{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:38:35Z","timestamp":1787071115756,"version":"build-2736575974"},"reference-count":28,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2015,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Multiple approaches have been used to replace lost, damaged or diseased gingival tissues. The connective tissue graft (CTG) procedure is the golden standard method for root coverage. Although multiple sites often need grafting, the palatal mucosa supplies only a limited area of grafting material. To overcome this limitation, expanded mesh graft provides a method whereby a graft can be stretched to cover a large area. The aim of this study was to evaluate the effectiveness and the predictability of expanded mesh CTG (e-MCTG) in the treatment of adjacent multiple gingival recessions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Sixteen patients aged 20\u201350 years contributed to 55 sites, each site falling into at least three adjacent Miller's Class 1 or Class 2 gingival recession. The CTG obtained from the palatal mucosa was expanded to cover the recipient bed, which was 1.5 times larger than the graft. Clinical measurements were recorded at baseline and 3 months, 12 months postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A mean coverage of 1.96 mm \u00b1 0.66 mm and 2.22 mm \u00b1 0.68 mm was obtained at the end of 3\n                      <jats:sup>rd<\/jats:sup>\n                      and 12\n                      <jats:sup>th<\/jats:sup>\n                      month, respectively. Twelve months after surgery a statistically significant increase in CAL (2.2 mm \u00b1 0.68 mm,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001) and increasing WKT (1.75 \u00b1 0.78,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001) were obtained. In 80% of the treated sites, 100% root coverage was achieved (mean 93.5%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The results of this study demonstrated that multiple adjacent recessions were treated by using e-MCTG technique can be applied and highly predictable root coverage can be achieved.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/0976-237x.161870","type":"journal-article","created":{"date-parts":[[2015,7,31]],"date-time":"2015-07-31T03:26:11Z","timestamp":1438313171000},"page":"321-326","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Clinical evaluation of expanded mesh connective tissue graft in the treatment for multiple adjacent gingival recessions in the esthetic zone"],"prefix":"10.4103","volume":"6","author":[{"given":"M.","family":"Shanmugam","sequence":"first","affiliation":[{"name":"Department of Periodontics, Chettinad Dental College and Research Institute, Kelambakkam, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Shivakumar","sequence":"additional","affiliation":[{"name":"Department of Periodontics, Ragas Dental College and Hospital, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Meenapriya","sequence":"additional","affiliation":[{"name":"Department of Periodontics, Chettinad Dental College and Research Institute, Kelambakkam, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"Anitha","sequence":"additional","affiliation":[{"name":"Department of Periodontics, Chettinad Dental College and Research Institute, Kelambakkam, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Ashwath","sequence":"additional","affiliation":[{"name":"Department of Periodontics, Chettinad Dental College and Research Institute, Kelambakkam, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20250921","doi-asserted-by":"crossref","first-page":"470","DOI":"10.1902\/jop.2001.72.4.470","article-title":"Histological evaluation of healing and revascularization of the subepithelial connective tissue graft","volume":"72","author":"Guiha","year":"2001","journal-title":"J Periodontol"},{"key":"R2-20250921","doi-asserted-by":"crossref","first-page":"1470","DOI":"10.1902\/jop.2001.72.11.1470","article-title":"Comparison of 2 techniques of subepithelial connective tissue graft in the treatment of gingival recessions","volume":"72","author":"Cordioli","year":"2001","journal-title":"J