{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T22:39:32Z","timestamp":1785537572924,"version":"3.56.0"},"reference-count":28,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2008,3,1]],"date-time":"2008-03-01T00:00:00Z","timestamp":1204329600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Periodontology"],"published-print":{"date-parts":[[2008,3]]},"abstract":"<jats:p><jats:bold>Background:<\/jats:bold> In ideal conditions, the gain in clinical attachment following regenerative therapy of infrabony defects should be equal to probing depth reduction; thus, gingival recession should not increase as a consequence of the treatment procedures. The goal of the study was to evaluate the effectiveness of a surgical technique for the treatment of intrabony defects aimed at minimizing gingival recession and increasing the potential for clinical periodontal regeneration.<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold> Fifteen deep intrabony defects were treated with cause\u2010related therapy aimed at eliminating bleeding on probing in the surgical area with minimal mechanical trauma to the root and the soft tissues. Four weeks later, a surgical technique combining the simplified papilla preservation approach at the level of the defect and the coronally advanced buccal flap at the adjacent teeth was performed. Enamel matrix protein was used in the intrabony defect. Soft tissue measurements were made before cause\u2010related therapy, before and after surgery, and at the 1\u2010, 6\u2010, and 12\u2010month follow\u2010up visits. The clinical reevaluation was made 1 year after the surgery.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> No changes in the position of the buccal and interproximal soft tissues next to the defect area were observed before and after cause\u2010related therapy or when comparing the baseline (before surgery) and 1\u2010year follow\u2010up visits. The clinical attachment gain (5.9 \u00b1 1.4 mm), probing depth reduction (6.0 \u00b1 0.8 mm), and radiographic bone level gain (5.0 \u00b1 0.5 mm) were statistically and clinically significant, whereas no statistically significant increase in gingival recession (0.1 \u00b1 1.0 mm) was noted during the observation period.<\/jats:p><jats:p><jats:bold>Conclusions:<\/jats:bold> It is possible to avoid statistically and clinically significant changes in the position of the soft tissues when treating vertical bony defects. This can be accomplished by minimizing soft tissue trauma during cause\u2010related therapy and by advancing the buccal flap coronally during the surgery.<\/jats:p>","DOI":"10.1902\/jop.2008.070315","type":"journal-article","created":{"date-parts":[[2008,3,3]],"date-time":"2008-03-03T09:21:35Z","timestamp":1204536095000},"page":"567-574","source":"Crossref","is-referenced-by-count":20,"title":["A Novel Approach to Minimizing Gingival Recession in the Treatment of Vertical Bony Defects"],"prefix":"10.1002","volume":"79","author":[{"given":"Giovanni","family":"Zucchelli","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Massimo","family":"De Sanctis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2008,3]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0757.1993.tb00202.x"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1902\/annals.1996.1.1.621"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1993.64.4.254"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1902\/annals.1999.4.1.1"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-051X.1997.00855.x"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1972.43.1.38"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1993.64.10.934"},{"key":"e_1_2_7_9_1","first-page":"589","article-title":"The simplified papilla preservation flap. 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