{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T01:58:12Z","timestamp":1773280692882,"version":"3.50.1"},"reference-count":21,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2009,1,1]],"date-time":"2009-01-01T00:00:00Z","timestamp":1230768000000},"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":[[2009,1]]},"abstract":"<jats:p><jats:bold>Background:<\/jats:bold> The purpose of the present study was to evaluate the esthetic outcome using four categories of root\u2010coverage procedures (pedicle soft tissue grafts, non\u2010submerged grafts, submerged grafts, and envelope techniques) and to identify factors associated with esthetic assessment.<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold> A professional panel of three observers (two periodontists and one control) used a before\u2013after panel scoring system to evaluate the esthetics of 162 root\u2010coverage surgeries. A five\u2010point ordinal scale was used to evaluate the overall esthetic improvement and seven variables that may be considered in the assessment.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> The intraobserver agreement of the two trained periodontists for the overall cosmetic assessment was almost perfect (\u03ba = 0.83), and substantial agreement was found between them (\u03ba = 0.68). Good to excellent overall esthetic results were found by the professionals and control in &gt;70% of the surgical procedures. Analysis of variance indicated a statistical difference between the non\u2010submerged grafts category and the three other surgical categories (<jats:italic>P<\/jats:italic> &lt;10<jats:sup>\u22123<\/jats:sup>). Multivariate analysis showed that the degree of root coverage was not a significant predictive factor, whereas soft tissue appearance variables and the follow\u2010up were significantly associated with cosmetic assessment.<\/jats:p><jats:p><jats:bold>Conclusions:<\/jats:bold> The present study demonstrated that non\u2010submerged grafts are not recommended in cases of esthetic demand. Future root\u2010coverage trials, basing their justification on esthetics, should include overall qualitative evaluation as the primary variable. The follow\u2010up period should not be &lt;12 months. The before\u2013after panel scoring system is a tool that can be used to evaluate cosmetic outcomes.<\/jats:p>","DOI":"10.1902\/jop.2009.080413","type":"journal-article","created":{"date-parts":[[2008,12,30]],"date-time":"2008-12-30T06:33:32Z","timestamp":1230618812000},"page":"41-47","source":"Crossref","is-referenced-by-count":42,"title":["Qualitative Cosmetic Evaluation After Root\u2010Coverage Procedures"],"prefix":"10.1002","volume":"80","author":[{"given":"St\u00e9phane","family":"Kerner","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandre","family":"Sarfati","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandrine","family":"Katsahian","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vincent","family":"Jaumet","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles","family":"Micheau","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francis","family":"Mora","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Virginie","family":"Monnet\u2010Corti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philippe","family":"Bouchard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2009,1]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-051X.29.s3.11.x"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1902\/annals.2003.8.1.303"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2003.74.10.1520"},{"key":"e_1_2_7_5_1","first-page":"955","volume-title":"Mucogingival therapy \u2013 Periodontal plastic surgery","author":"Wennstr\u00f6m JL","year":"2008"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051x.2005.00690.x"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1994.65.10.929"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.2008.01267.x"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2000.71.9.1441"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2001.72.8.998"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2001.72.10.1301"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2004.75.12.1678"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-199606000-00007"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/0167-8140(92)90261-R"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.2007.01137.x"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.2008.01204.x"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0757.2001.027001097.x"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1037\/h0026256"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/001316447303300309"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.2307\/2529786"},{"key":"e_1_2_7_21_1","first-page":"8","article-title":"A classification of marginal tissue recession","volume":"5","author":"Miller PD","year":"1985","journal-title":"Int J Periodontics Restorative Dent"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.2008.01244.x"}],"container-title":["Journal of Periodontology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aap.onlinelibrary.wiley.com\/doi\/pdf\/10.1902\/jop.2009.080413","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T12:02:06Z","timestamp":1760875326000},"score":1,"resource":{"primary":{"URL":"https:\/\/aap.onlinelibrary.wiley.com\/doi\/10.1902\/jop.2009.080413"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,1]]},"references-count":21,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2009,1]]}},"alternative-id":["10.1902\/jop.2009.080413"],"URL":"https:\/\/doi.org\/10.1902\/jop.2009.080413","archive":["Portico"],"relation":{},"ISSN":["0022-3492","1943-3670"],"issn-type":[{"value":"0022-3492","type":"print"},{"value":"1943-3670","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,1]]}}}