Evidence map›Paper›PMID 41462182›Full record

Trial reportBMC oral health2025

Comparison of vertical releasing incisions and horizontal extending incisions for periodontal accelerated osteogenic orthodontics in the anterior region: a randomized controlled trial with clinical and radiographic outcomes.

Yifan Chen, Kangli Jiang, Zirui Bian, Xiaoyu Chen, Qian Lin, Yuxuan Yang, Zhuoming Zhang, Boxiu Li, Gang Sun, Jingyi Tan and 1 more

Registry-linked trialAbstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05441683 (Comparison of Vertical Releasing Incisions and Horizontal Extending Incisions for Periodontal Accelerated Osteogenic Orthodontics in the Anterior Region), which is not on this 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.

NCT05441683 nacompletednot on this map

Comparison of Vertical Releasing Incisions and Horizontal Extending Incisions for Periodontal Accelerated Osteogenic Orthodontics in the Anterior Region: A Randomized Controlled Trial With Surgical Time, Clinical and Radiographic Outcomes

TypeinterventionalSponsorSecond Affiliated Hospital, Zhejiang University, School of MedicineRan2022 to 2024Enrolled22ConditionsMalocclusionArmshorizontal extending incision, vertical releasing incision
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

11 authors.

Yifan Chen *Department of Periodontology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Kangli Jiang *Department of Periodontology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Zirui BianDepartment of Periodontology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Xiaoyu ChenDepartment of Periodontology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Qian LinDepartment of Periodontology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Yuxuan YangDepartment of Periodontology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Zhuoming ZhangDepartment of Orthodontics, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Boxiu LiDepartment of Orthodontics, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Gang SunDepartment of Orthodontics, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Jingyi TanDepartment of Periodontology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China. tanjingyi@zju.edu.cn.
Yanmin WuDepartment of Periodontology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China. wuyanmin@zju.edu.cn.

Funding

Natural Science Foundation of Zhejiang Province LY24H140003
6 · The paper itself

Abstract

backgroundPeriodontal accelerated osteogenic orthodontics (PAOO) requires precise flap design for aesthetic preservation, functional stability, and rapid recovery. This study compared two additional flap incisions—vertical releasing incision (VRI) and horizontal extending incision (HEI) for PAOO in the anterior region.

methodsTwenty-two orthodontic patients requiring PAOO were randomized into the VRI or HEI group. Immediately after surgery, the surgical time and graft material weight were recorded. Wound healing was evaluated at 1 and 2 weeks post-surgery. Soft-tissue parameters, such as probing depth (PD), clinical attachment level (CAL), keratinized gingival width (KGW), and gingival recession depth (GRD), were assessed at baseline, 3, 6, and 12 months. To assess hard-tissue changes, including root length, vertical bone level (VBL), and bone width measured at 2 mm (BW2), 4 mm (BW4), and 6 mm (BW6) below the cemento-enamel junction (CEJ), cone beam computed tomography (CBCT) scans were performed at baseline, 6, and 12 months. Lateral cephalometric analysis was performed to evaluate tooth movement before and after orthodontic treatment.

resultsPatient-level analyses revealed that the HEI technique had shorter surgical time (57.66 ± 5.01 min vs. 68.50 ± 13.50 min, p = 0.029) and a lower incidence of scarring (10% vs. 60%) than VRI. At the tooth-level, HEI achieved significantly greater labial bone width (BW2, BW4, BW6; all p < 0.001). Both groups showed comparable KGW increases (VRI: 0.71 ± 1.15 mm; HEI: 0.85 ± 1.13 mm) and VBL changes (VRI: 2.94 ± 2.79 mm; HEI: 2.69 ± 2.96 mm) at 12 months. No significant differences were observed between the groups regarding postsurgical pain or mucosal condition.

conclusionsBoth flap techniques were effective in improving KGW and bone augmentation (VBL, BW2, BW4, BW6), with HEI showing advantages in terms of surgical time, reduced scar formation, and greater bone width in PAOO surgery.

trial registrationRegistered on clinicaltrial.gov; NCT05441683, 13/6/2022.

Indexed as

Surgical FlapsTooth Movement TechniquesAdolescentCephalometryCone-Beam Computed TomographyFemaleHumansMaleOsteogenesisTreatment OutcomeWound HealingYoung AdultBone width augmentationIncision designKeratinized gingival widthPeriodontal accelerated osteogenic orthodontics (PAOO)RCTSurgical time

Identifiers

PMID41462182
PMCPMC12752211

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

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 Socratic graph.