{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:41:54Z","timestamp":1787071314456,"version":"build-2736575974"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>Abstract:<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Root coverage following gingival recession is often performed for cosmetic reasons to reduce root sensitivity or to treat root caries and cervical abrasions. The subepithelial connective tissue graft is considered the gold standard for esthetically correcting gingival recession.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>This study aimed to evaluate the clinical efficacy of coronally advanced flaps in the treatment of localized gingival recession, both as a standalone procedure and in combination with periosteal pedicle grafts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>A split-mouth design was employed involving 10 patients with bilateral, nearly identical Miller\u2019s class I or II facial recession defects of 2 mm on anterior or premolar teeth. Clinical parameters, including plaque index, gingival index, probing pocket depth, and clinical attachment level, were recorded at baseline, 3-month, and 6-month posttreatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Both groups showed significant clinical improvements in all measured parameters. Although Group I (periosteal pedicle graft combined with coronally advanced flap) demonstrated somewhat better results than Group II (coronally advanced flap alone), the differences were not statistically significant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Within the limitations of this study, the periosteal pedicle graft combined with the coronally advanced flap technique provided greater root coverage compared to the coronally advanced flap alone, but this difference was not statistically significant.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jisp.jisp_297_24","type":"journal-article","created":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T16:06:03Z","timestamp":1763654763000},"page":"291-297","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Comparative evaluation of coronally advanced flap alone and in combination with periosteal pedicle graft in the management of localized gingival recession"],"prefix":"10.4103","volume":"29","author":[{"given":"Divya","family":"Jyoti","sequence":"first","affiliation":[{"name":"Department of Periodontology, Punjab Government Dental College and Hospital, Patiala, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amandeep","family":"Kaur","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Punjab Government Dental College and Hospital, Patiala, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shanteri","family":"Nayak","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Punjab Government Dental College and Hospital, Patiala, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nandita","family":"Katha","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Punjab Government Dental College and Hospital, Patiala, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ishu","family":"Singla","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Punjab Government Dental College and Hospital, Patiala, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harmesh","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Punjab Government Dental College and Hospital, Patiala, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,11,20]]},"reference":[{"key":"R1-20251122","doi-asserted-by":"crossref","first-page":"66","DOI":"10.4103\/0972-124X.145790","article-title":"Comparative clinical evaluation of coronally advanced flap with or without platelet rich fibrin membrane in the treatment of isolated gingival 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and a non-resorbable membrane in the treatment of human buccal gingival recessions J Periodontol","volume":"67","author":"Roccuzzo","year":"1996"},{"key":"R10-20251122","doi-asserted-by":"crossref","first-page":"713","DOI":"10.1902\/jop.2005.76.5.713","article-title":"Coronally advanced flap:the post-surgical position of the gingival margin is an important factor for achieving complete root coverage","volume":"76","author":"Pini-prato","year":"2005","journal-title":"J Periodontol"},{"key":"R11-20251122","first-page":"69","article-title":"Periosteal pedicle graft:A novel root coverage technique","volume":"22","author":"Sharma","year":"2018","journal-title":"J Indian Soc Periodontol"},{"key":"R12-20251122","first-page":"37192","article-title":"Awareness of brushing technique among patients-A hospital based study in a suburban population in South India","volume":"8","author":"Packyanathan","year":"2016","journal-title":"Int J Dent Res"},{"key":"R13-20251122","doi-asserted-by":"crossref","first-page":"88","DOI":"10.4103\/IJDS.IJDS_79_16","article-title":"Coverage of localised gingival recession using coronally advanced flap:A comparison between microsurgical and macrosurgical technique","volume":"9","author":"Singh","year":"2017","journal-title":"Indian J Dent Sci."},{"key":"R14-20251122","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1111\/adj.12718","article-title":"Root coverage with coronally advanced flap:6-year follow-up","volume":"64","author":"Kanmaz","year":"2019","journal-title":"Aust Dent J"},{"key":"R15-20251122","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1016\/j.jobcr.2020.12.003","article-title":"Periosteal pedicle graft with coronally advanced flap and its comparison with modified coronally advanced flap in the treatment of multiple adjacent gingival recessions-a randomized clinical trial","volume":"11","author":"Nisha","year":"2021","journal-title":"J Oral Biol Craniofac Res"},{"key":"R16-20251122","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1590\/2177-6709.21.3.018-029.oin","article-title":"Gingival recession:its causes and types, and the importance of orthodontic treatment","volume":"21","author":"Jati","year":"2016","journal-title":"Dent Press J Orthod."},{"key":"R17-20251122","doi-asserted-by":"crossref","first-page":"231","DOI":"10.11607\/prd.2533","article-title":"Multiple gingival recession defects treated with coronally advanced flap and either the VISTA technique enhanced with GEM 21S or periosteal pedicle graft:A 9-month clinical study","volume":"36","author":"Dandu","year":"2016","journal-title":"Int J Periodontics Restorative Dent"}],"container-title":["Journal of Indian Society of 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