline, and 6\u2010, 18\u2010months postoperatively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>PD was significantly higher in the test group at 18\u2010months (<jats:italic>P<\/jats:italic> &lt;\u2009.05). PD in the test group was also significantly higher at 6\u2010 and 18\u2010months compared to baseline (<jats:italic>P<\/jats:italic> &lt;\u2009.05). RD and RW were significantly lower at 6\u2010 and 18\u2010months compared to baseline in both groups (<jats:italic>P<\/jats:italic> &lt;\u2009.05) and both parameters were significantly higher in the test group at 18\u2010months (<jats:italic>P<\/jats:italic> &lt;\u2009.05). Percentage of teeth with complete root coverage in the test and control groups were similar at 6\u2010months (78% and 70.7%, respectively) and at 18\u2010months (both 87.8%) (<jats:italic>P<\/jats:italic> &gt;\u2009.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Within the limits of the study, M\u2010CAF combined with XADM or CTG seems to be similarly effective in RD reduction of class I and II MGRs at least in the short term. Soft tissue shrinkage and increase in PD may be observed with XADM, while; CTG seems to provide stable clinical outcomes for 18\u2010months follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical significance<\/jats:title><jats:p>Even though the CTG and XADM in conjunction with M\u2010CAF may provide similar RD reduction in class I and II multiple gingival recessions in the short term. CTGs may be superior in terms of soft tissue shrinkage and PD values.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jerd.12547","type":"journal-article","created":{"date-parts":[[2019,11,25]],"date-time":"2019-11-25T09:31:45Z","timestamp":1574674305000},"page":"380-388","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Coronally advanced flap with connective tissue graft or xenogeneic acellular dermal matrix in the treatment of multiple gingival recessions: A split\u2010mouth randomized clinical trial"],"prefix":"10.1111","volume":"32","author":[{"given":"\u00d6nder","family":"G\u00fcrlek","sequence":"first","affiliation":[{"name":"Department of Periodontology School of Dentistry, Ege University  \u0130zmir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P\u0131nar","family":"G\u00fcm\u00fc\u015f","sequence":"additional","affiliation":[{"name":"Department of Periodontology School of Dentistry, Ege 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