Findings

What do systematic reviews say?

1,192 questions · 1,243 findings · 151 reviews

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No studies found 252 · 20.3%GRADE not reported 180 · 14.5%Very low 291 · 23.4%Low 282 · 22.7%Moderate 174 · 14%High 64 · 5.1%

EMP + CAF vs SCTG + CAF

Aesthetic condition change related to patient's opinion · Adult patients with single (localised) recession-type defects (Miller Class I/II, at least 3 mm)

1 finding from 1 review

Root coverage procedures for treating localised and multiple recession‐type defects 2018 · Cochrane All outcomes
10 years
McGuire 2012 (10 years after surgery): 6 patients had no preference for a particular treatment, 2 favoured EMD + CAF, 1 favoured SCTG + CAF (P=0.564)
1 study
Very low

GTR rm + CAF vs GTR nrm + CAF

Change in gingival recession (REC) · Adult patients with single (localised) recession-type defects (Miller Class I/II, at least 3 mm)

GTR rm + CAF showed no clear difference in gingival recession depth change compared with GTR nrm + CAF; GRADE not reported.

1 finding from 1 review

Root coverage procedures for treating localised and multiple recession‐type defects 2018 · Cochrane All outcomes
Short term (6 to 12 months)
MD 0.23 [-0.22, 0.68]
2 studies
GRADE not reported

GTR rm associated with bone substitutes + CAF vs GTR rm + CAF

Occurrence of adverse effects or postoperative complications · Adult patients with single (localised) recession-type defects (Miller Class I/II, at least 3 mm)

1 finding from 1 review

Root coverage procedures for treating localised and multiple recession‐type defects 2018 · Cochrane All outcomes
Short term (6 to 12 months)
Dodge 2000: membrane exposure reported between the first and second weeks of healing
1 study
GRADE not reported

ADMG + CAF vs SCTG + CAF

Change in gingival recession (REC) · Adult patients with single (localised) recession-type defects (Miller Class I/II, at least 3 mm)

ADMG + CAF showed no clear difference in gingival recession change compared with SCTG + CAF (low certainty).

1 finding from 1 review

Root coverage procedures for treating localised and multiple recession‐type defects 2018 · Cochrane All outcomes
Short term (6 to 12 months)
MD -0.36 [-1.03, 0.30]
4 studies · 100 participants
Low

GTR rm + CAF vs GTR nrm + CAF

Patients' preference for a specific procedure · Adult patients with single (localised) recession-type defects (Miller Class I/II, at least 3 mm)

1 finding from 1 review

Root coverage procedures for treating localised and multiple recession‐type defects 2018 · Cochrane All outcomes
Short term (6 to 12 months)
Roccuzzo 1996: all patients preferred the GTR treatment because it was a single-step procedure
1 study
GRADE not reported

Laterally positioned flap (LPF) vs Any other root coverage procedure

Outcome not reported · Adult patients with single (localised) recession-type defects (Miller Class I/II, at least 3 mm)

The review found no eligible studies for this question.

1 finding from 1 review

Root coverage procedures for treating localised and multiple recession‐type defects 2018 · Cochrane All outcomes
We did not find any RCTs evaluating laterally positioned flaps (LPF)
0 studies
No studies found

GTR rm associated with bone substitutes + CAF vs SCTG + CAF

Change in gingival recession (REC) · Adult patients with single (localised) recession-type defects (Miller Class I/II, at least 3 mm)

GTR rm associated with bone substitutes + CAF showed no clear difference in gingival recession depth change compared with SCTG + CAF; GRADE not reported.

1 finding from 1 review

Root coverage procedures for treating localised and multiple recession‐type defects 2018 · Cochrane All outcomes
Short term (6 to 12 months)
MD -0.82 [-2.13, 0.49]
2 studies
GRADE not reported

GTR rm + CAF vs GTR nrm + CAF

Aesthetic condition change related to patient's opinion · Adult patients with single (localised) recession-type defects (Miller Class I/II, at least 3 mm)

The review found no eligible studies for this question.

1 finding from 1 review

Root coverage procedures for treating localised and multiple recession‐type defects 2018 · Cochrane All outcomes
Short term (6 to 12 months)
Aesthetic condition change was not reported for this comparison
0 studies
No studies found

GTR rm associated with bone substitutes + CAF vs SCTG + CAF

Attachment change · Adult patients with single (localised) recession-type defects (Miller Class I/II, at least 3 mm)

GTR rm associated with bone substitutes + CAF showed no clear difference in clinical attachment level change compared with SCTG + CAF; GRADE not reported.

1 finding from 1 review

Root coverage procedures for treating localised and multiple recession‐type defects 2018 · Cochrane All outcomes
Short term (6 to 12 months)
MD -0.52 [-1.34, 0.30]
2 studies
GRADE not reported

ADMG + CAF vs CAF

Attachment change · Adult patients with single (localised) recession-type defects (Miller Class I/II, at least 3 mm)

ADMG + CAF showed no clear difference in clinical attachment level change compared with CAF (low certainty).

