To the best of our knowledge, the equality of CAF + EMD and CAF + FCTG regarding complete root coverage in Miller class I and II recession-type defects is still uncertain. The aim of the current paper is to compare the effect of CAF + EMD versus CAF + FCTG regarding complete root recession coverage. Thereby, equality on the longer term of both therapeutic options is hypothesized (H0- hypothesis). Three reviewers searched independently within the electronic database Pubmed/Medline. Only RCTs reporting quantitative data for the outcome variable percentage complete root coverage (%CRC) for the therapeutic options CAF + EMD or CAF + FCTG were considered. Additionally a manual search in the reference lists of all included publications was accomplished. After electronical and manual search for relevant studies, the three independent reviewers (DZ, TU, AL) screened 552 titles, resulting in 102 abstracts and 41 full-texts. Eventually, twenty-five papers could be included for meta-analysis. By comprehensively comparing data from RCTs for the outcome variable “percentage complete root coverage”, statistically significant weighted mean differences in favor of CAF + FCTG were found at 6, 12 and 24 months. Regarding percentage complete root coverage, CAF + EMD is not as effective as CAF + FCTG for Miller class I and II recession- type defects. About the Publisher (IAU International) Istanbul Aydin University (IAU) has been providing flexible and relevant education to students with the knowledge and opportunities. Istanbul Aydin University, one of the best universities in Europe, makes lives better by producing leaders equipped with quality to serve society. IAU provides flexible and relevant education at all stages of life.