{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T01:51:31Z","timestamp":1760061091710,"version":"build-2065373602"},"reference-count":15,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,7,20]],"date-time":"2021-07-20T00:00:00Z","timestamp":1626739200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aap.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Adv Periodontics"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>The aim of this case series was to assess the feasibility of a graft modification to increase its length when treating multiple adjacent gingival recessions with only one harvesting site at the palate and respecting the safety zone.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case Series<\/jats:title><jats:p>Nineteen recessions were treated in four consecutive patients with a modified coronally advanced tunnel and a modified connective tissue graft. An 8\u2010mm height connective tissue graft was harvested by the single\u2010incision technique, the graft was split longitudinally, achieving 4\u2010mm height and double the length. Changes in recession depth, keratinized tissue height, mean and complete root coverage, and esthetic score were analyzed at 6\u00a0months. The technique allows to harvest a connective tissue graft up to 58\u2010mm length with a single palatal site. Complete root coverage was achieved in 15\/19 recessions (78.94%), with a mean root coverage of 82.90%. The mean recession depth was reduced by 1.31\u00a0mm and the keratinized tissue increased by 0.69\u00a0mm. The esthetic outcome score was 9.26\/10.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This graft modification technique allows increasing significantly the graft length up to 58\u00a0mm without any modification of the surgical harvesting procedure. Therefore, it can be suggested to reduce the morbidity.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cap.10175","type":"journal-article","created":{"date-parts":[[2021,7,7]],"date-time":"2021-07-07T02:21:32Z","timestamp":1625624492000},"page":"165-170","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Optimization of Connective Tissue Graft Length by Graft Splitting: A Case Series"],"prefix":"10.1002","volume":"11","author":[{"given":"Rodrigo","family":"Martin\u2010Cabezas","sequence":"first","affiliation":[{"name":"Swiss Dental Clinics Group Ardentis Clinique Dentaire Vevey  Vevey Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sonia","family":"Deschamps\u2010Lenhardt","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Dental Faculty University of Strasbourg  Strasbourg France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olivier","family":"Huck","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Dental Faculty University of Strasbourg  Strasbourg France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,7,20]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/prd.12059"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.18-0066"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2018.10.002"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12256"},{"issue":"3","key":"e_1_2_10_6_1","first-page":"279","article-title":"A single\u2010incision technique to harvest subepithelial connective tissue grafts from the palate","volume":"19","author":"Hurzeler MB","year":"1999","journal-title":"Int J Periodontics Restorative Dent"},{"issue":"3","key":"e_1_2_10_7_1","first-page":"237","article-title":"Gingival biotype assessment in the esthetic zone: visual versus direct measurement","volume":"30","author":"Kan JYK","year":"2010","journal-title":"Int J Periodontics Restorative Dent"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2009.080565"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12112"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.18-0281"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.11607\/prd.3438"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.11607\/prd.4134"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.20-0122"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2004.75.8.1167"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2008.070274"},{"issue":"2","key":"e_1_2_10_16_1","first-page":"130","article-title":"The subepithelial connective tissue graft palatal donor site: anatomic considerations for surgeons","volume":"16","author":"Reiser GM","year":"1996","journal-title":"Int J Periodontics Restorative Dent"}],"container-title":["Clinical Advances in Periodontics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cap.10175","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/cap.10175","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aap.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cap.10175","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T20:32:20Z","timestamp":1760041940000},"score":1,"resource":{"primary":{"URL":"https:\/\/aap.onlinelibrary.wiley.com\/doi\/10.1002\/cap.10175"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,20]]},"references-count":15,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021,9]]}},"alternative-id":["10.1002\/cap.10175"],"URL":"https:\/\/doi.org\/10.1002\/cap.10175","archive":["Portico"],"relation":{},"ISSN":["2573-8046","2163-0097"],"issn-type":[{"type":"print","value":"2573-8046"},{"type":"electronic","value":"2163-0097"}],"subject":[],"published":{"date-parts":[[2021,7,20]]},"assertion":[{"value":"2020-09-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-06-30","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-07-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}