1 finding from 1 review

Root coverage procedures for treating localised and multiple recession‐type defects 2018 · Cochrane All outcomes
Short term (6 to 12 months)
MD 0.51 [-0.25, 1.27]
2 studies · 50 participants
Low

XCM + CAF vs CAF

Change in gingival recession (REC) · Adult patients with single (localised) recession-type defects (Miller Class I/II, at least 3 mm)

XCM + CAF may leads to higher gingival recession depth change compared with CAF (low certainty).

1 finding from 1 review

Root coverage procedures for treating localised and multiple recession‐type defects 2018 · Cochrane All outcomes
Short term (6 to 12 months)
MD 0.40 [0.11, 0.68]
2 studies · 104 participants
Low

GTR rm + CAF vs GTR nrm + CAF

Sites with complete root coverage · Adult patients with single (localised) recession-type defects (Miller Class I/II, at least 3 mm)

GTR rm + CAF showed no clear difference in sites with complete root coverage compared with GTR nrm + CAF; GRADE not reported.

1 finding from 1 review

Root coverage procedures for treating localised and multiple recession‐type defects 2018 · Cochrane All outcomes
Short term (6 to 12 months)
OR 1.33 [0.46, 3.85]
2 studies
GRADE not reported

EMP + CAF vs SCTG + CAF

Attachment change · Adult patients with single (localised) recession-type defects (Miller Class I/II, at least 3 mm)

EMP + CAF showed no clear difference in clinical attachment change compared with SCTG + CAF (low certainty).

1 finding from 1 review

Root coverage procedures for treating localised and multiple recession‐type defects 2018 · Cochrane All outcomes
Short term (6 to 12 months)
MD -0.25 [-0.69, 0.20]
2 studies · 62 participants
Low

XCM + CAF vs CAF

Keratinized tissue width change · Adult patients with single (localised) recession-type defects (Miller Class I/II, at least 3 mm)

XCM + CAF may leads to higher keratinized tissue width change compared with CAF (low certainty).

1 finding from 1 review

Root coverage procedures for treating localised and multiple recession‐type defects 2018 · Cochrane All outcomes
Short term (6 to 12 months)
MD 0.44 [0.04, 0.85]
2 studies · 104 participants
Low

GTR rm associated with bone substitutes + CAF vs GTR rm + CAF

Attachment change · Adult patients with single (localised) recession-type defects (Miller Class I/II, at least 3 mm)

GTR rm associated with bone substitutes + CAF showed no clear difference in clinical attachment level change compared with GTR rm + CAF; GRADE not reported.

1 finding from 1 review

Root coverage procedures for treating localised and multiple recession‐type defects 2018 · Cochrane All outcomes
Short term (6 to 12 months)
MD 0.76 [-0.01, 1.54]
2 studies
GRADE not reported

ADMG + CAF vs SCTG + CAF

Attachment change · Adult patients with single (localised) recession-type defects (Miller Class I/II, at least 3 mm)

ADMG + CAF showed no clear difference in clinical attachment level change compared with SCTG + CAF (low certainty).

1 finding from 1 review

Root coverage procedures for treating localised and multiple recession‐type defects 2018 · Cochrane All outcomes
Short term (6 to 12 months)
MD -0.53 [-1.14, 0.08]
4 studies · 100 participants
Low

EMP + CAF vs CAF

Attachment change · Adult patients with single (localised) recession-type defects (Miller Class I/II, at least 3 mm)

EMP + CAF showed no clear difference in clinical attachment level change compared with CAF (low certainty).

2 findings from 1 review

Root coverage procedures for treating localised and multiple recession‐type defects 2018 · Cochrane All outcomes
Short term (6 to 12 months)
MD 0.22 [-0.02, 0.45]
3 studies · 136 participants
Low
Root coverage procedures for treating localised and multiple recession‐type defects 2018 · Cochrane All outcomes
Short and medium term (6 to 24 months)
MD 0.35 [0.09, 0.61]
3 studies
GRADE not reported

EMP + CAF vs SCTG + CAF

Occurrence of adverse effects or postoperative complications · Adult patients with single (localised) recession-type defects (Miller Class I/II, at least 3 mm)

1 finding from 1 review

Root coverage procedures for treating localised and multiple recession‐type defects 2018 · Cochrane All outcomes
McGuire 2012: patient-reported discomfort statistically significantly higher for SCTG than EMP + CAF, only at 1 month postoperatively
1 study
GRADE not reported

ADMG + CAF vs SCTG + CAF

Sites with complete root coverage · Adult patients with single (localised) recession-type defects (Miller Class I/II, at least 3 mm)

ADMG + CAF showed no clear difference in sites with complete root coverage compared with SCTG + CAF (low certainty).

1 finding from 1 review

Root coverage procedures for treating localised and multiple recession‐type defects 2018 · Cochrane All outcomes
Short term (6 to 12 months)
OR 0.43 [0.13, 1.37]
2 studies · 50 participants
Low

EMP + CAF vs SCTG + CAF

Keratinized tissue change · Adult patients with single (localised) recession-type defects (Miller Class I/II, at least 3 mm)

It is very uncertain whether EMP + CAF changes keratinized tissue change compared with SCTG + CAF (very low certainty).

1 finding from 1 review

Root coverage procedures for treating localised and multiple recession‐type defects 2018 · Cochrane All outcomes
Short term (6 to 12 months)
MD -1.06 [-1.36, -0.76]
2 studies · 62 participants
Very low