Evidence map›Paper›PMID 40237912›Full record

Trial reportOral and maxillofacial surgery2025

Free gingival graft shrinkage on periosteal bed and denuded alveolar bone recipient site: a randomized clinical trial.

Shabnam Ganjehzadeh, Farid Shiezadeh, Amir Moeintaghavi, Zahra Shooshtari

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Oral and maxillofacial surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Shabnam GanjehzadehDental Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Farid ShiezadehDental Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. shiezadehfr@mums.ac.ir.
Amir MoeintaghaviDental Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Zahra ShooshtariPrivate Practice, Research Assistant, Dental Research Center, Mashhad Dental School, Mashhad University of Medical Sciences, Mashhad, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThere are several techniques to increase keratinized tissue, and free gingival grafting (FGG) is one of the most predictable methods. One of the main disadvantages of this method is the significant tissue shrinkage of the graft, so it is desirable to find a method that is associated with less shrinkage. The purpose of the present study was to compare graft shrinkage rates and postoperative pain intensity following FGG augmentation on periosteal beds and denuded alveolar bone. METHODS & MATERIALS: A total of 22 FGGs with a thickness of 1 to 1.5 mm were placed in the area between the mandibular premolars. The recipient site for FGG was a periosteal bed in the control group and denuded alveolar bone in the experimental group. Dimensions of the grafts were recorded clinically by a periodontal probe as well as taking photographs, and the pain intensity was assessed with VAS scale, 1, 2, 4 and 8 weeks after surgery. The percentage of tissue shrinkage was calculated, and the two groups were compared.

resultsA total of 22 patients (7 males and 15 females) completed the study and of these, 10 patients were in the experimental group (denuded bone bed), and 12 patients were in the control group (periosteal bed). At all times, the percentage of shrinkage in length, width and area in the control group (periosteum) was higher than the test group (bone). The highest percentage of shrinkage in all 3 parameters occurred in the control group related to the time between baseline and 1st week. In the experimental group, the highest percentage of length changes occurred between baseline and the 1st week and the highest percentage of width and area changes occurred between weeks 1 and 2. Changes in length, width and area between baseline and the first week and between baseline and week 8 were significant between the two groups. The mean pain in the control group (periosteum) was higher than the experimental group and only in the first week this difference was statistically significant.

conclusionIt can be concluded that epithelialized gingival graft placed on the denuded bone bed is associated with less pain and discomfort in the recipient area at one week postoperatively and was associated with less tissue shrinkage during 8 weeks of follow-up compared to FGG placement on the periosteal bed.

Indexed as

Alveolar Ridge AugmentationGingivaPeriosteumAdultAlveolar ProcessFemaleHumansMaleMiddle AgedPain MeasurementPostoperative PainTreatment OutcomeDenuded boneEpithelialized gingival graftPainPeriosteumTissue shrinkage

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.