{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T04:02:18Z","timestamp":1793246538716,"version":"4.5.0"},"reference-count":58,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2023,4,6]],"date-time":"2023-04-06T00:00:00Z","timestamp":1680739200000},"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":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>To assess linear and volumetric changes following the treatment of gingival recessions (GRs) by means of a modified coronally advanced tunnel technique combined with acellular dermal matrix (MTUN\u2009+\u2009ADM).<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Patients presenting GR type 1 (RT1) GRs underwent root coverage surgery consisting of MTUN\u2009+\u2009ADM. Clinical measurements were made, and intraoral scans were obtained at baseline, postoperatively, and 6\u2009weeks, 3 and 6\u2009months after surgery, to evaluate changes in probing depth (PD), keratinized tissue width (KTW), recession depth (RD), recession area (RA), marginal gingival thickness (MGT), and mucosal volume (MV). The impact of patient\u2010level and surgical\u2010site variables upon percentage root coverage (% RC) and the likelihood of achieving complete root coverage (CRC) were explored.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 20 patients (<jats:italic>n<\/jats:italic>\u2009=\u200947 teeth) were treated. After 6\u2009months, RD and RA decreased, while KTW, MGT, and MV increased. The mean % RC was 93% at 6\u2009months and CRC was found on 72.3% of the sites at 6\u2009months. The postoperative MGT changes at 1.5 and 3\u2009mm were significantly correlated to % RC and CRC at 6\u2009months. Each additional mm of postoperative gain of gingival thickness resulted in a 4\u2010fold increase in the probability of achieving CRC. Additionally, gingival margin positioned \u22650.5\u2009mm coronal to the cementoenamel junction immediately after surgery was a strong predictor of CRC.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The MGT gain at 1.5 and 3\u2009mm achieved in the immediate postoperative period is a significant predictor of CRC at 6\u2009months when treating multiple GRs via MTUN\u2009+\u2009ADM.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical Significance<\/jats:title><jats:p>The Scientific rationale for the study relies on the lack of 3D digital measuring tools in the assessment of soft tissue healing dynamics after root coverage therapy. The principal findings of this study can be summarized as follows: tooth type, tooth position, and post\u2010operative gingival margin position and gingival thickness and volume changes are predictors of CRC. Therefore, the practical implications are that the more thickness and more coronal advancement achieved immediately after root coverage surgery, the higher chance of achieving CRC.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jerd.13042","type":"journal-article","created":{"date-parts":[[2023,4,6]],"date-time":"2023-04-06T10:29:45Z","timestamp":1680776985000},"page":"1039-1049","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Influence of immediate postoperative gingival thickness and gingival margin position on the outcomes of root coverage therapy: A 6\u2009months prospective case series study using <scp>3D<\/scp> digital measuring methods"],"prefix":"10.1111","volume":"35","author":[{"given":"Gonzalo","family":"Blasi","sequence":"first","affiliation":[{"name":"Department of Periodontology, School of Dentistry Universitat Internacional de Catalunya  Barcelona Spain"},{"name":"Division of Periodontics, Department of Advanced Oral Sciences and Therapeutics, Baltimore School of Dentistry University of Maryland  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javi","family":"Vilarrasa","sequence":"additional","affiliation":[{"name":"Department of Periodontology, School of Dentistry Universitat Internacional de Catalunya  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lory","family":"Abrahamian","sequence":"additional","affiliation":[{"name":"Department of Periodontology, School of Dentistry Universitat Internacional de Catalunya  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8292-1927","authenticated-orcid":false,"given":"Alberto","family":"Monje","sequence":"additional","affiliation":[{"name":"Department of Periodontology, School of Dentistry Universitat Internacional de Catalunya  Barcelona Spain"},{"name":"Department of Periodontics and Oral Medicine University of Michigan School of Dentistry  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9","family":"Nart","sequence":"additional","affiliation":[{"name":"Department of Periodontology, School of Dentistry Universitat Internacional de Catalunya  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ram\u00f3n","family":"Pons","sequence":"additional","affiliation":[{"name":"Department of Periodontology, School of Dentistry Universitat Internacional de Catalunya  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,4,6]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12948"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.11607\/PRD.2400"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1902\/JOP.2000.71.9.1506"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1902\/JOP.1985.56.7.397"},{"issue":"3","key":"e_1_2_9_6_1","first-page":"216","article-title":"Use of the supraperiosteal envelope in soft tissue grafting for root coverage. 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