{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:24:48Z","timestamp":1787840688711,"version":"build-2784847793"},"reference-count":34,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"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":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>In periodontal therapy, marginal gingival recession (GR) is a recurrent finding that emphasizes the importance of using efficient root coverage approaches. The bidirectionally positioned flap (BPF) offers a unique strategy that merits investigation. This study aims to evaluate the clinical outcomes of BPF and conventional coronally advanced flap (CAF) for treating isolated GRs classified as Class I by Miller.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      Sixteen participants were included in the study (8 in each group). Clinical parameters, including the plaque index, gingival thickness (GT), recession height (RH), probing pocket depth, clinical attachment level (CAL), keratinized tissue height (KTH), RH, and Visual Analog Scale (VAS), were recorded during the study. At 6 months, both treatment modalities resulted in significant root coverage (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.01), with an average coverage of 2.5 mm for the BPF group and 2.38 mm for the CAF group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Both treatments showed comparable outcomes, with no significant differences in relative height loss. Additionally, GT, KTH, probing depth, and CAL remained consistent across both groups, highlighting their similar effectiveness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This study\u2019s conclusions highlight the effectiveness of BPF and CAF in improving root coverage over 6 months, with BPF showing promise as a therapeutic intervention for isolated GR.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jisp.jisp_349_24","type":"journal-article","created":{"date-parts":[[2025,6,11]],"date-time":"2025-06-11T05:01:17Z","timestamp":1749618077000},"page":"91-97","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Assessment of clinical and esthetic parameters in isolated gingival recession treated with coronally advanced flap versus bidirectionally positioned flap: A 6-month follow-up study"],"prefix":"10.4103","volume":"29","author":[{"given":"Chakradhar","family":"Sana","sequence":"first","affiliation":[{"name":"Department of Periodontology, Manipal College of Dental Sciences Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashita","family":"Uppoor","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Manipal College of Dental Sciences Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sangeeta Umesh","family":"Nayak","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Manipal College of Dental Sciences Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neetha","family":"Shetty","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Manipal College of Dental Sciences Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priyanka Paramita","family":"Sahu","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Manipal College of Dental Sciences Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pragya","family":"Atray","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Manipal College of Dental Sciences Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,6,10]]},"reference":[{"issue":"Suppl 3","key":"R1-20260422","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1034\/j.1600-051X.29.s3.11.x","article-title":"Periodontal plastic surgery for treatment of localized gingival recessions: A systematic review","volume":"29","author":"Roccuzzo","year":"2002","journal-title":"J Clin Periodontol"},{"key":"R2-20260422","doi-asserted-by":"crossref","first-page":"702","DOI":"10.1902\/annals.1996.1.1.702","article-title":"Mucogingival therapy","volume":"1","year":"1996","journal-title":"Ann Periodontol"},{"key":"R3-20260422","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1902\/jop.1992.63.6.489","article-title":"The natural history of periodontal disease in man: Prevalence, severity, and extent of gingival recession","volume":"63","author":"L\u00f6e","year":"1992","journal-title":"J Periodontol"},{"key":"R4-20260422","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1902\/jop.1999.70.1.30","article-title":"Gingival recession, gingival bleeding, and dental calculus in adults 30 years of age and older in the United States, 1988\u20131994","volume":"70","author":"Albandar","year":"1999","journal-title":"J Periodontol"},{"key":"R5-20260422","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1902\/jop.2010.090540","article-title":"Root-coverage procedures for the treatment of localized recession-type defects: A Cochrane systematic review","volume":"81","author":"Chambrone","year":"2010","journal-title":"J Periodontol"},{"key":"R6-20260422","doi-asserted-by":"crossref","first-page":"909","DOI":"10.1902\/jop.2006.050249","article-title":"Subepithelial connective tissue grafts in the treatment of multiple recession-type defects","volume":"77","author":"Chambrone","year":"2006","journal-title":"J Periodontol"},{"key":"R7-20260422","first-page":"180","article-title":"Management of advanced periodontitis. 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