Evidence map›Paper›PMID 42437817›Full record

Trial reportClinical oral investigations2026

De-epithelialized gingival unit graft for gingival phenotype modification and root coverage: a randomized controlled trial.

Zeki Kacar, Ezgi Gurbuz, Mehmet Meric Ersoz, Emilio Couso-Queiruga, H Gencay Keceli

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Clinical oral investigations, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05923294 (Clinical Comparison of Two Different Graft Harvesting Techniques Applied in Localized Gingival Recessions), which is not on this map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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.

NCT05923294 nacompletednot on this map

Clinical Comparison of Two Different Graft Harvesting Techniques Applied in Localized Gingival Recessions

TypeinterventionalSponsorKutahya Health Sciences UniversityRan2023 to 2024Enrolled15ConditionsGingival Recession, Localized, Sensitivity, Tooth, Attachment Loss, PeriodontalArmsCoronally advanced flap with connective tissue graft
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Zeki KacarDepartment of Periodontology, Faculty of Dentistry, Kutahya Health Sciences University, Kutahya, Turkey.ORCID http://orcid.org/0000-0002-2714-128X
Ezgi GurbuzDepartment of Periodontology, Faculty of Dentistry, Kutahya Health Sciences University, Kutahya, Turkey. ezgi.dogan@ksbu.edu.tr.ORCID http://orcid.org/0000-0001-8774-8537
Mehmet Meric ErsozDepartment of Periodontology, Faculty of Dentistry, Kutahya Health Sciences University, Kutahya, Turkey.ORCID http://orcid.org/0000-0002-7283-3613
Emilio Couso-QueirugaDepartment of Oral Surgery and Stomatology, School of Dental Medicine, University of Bern, Bern, Switzerland.ORCID http://orcid.org/0000-0002-9989-4483
H Gencay KeceliDepartment of Periodontology, Faculty of Dentistry, Hacettepe University, Ankara, Turkey.ORCID http://orcid.org/0000-0001-6695-2133

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim was to compare the outcomes of gingival phenotype modification achieved using a de-epithelialized gingival unit graft (DUG) and a de-epithelialized gingival graft (DGG) in the treatment of single gingival recession defects with a coronally advanced flap (CAF). MATERIALS AND

methodsSubjects with bilateral RT1 gingival recession defects were recruited. The sites were randomly assigned to either the DUG or DGG group. The assessments were performed using clinical, linear, and volumetric digital measurements, as well as patient-reported outcome measures. Gingival thickness and mean root coverage were measured as the primary outcome variables.

resultsThe study was completed with 15 patients and 30 gingival recession defects. At the 6-month follow-up, the change in gingival thickness (DUG: 2.39 ± 0.65 mm; DGG: 1.66 ± 0.50 mm) and digital linear dimension (DUG: 1.66 ± 0.47 mm; DGG: 1.13 ± 0.36 mm) were significantly greater in the DUG group than in the DGG group (p = 0.001 and p = 0.008, respectively). Mean and complete root coverage values were greater in the DUG group, though not significant (95% vs. 75% and 93.3% vs. 66.7%, respectively). Graft thickness was significantly greater in the DUG group (p = 0.027; 1.55 ± 0.50 mm and 1.10 ± 0.32 mm, respectively). No significant intergroup differences were observed in postoperative pain perception or bleeding.

conclusionsDUG demonstrated better root coverage and phenotype modification results. However, the baseline imbalance in graft thickness remains a potential confounder, and the findings should be interpreted cautiously. CLINICAL RELEVANCE: DUG may offer an alternative tissue for phenotype modification and root coverage in cases with limited soft tissue thickness in the recipient area.

trial registrationClinicalTrials.gov (identification number NCT05923294). https://clinicaltrials.gov/study/NCT05923294?cond=NCT05923294&rank=1 Date of Submission: June 20th, 2023.

Indexed as

GingivaGingival RecessionGingivoplastyTooth RootAdultFemaleHumansMaleMiddle AgedPhenotypeSurgical FlapsTreatment OutcomeConnective tissueGingivaGingival recessionPhenotypePlastic surgery

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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.