{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T17:52:17Z","timestamp":1781632337607,"version":"3.54.5"},"reference-count":27,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T00:00:00Z","timestamp":1769040000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T00:00:00Z","timestamp":1769040000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Ahram Canadian University"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Maxillofac Plast Reconstr Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Despite being the most predictable root coverage technique, coronally advanced flap with subepithelial connective tissue graft (CAF\u2009+\u2009SCTG) necessitates graft harvesting from a second surgical site; increasing patient\u2019s post-operative discomfort. Besides, due to the promising regenerative capacity of the periosteum and omitting the need for a second surgical site, periosteal pedicle graft (PPG) is tested as an alternative technique. Eighteen RT1 and RT2 gingival recession defects were randomly assigned to receive either CAF\u2009+\u2009SCTG or inverted PPG (iPPG). Postoperative discomfort, recession depth, and patient\u2019s satisfaction were assessed within 6-months of follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Patients in the iPPG group reported postoperative discomfort (VAS) of (2.28\u2009\u00b1\u20090.83) compared to (3.11\u2009\u00b1\u20091.17) in SCTG group; with no statistically significant difference. Clinically, the mean recession depth was significantly decreased from baseline in iPPG group (from 3.78\u2009\u00b1\u20090.67 to 0.56\u2009\u00b1\u20090.53) and in SCTG group (from 3.89\u2009\u00b1\u20090.78 to 0.33\u2009\u00b1\u20090.5). Lastly, iPPG showed significantly higher level of patients\u2019 satisfaction compared to SCTG.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>iPPG can be a promising alternative to SCTG for root coverage with significantly increased patient\u2019s satisfaction after six months and comparable clinical root coverage parameters.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s40902-025-00499-0","type":"journal-article","created":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T04:36:12Z","timestamp":1769056572000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Postoperative discomfort following inverted periosteal pedicle graft versus subepithelial connective tissue graft for treating gingival recession RT1 &amp; RT2: a randomized clinical trial"],"prefix":"10.1186","volume":"48","author":[{"given":"Marwa","family":"Elsayed","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mona","family":"Salaheldin Darhous","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayat","family":"Gamal-AbdelNaser","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed","family":"Reda Abdel Rahman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,1,22]]},"reference":[{"key":"499_CR1","doi-asserted-by":"publisher","DOI":"10.1155\/2021\/9972879","volume":"2021","author":"Q Cao","year":"2021","unstructured":"Cao Q, Lu R, Chen J et al (2021) Treatment of gingival recession with microinvasive surgical technology. 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The study was performed in accordance with the declaration of Helsinki and its amendments. The participants received full explanation of the study before obtaining their informed consent.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"1"}}