{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T00:03:23Z","timestamp":1760141003382,"version":"build-2065373602"},"reference-count":13,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,6,7]],"date-time":"2022-06-07T00:00:00Z","timestamp":1654560000000},"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":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Gingival recessions in the mandibular anterior sextant are a common clinical finding, but mucogingival treatment in this location is particularly challenging, due to several anatomical and surgical difficulties. In the present case series, a novel technique, called gingival pedicle with split\u2010thickness tunnel (GPST), was retrospectively evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case Series<\/jats:title><jats:p>Fifteen patients presenting with a single buccal RT1 or RT2 gingival recession of a depth of \u22653 mm in the mandibular anterior sextant were treated by means of the GPST technique. Clinical periodontal parameters at baseline and at the last follow\u2010up evaluation visit (6\u201384 months) were compared. Early healing was uneventful in all cases, and no complications such as flap dehiscence or loss of connective tissue graft were observed. Mean root coverage (mRC) was 98.1%\u00a0\u00b1 7.38%, corresponding to a statistically significant recession reduction (\u0394RD) of 4.53 \u00b1 1.19 mm. Complete root coverage was achieved in 14 of 15 cases. The gain in keratinized tissue width amounted to 3.13 \u00b1 0.99 mm and was statistically significant, whereas no significant change in periodontal probing depth was observed after treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In conclusion, treatment with GPST technique seems to achieve a favorable and predictable clinical improvement in gingival recessions on mandibular anterior teeth.<\/jats:p><\/jats:sec><jats:sec><jats:label\/><jats:p><jats:bold>Why are these cases new information?<\/jats:bold>\n<jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>Limited information is available about the management of isolated deep labial recessions in the mandibular anterior teeth.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>A novel surgical approach, called GPST technique, is described in a case series to specifically address this type of defect.<\/jats:p><\/jats:list-item>\n<\/jats:list><\/jats:p><jats:p><jats:bold>What are the keys to successful management of these cases?<\/jats:bold>\n<jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>Horizontal incision \u2265 REC<jats:sub>width<\/jats:sub><\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Cut\u2010back preparation helps to mobilize the flap without tension.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>CTG width \u2265 3 times REC<jats:sub>width<\/jats:sub><\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>CTG height \u2265 REC<jats:sub>depth<\/jats:sub><\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Proper graft and flap stabilization need to be achieved.<\/jats:p><\/jats:list-item>\n<\/jats:list><\/jats:p><jats:p><jats:bold>What are the primary limitations to success in these cases?<\/jats:bold>\n<jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>Limited mesio\u2010distal dimensions, which do not allow to obtain a pedicle with adequate horizontal width<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Very thin biotype may not be suitable because of the risk of inadequate flap vascularization.<\/jats:p><\/jats:list-item>\n<\/jats:list><\/jats:p><\/jats:sec>","DOI":"10.1002\/cap.10197","type":"journal-article","created":{"date-parts":[[2022,4,12]],"date-time":"2022-04-12T09:23:42Z","timestamp":1649755422000},"page":"137-143","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Gingival pedicle with split\u2010thickness tunnel technique: A retrospective case series for single mandibular anterior recessions"],"prefix":"10.1002","volume":"13","author":[{"given":"Gian Pietro","family":"Schincaglia","sequence":"first","affiliation":[{"name":"Department of Periodontics Case Western Reserve University School of Dental Medicine  Cleveland Ohio USA"},{"name":"Department of Periodontics School of Dentistry, West Virginia University  Morgantown West Virginia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michele","family":"Agusto","sequence":"additional","affiliation":[{"name":"Department of Periodontics School of Dentistry, West Virginia University  Morgantown West Virginia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sejal","family":"Thacker","sequence":"additional","affiliation":[{"name":"Division of Periodontics University of Connecticut School of Dental Medicine  Farmington Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kerri","family":"Thomas Simpson","sequence":"additional","affiliation":[{"name":"Department of Periodontics School of Dentistry, West Virginia University  Morgantown West Virginia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arif","family":"Salman","sequence":"additional","affiliation":[{"name":"Department of Periodontics School of Dentistry, West Virginia University  Morgantown West Virginia 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