Evidence map›Paper›PMID 41779472›Full record

Trial reportJournal of applied oral science : revista FOB2026

Comparative analysis of connective tissue graft versus ozone-enriched platelet-rich fibrin in the treatment of Cairo class I gingival recessions: a randomized, double-blind, controlled clinical trial.

Marina Pereira Silva, Maria Ritha Veiga Colognese, Carlos Augusto Nassar, Veridiana Camilotti

Abstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in Journal of applied oral science : revista FOB, 2026. 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.

Marina Pereira SilvaUniversidade Estadual do Oeste do Paraná - UNIOESTE, Faculdade de Odontologia, Departamento de Dentística Restauradora, Cascavel, PR, Brasil.ORCID http://orcid.org/0000-0003-4511-6210
Maria Ritha Veiga CologneseUniversidade Estadual do Oeste do Paraná - UNIOESTE, Faculdade de Odontologia, Departamento de Dentística Restauradora, Cascavel, PR, Brasil.ORCID http://orcid.org/0000-0002-2140-2813
Carlos Augusto NassarUniversidade Estadual do Oeste do Paraná - UNIOESTE, Faculdade de Odontologia, Departamento de Periodontia, Cascavel, PR, Brasil.ORCID http://orcid.org/0000-0002-8647-413X
Veridiana CamilottiUniversidade Estadual do Oeste do Paraná - UNIOESTE, Faculdade de Odontologia, Departamento de Dentística Restauradora, Cascavel, PR, Brasil.ORCID http://orcid.org/0000-0002-3004-3939

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gingival recession is characterized by the apical displacement of the marginal gingiva, exposing the root surface and causing aesthetic and functional issues such as dentin hypersensitivity and cervical lesions. Subepithelial connective tissue grafts (SCTG) are considered the gold standard for root coverage. Recently, ozone-enriched advanced platelet-rich fibrin (A-PRF) has emerged as a promising alternative due to its regenerative potential and biocompatibility.

objectivesTo compare the clinical efficacy of ozone-enriched A-PRF and SCTG combined with the coronally advanced flap (CAF) technique to treat Cairo Class I gingival recessions. METHODOLOGY: This randomized, double-blind, controlled clinical trial included 22 healthy patients (mean age 32.23±11.86 years, range 20-60 years), each with bilateral Cairo Class I recessions. Sites were treated with either CAF + SCTG (control) or CAF + ozone-enriched A-PRF (test). Clinical parameters were assessed at baseline, 90, and 180 days. Data were analyzed using the Shapiro-Wilk, repeated measures ANOVA, Tukey, and Friedman tests (α=0.05) on GraphPad Prism 8.0®. This study adhered to the CONSORT guidelines for randomized clinical trials.

resultsComplete root coverage (100%) was achieved in 13 of 22 sites (60%) in the SCTG group and in nine of 22 cases (43%) in the ozone-enriched A-PRF group. Both groups statistically and significantly improve over time in selected clinical parameters (p<0.05). The SCTG group showed significant gains in all evaluated outcomes, whereas the ozone-enriched A-PRF group showed significant improvements in clinical attachment level, recession height, recession width, and dentin hypersensitivity. SCTG more greatly increased gingival thickness (0.77±0.52 mm) and keratinized tissue width (0.81±0.95 mm) than ozone-enriched A-PRF (0.27±0.55 mm and 0.22±0.42 mm, respectively).

conclusionsBoth treatment approaches effectively managed Cairo Class I gingival recessions. SCTG promoted superior soft tissue augmentation, whereas ozone-enriched A-PRF achieved comparable reductions in recession-related parameters. The limitations of this study include its short follow-up period and the absence of histological assessment. Clinical Trial Register: RBR-537bzqt.

Indexed as

Connective TissueGingivaGingival RecessionOzonePlatelet-Rich FibrinAdultAnalysis of VarianceDouble-Blind MethodFemaleHumansMaleMiddle AgedReference ValuesReproducibility of ResultsStatistics, NonparametricSurgical FlapsOzone

Identifiers

PMID41779472
PMCPMC13123794

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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.