Periodontol"},{"key":"R3-20250921","doi-asserted-by":"crossref","first-page":"1258","DOI":"10.1902\/jop.2000.72.9.1258","article-title":"Comparative clinical study of guided tissue regeneration with a bioabsorbable bilayer collagen membrane and subepithelial connective tissue graft","volume":"72","author":"Romagna-Genon","year":"2001","journal-title":"J Periodontol"},{"key":"R4-20250921","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1034\/j.1600-0765.2001.360601.x","article-title":"Gingival recession defects and guided tissue regeneration: A review","volume":"36","author":"Danesh-Meyer","year":"2001","journal-title":"J Periodontal Res"},{"key":"R5-20250921","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1902\/jop.1993.64.4.315","article-title":"Thick free gingival and connective tissue autografts for root coverage","volume":"64","author":"Jahnke","year":"1993","journal-title":"J Periodontol"},{"key":"R6-20250921","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1902\/jop.2000.71.2.188","article-title":"Coronally advanced flap procedure for root coverage. Flap with tension versus flap without tension: A randomized controlled clinical study","volume":"71","author":"Pini Prato","year":"2000","journal-title":"J Periodontol"},{"key":"R7-20250921","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1902\/jop.2000.71.2.238","article-title":"Guided tissue regeneration with a bioabsorbable polylactic acid membrane in gingival recessions. A histometric study in dogs","volume":"71","author":"Casati","year":"2000","journal-title":"J Periodontol"},{"key":"R8-20250921","doi-asserted-by":"crossref","first-page":"1306","DOI":"10.1902\/jop.2000.71.8.1306","article-title":"Comparison of bioabsorbable and non-resorbable membranes in the treatment of dehiscence-type defects. A histomorphometric study in dogs","volume":"71","author":"da Silva Pereira","year":"2000","journal-title":"J Periodontol"},{"key":"R9-20250921","doi-asserted-by":"crossref","first-page":"919","DOI":"10.1902\/jop.1992.63.11.919","article-title":"Guided tissue regeneration versus mucogingival surgery in the treatment of human buccal gingival recession","volume":"63","author":"Pini Prato","year":"1992","journal-title":"J Periodontol"},{"key":"R10-20250921","doi-asserted-by":"crossref","first-page":"760","DOI":"10.1902\/jop.2001.72.6.760","article-title":"Coronally advanced flap procedure: Is the interdental papilla a prognostic factor for root coverage?","volume":"72","author":"Saletta","year":"2001","journal-title":"J Periodontol"},{"key":"R11-20250921","doi-asserted-by":"crossref","first-page":"1506","DOI":"10.1902\/jop.2000.71.9.1506","article-title":"Treatment of multiple recession-type defects in patients with esthetic demands","volume":"71","author":"Zucchelli","year":"2000","journal-title":"J Periodontol"},{"key":"R12-20250921","doi-asserted-by":"crossref","first-page":"571","DOI":"10.1902\/jop.2001.72.5.571","article-title":"Predictable multiple site root coverage using an acellular dermal matrix allograft","volume":"72","author":"Henderson","year":"2001","journal-title":"J Periodontol"},{"key":"R13-20250921","first-page":"121","article-title":"Free autogenous gingival grafts. I. Principles of successful grafting","volume":"6","author":"Sullivan","year":"1968","journal-title":"Periodontics"},{"key":"R14-20250921","first-page":"1303","article-title":"The role of gingival connective tissue in determining epithelial differentiation","volume":"51","author":"Karring","year":"1972","journal-title":"J Dent Res"},{"key":"R15-20250921","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1111\/j.1600-051X.1974.tb01257.x","article-title":"Clinical evaluation of free connective tissue grafts used to increase the width of keratinised gingiva","volume":"1","author":"Edel","year":"1974","journal-title":"J Clin Periodontol"},{"key":"R16-20250921","doi-asserted-by":"crossref","first-page":"715","DOI":"10.1902\/jop.1985.56.12.715","article-title":"Subepithelial connective tissue graft technique for root coverage","volume":"56","author":"Langer","year":"1985","journal-title":"J Periodontol"},{"key":"R17-20250921","first-page":"9","article-title":"A