{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T04:24:41Z","timestamp":1767846281283,"version":"3.49.0"},"reference-count":18,"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:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"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>When gingival recession is combined with cervical abrasion, root coverage outcomes are less predictable due to the challenging adaptation of the connective tissue graft (CTG) to the marked root step. Removing additional tooth structure can improve soft\u2010tissue adaptation with the downside of a possible increase in dental hypersensitivity or pulpitis. Therefore, the aim of this report was to demonstrate a surgical technique using two grafts which does not require any further modification of the root surface, in order to successfully treat recession associated with deep cervical abrasion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case Presentation<\/jats:title><jats:p>A case of gingival recession associated with a deep root step and cemento\u2010enamel junction alteration (B+; abrasion depth &gt; 1 mm) was successfully treated via a bilaminar grafting technique using two CTG layers covered by a coronally advanced flap (CAF). The tooth surface was polished and did not receive any grinding, blending, planing, or other alterations. Complete recession coverage, complete abrasion coverage, and resolution of baseline sensitivity were achieved 1 year after surgical intervention and were maintained for 19 years with further coronal displacement of the gingival margin due to creeping attachment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The double CTG technique showed optimal clinical results in terms of coverage and resolution of hypersensitivity of a recession associated with a deep cervical abrasion. No additional removal of dental tissue was needed, and the clinical outcomes were stably maintained over a long\u2010term follow\u2010up.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cap.10176","type":"journal-article","created":{"date-parts":[[2021,7,8]],"date-time":"2021-07-08T07:25:21Z","timestamp":1625729121000},"page":"171-175","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Double Connective Tissue Graft to Treat Deep Coronal\u2010Radicular Abrasion: A 19\u2010Year Follow\u2010Up Case Report"],"prefix":"10.1002","volume":"11","author":[{"given":"Debora","family":"Franceschi","sequence":"first","affiliation":[{"name":"Department of Clinical and Experimental Medicine University of Florence  Florence Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovan Paolo Pini","family":"Prato","sequence":"additional","affiliation":[{"name":"Tuscany Academy of Dental Research (ATRO)  Florence Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Riccardo Di","family":"Gianfilippo","sequence":"additional","affiliation":[{"name":"Department of Periodontics and Oral Medicine School of Dentistry, University of Michigan  Ann Arbor Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,7,20]]},"reference":[{"key":"e_1_2_9_2_1","first-page":"38","article-title":"Root coverage using the free soft tissue autograft following citric acid application. 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