Findings

What do systematic reviews say?

1,270 questions · 1,480 findings · 174 reviews

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No studies found 252 · 17%GRADE not reported 405 · 27.4%Very low 301 · 20.3%Low 284 · 19.2%Moderate 174 · 11.8%High 64 · 4.3%

EMP + 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)

It is very uncertain whether EMP + CAF changes sites with complete root coverage 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 and medium term (6 to 24 months)
OR 0.61 [0.05, 7.86]
2 studies · 62 participants
Very low

ADMG + CAF vs CAF

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

It is very uncertain whether ADMG + CAF changes sites with complete root coverage compared with 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)
OR 3.97 [0.20, 80.50]
2 studies · 50 participants
Very low

GTR rm + 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)

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 related to patient's opinion: Not reported (SoF 5)
0 studies
No studies found

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

Sites with complete root coverage · 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 sites with complete root coverage 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)
OR 1.87 [0.75, 4.64]
2 studies
GRADE not reported

GTR rm + 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 + CAF may leads to lower 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 -0.37 [-0.60, -0.13]
3 studies · 98 participants
Low

XCM + CAF vs CAF

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

XCM + CAF may leads to higher sites with complete root coverage 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)
OR 4.73 [2.35, 9.50]
2 studies · 104 participants
Low

ADMG + 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 ADMG + 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 -0.59 [-1.27, 0.10]
4 studies · 100 participants
Very low

ADMG + CAF vs CAF

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

ADMG + CAF showed no clear difference in 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 0.28 [-0.08, 0.64]
2 studies · 50 participants
Low

ADMG + CAF vs 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 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 0.61 [-0.52, 1.73]
2 studies · 50 participants
Low

ADMG + 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)

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 related to patient's opinion: Not reported (SoF main comparison)
0 studies
No studies found

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