classification of marginal tissue recession","volume":"5","author":"Miller","year":"1985","journal-title":"Int J Periodontics Restorative Dent"},{"key":"R18-20250921","doi-asserted-by":"crossref","first-page":"1107","DOI":"10.1902\/jop.1994.65.12.1107","article-title":"Controlled clinical evaluation of the subpedicle connective tissue graft for the coverage of gingival recession","volume":"65","author":"Borghetti","year":"1994","journal-title":"J Periodontol"},{"key":"R19-20250921","doi-asserted-by":"crossref","first-page":"929","DOI":"10.1902\/jop.1994.65.10.929","article-title":"Subepithelial connective tissue grafts in the treatment of gingival recessions. A comparative study of 2 procedures","volume":"65","author":"Bouchard","year":"1994","journal-title":"J Periodontol"},{"key":"R20-20250921","doi-asserted-by":"crossref","first-page":"998","DOI":"10.1902\/jop.2001.72.8.998","article-title":"Clinical evaluation of acellular allograft dermis for the treatment of human gingival recession","volume":"72","author":"Aichelmann-Reidy","year":"2001","journal-title":"J Periodontol"},{"key":"R22-20250921","doi-asserted-by":"crossref","first-page":"1441","DOI":"10.1902\/jop.2000.71.9.1441","article-title":"Treatment of gingival recession: Comparative study between subepithelial connective tissue graft and guided tissue regeneration","volume":"71","author":"Rosetti","year":"2000","journal-title":"J Periodontol"},{"key":"R23-20250921","doi-asserted-by":"crossref","first-page":"448","DOI":"10.1902\/jop.1994.65.5.448","article-title":"The connective tissue with partial thickness double pedicle graft: The results of 100 consecutively-treated defects","volume":"65","author":"Harris","year":"1994","journal-title":"J Periodontol"},{"key":"R24-20250921","doi-asserted-by":"crossref","first-page":"932","DOI":"10.1902\/jop.2001.72.7.932","article-title":"Clinical evaluation of 3 techniques to augment keratinized tissue without root coverage","volume":"72","author":"Harris","year":"2001","journal-title":"J Periodontol"},{"key":"R25-20250921","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1034\/j.1600-051x.2001.028007657.x","article-title":"Human histology of new attachment after root coverage using subepithelial connective tissue graft","volume":"28","author":"Goldstein","year":"2001","journal-title":"J Clin Periodontol"},{"key":"R26-20250921","first-page":"216","article-title":"Thick gingival auto graft for the coverage of gingival recession, clinical evaluation dentistry","volume":"10","author":"Borghetti","year":"1990","journal-title":"Int J Periodontics Restorative Dent"},{"key":"R27-20250921","doi-asserted-by":"crossref","first-page":"1405","DOI":"10.1902\/jop.2002.73.12.1405","article-title":"Root coverage of advanced gingival recession: A comparative study between acellular dermal matrix allograft and subepithelial connective tissue grafts","volume":"73","author":"Tal","year":"2002","journal-title":"J Periodontol"},{"key":"R28-20250921","doi-asserted-by":"crossref","first-page":"1297","DOI":"10.1902\/jop.2000.71.8.1297","article-title":"Acellular dermal matrix allografts to achieve increased attached gingival","volume":"7","author":"Wei","year":"2000","journal-title":"J Periodontol"},{"key":"R29-20250921","first-page":"69","article-title":"Gingival augmentation with an acellular dermal matrix: Human histologic evaluation of a case \u2013 Placement of the graft on bone","volume":"21","author":"Harris","year":"2001","journal-title":"Int J Periodontics Restorative Dent"}],"container-title":["Contemporary Clinical Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/01535384-201506030-00010","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:41:42Z","timestamp":1787067702000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/01535384-201506030-00010"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,7]]},"references-count":28,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2015]]}},"URL":"https:\/\/doi.org\/10.4103\/0976-237x.161870","relation":{},"ISSN":["0976-237X","0976-2361"],"issn-type":[{"value":"0976-237X","type":"print"},{"value":"0976-2361","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,7]]}}}