Evidence map›Paper›PMID 41347747›Full record

Trial reportJournal of clinical periodontology2026

Clinical Evaluation of Absorbable Gradient Membrane vs. Free Gingival Grafts for Periodontal Soft-Tissue Augmentation: A Randomised Controlled Clinical Trial.

Li Niu, Xiaojing Ke, Wei Zhou, Baochun Tan, Junjie Zhao, Bin Chen, Yanfen Li, Peng Zhang, Fuhua Yan, Houxuan Li

Abstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in Journal of clinical periodontology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Trial
  2. Electrospun Fibers EncapsulatingMolecules (Basel, Switzerland) · 2026
    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

10 authors.

Li NiuNanjing Stomatological Hospital, Affiliated Hospital of Medical School, Institute of Stomatology, Nanjing University, Nanjing, Jiangsu, China.
Xiaojing KeNanjing Stomatological Hospital, Affiliated Hospital of Medical School, Institute of Stomatology, Nanjing University, Nanjing, Jiangsu, China.
Wei ZhouNanjing Stomatological Hospital, Affiliated Hospital of Medical School, Institute of Stomatology, Nanjing University, Nanjing, Jiangsu, China.
Baochun TanNanjing Stomatological Hospital, Affiliated Hospital of Medical School, Institute of Stomatology, Nanjing University, Nanjing, Jiangsu, China.
Junjie ZhaoNanjing Stomatological Hospital, Affiliated Hospital of Medical School, Institute of Stomatology, Nanjing University, Nanjing, Jiangsu, China.
Bin ChenNanjing Stomatological Hospital, Affiliated Hospital of Medical School, Institute of Stomatology, Nanjing University, Nanjing, Jiangsu, China.
Yanfen LiNanjing Stomatological Hospital, Affiliated Hospital of Medical School, Institute of Stomatology, Nanjing University, Nanjing, Jiangsu, China.
Peng ZhangNanjing Stomatological Hospital, Affiliated Hospital of Medical School, Institute of Stomatology, Nanjing University, Nanjing, Jiangsu, China.
Fuhua YanNanjing Stomatological Hospital, Affiliated Hospital of Medical School, Institute of Stomatology, Nanjing University, Nanjing, Jiangsu, China.ORCID 0000-0002-6963-3530
Houxuan LiNanjing Stomatological Hospital, Affiliated Hospital of Medical School, Institute of Stomatology, Nanjing University, Nanjing, Jiangsu, China.ORCID 0000-0002-3798-8628

Funding

High-Level Hospital Construction Project of Nanjing Stomatological Hospital, Affiliated Hospital of Medical School, Institute of Stomatology, Nanjing University 0224C014National Natural Science Foundation of China 82371007
6 · The paper itself

Abstract

aimTo assess a new material in comparison with free gingival graft (FGG) for increasing the width of keratinised tissue (KT). MATERIAL AND

methodsForty-six participants were randomly allocated to the absorbable gradient membrane (AGM) or the FGG group. This trial used inter-patient comparison to establish the non-inferiority of AGM compared to FGG. The primary outcome (KT) was examined from baseline to 3 years after surgery. Secondary outcomes included the plaque index (PI), bleeding index (BI), gingival recession (GR), probing depth (PD), immunoglobulin E (IgE) level, postoperative pain, aesthetics and patient satisfaction.

resultsThe width of KT in the AGM group was non-inferior to that of the FGG group at all short-term follow-ups (1, 3 and 6 months), with a pre-defined margin of 1 mm. However, this non-inferiority disappeared by 3 years after operation. From 6 months to 3 years, the GR associated with FGG significantly decreased, while that associated with AGM showed no significant change between adjacent time points. No significant differences were observed in PI, BI, PD or IgE levels between the groups. AGM required shorter surgery times and secured better aesthetic outcomes than FGG.

conclusionAGM showed short-term non-inferiority to FGG for KT augmentation. However, the non-inferiority was not sustained at 3 years.

trial registrationThe study was registered with the China Clinical Trial Center under ChiCTR2000034683. Informed consent was obtained from all participants.

Indexed as

GingivaGingivoplastyMembranes, ArtificialAbsorbable ImplantsAdultDental Plaque IndexEsthetics, DentalFemaleGingival RecessionHumansMaleMiddle AgedPatient SatisfactionPeriodontal IndexTreatment OutcomeMembranes, Artificialabsorbable gradient membranecreeping attachmentfree gingival graftgingival recessionkeratinised tissue

Identifiers

PMID41347747
PMCPMC12890460

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.