{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T08:43:28Z","timestamp":1788857008221,"version":"build-2803163510"},"reference-count":50,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T00:00:00Z","timestamp":1750809600000},"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 of Periodontal Research"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>The primary objective was to evaluate the 3\u2010year outcomes of a coronally advanced flap with connective tissue graft (CAF\u2009+\u2009CTG) for treating gingival recession defects affecting lower incisors. Additionally, the study aimed to investigate whether anatomical factors related to mandibular incisors influence gingival margin stability 3\u2009years post\u2010surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A prospective study was conducted on 30 patients with single gingival recession affecting mandibular incisors, treated with a trapezoidal CAF\u2009+\u2009CTG at San Raffaele Hospital (Milan, Italy) between January and May 2021. Clinical parameters, including recession depth (REC), keratinized tissue width (KTW), and marginal tissue thickness (MTT), were recorded at baseline and at the 1\u2010year and 3\u2010year follow\u2010ups. Cone Beam Computed Tomography (CBCT) scans were also utilized to assess bucco\u2010lingual inclination, apical root position, vestibular bone dehiscence, and root prominence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At the 3\u2010year follow\u2010up, complete root coverage (CRC) was achieved in 52% of treated sites. A statistically significant reduction in REC was observed over the evaluation period. However, no significant differences were found in clinical parameters (REC, KTW, and MTT) between the 1\u2010year and 3\u2010year follow\u2010ups. REC at 3\u2009years was significantly and positively correlated with baseline REC, whereas it was inversely correlated with apical root position. Factors associated with mRC at 3\u2009years were KTW baseline, root prominence, and apical root position.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The findings of this study highlight key site\u2010specific anatomical factors that may negatively influence root coverage outcomes in mandibular incisors, providing valuable insights for predicting treatment success.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jre.70008","type":"journal-article","created":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T08:14:42Z","timestamp":1750839282000},"page":"899-909","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Anatomical Factors Affecting Root Coverage Outcomes in Mandibular Incisors: A 3\u2010Year Prospective Clinical Study"],"prefix":"10.1111","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5956-2161","authenticated-orcid":false,"given":"Giovanna Laura Di","family":"Domenico","sequence":"first","affiliation":[{"name":"Dentistry Department Vita\u2010Salute San Raffaele University  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sofia","family":"Aroca","sequence":"additional","affiliation":[{"name":"26K Center for Clinical Research  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-2450-2028","authenticated-orcid":false,"given":"Silvia","family":"Rizzuto","sequence":"additional","affiliation":[{"name":"Oral Surgery School Vita\u2010Salute San Raffaele University  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Davide","family":"Guglielmi","sequence":"additional","affiliation":[{"name":"Dentistry Department Vita\u2010Salute San Raffaele University  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Massimo","family":"de Sanctis","sequence":"additional","affiliation":[{"name":"26K Center for Clinical Research  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,6,25]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.17\u20100733"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.22\u20100167"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.20\u20100149"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.18\u20100281"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD007161.pub3"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2015.130674"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12182"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2011.110382"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/cre2.395"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.13106"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.11607\/prd.3438"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2008.070414"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2009.090122"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2016.160284"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2017.170010"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/prd.12059"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2010.090698"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.18\u20100201"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.18\u20100732"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12189"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2005.76.10.1729"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12923"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u2010051X.2006.01039.x"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002\u20109416(77)90121\u2010x"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9416(57)90220-8"},{"key":"e_1_2_11_27_1","first-page":"191","article-title":"Analysis of the Dentofacial Profile","volume":"26","author":"Downs W. 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