{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T21:00:02Z","timestamp":1765486802833,"version":"build-2065373602"},"reference-count":15,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,1,30]],"date-time":"2023-01-30T00:00:00Z","timestamp":1675036800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["aap.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Adv Periodontics"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Non\u2010carious cervical lesions (NCCLs) can compromise the integrity to both hard and soft tissues of teeth. This case report introduces a novel interdisciplinary technique by utilizing bioceramics\u2010based cement (BBC) and porcine collagen matrix (CM) to reconstruct the dentogingival complex where enamel, dentin, and soft tissues were involved.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case presentation<\/jats:title><jats:p>A 38\u2010year\u2010old healthy male was referred to the periodontics department for gingival recessions teeth #27\u201329 and a deep (NCCL) on the facial (F) #28 involving the loss of the cementoenamel junction (CEJ). The F #28 was restored with BBC according to manufacturing instructions. Soft tissues of #27\u201329 were simultaneously augmented with two CM strips via a coronally advanced tunnel utilizing suspended sutures. At the 6\u2010month follow\u2010up, approximately 100% root coverages were obtained for #27 and 29. The F #28 gingival tissue stabilized at the anticipated level of maximum root coverage (MRC), 1\u00a0mm apical to the coronally displaced CEJ. The exposed layer of BBC, F #28, was veneered with resin\u2010modified glass ionomer to re\u2010establish the original position of the CEJ. At the one\u2010year follow\u2010up visit root coverage for #28 remained stable and probing depths remained unchanged at 2\u00a0mm F #27\u201329. A sectional cone beam computed tomography scan illustrated the BBC restoration remained intact and well adapted.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The 12\u2010month follow\u2010up illustrated that the BBC may be a viable restorable material while performing simultaneous gingival grafting with CM in deep NCCLs with gingival recessions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Key points<\/jats:title><jats:p><jats:bold>Why is this case new information?<\/jats:bold>\n<jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>A novel approach treating the deep non\u2010carious cervical lesion with BBC and CM.<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><jats:p><jats:bold>What are the keys to successful management of this case?<\/jats:bold>\n<jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>The BBC placement needs to be flat.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Secure the surgical site with non\u2010resorbable suspensory sutures fixed by flowable composite.<\/jats:p><\/jats:list-item>\n<\/jats:list><\/jats:p><jats:p><jats:bold>What are the primary limitations to success in this case?<\/jats:bold>\n<jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>The primary limitation to success is the blood moisture control which may limit the placement of collagen matrix strips via the portal entry.<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec>","DOI":"10.1002\/cap.10222","type":"journal-article","created":{"date-parts":[[2022,8,5]],"date-time":"2022-08-05T08:54:29Z","timestamp":1659689669000},"page":"56-61","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Vestibular tunnel approach in restoring non\u2010carious cervical lesion gingival recessions with combination of bioceramics and collagen matrix: A case report with a 1\u2010year follow\u2010up"],"prefix":"10.1002","volume":"13","author":[{"given":"Kai\u2010Chiao Joe","family":"Chang","sequence":"first","affiliation":[{"name":"Department of Periodontics Arizona School of Dentistry and Oral Health A.T. Still University  Mesa Arizona USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John H.","family":"Mumford","sequence":"additional","affiliation":[{"name":"Private Practice CAPT (Ret) United States Navy  Boise Idaho USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alex","family":"Long","sequence":"additional","affiliation":[{"name":"Department of Periodontics Naval Postgraduate Dental School  Bethesda Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vinh H.","family":"Ton","sequence":"additional","affiliation":[{"name":"Division of Periodontics Naval Dental Center\/1st Dental Battalion  Camp Pendleton California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,1,30]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2011.110080"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2006.050038"},{"issue":"2","key":"e_1_2_9_4_1","first-page":"8","article-title":"A classification of marginal tissue recession","volume":"5","author":"Miller PD","year":"1985","journal-title":"Int J Periodontics Restorative Dent"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2010.090701"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.2341\/05-87"},{"issue":"2","key":"e_1_2_9_7_1","first-page":"112","article-title":"Soft tissue management for difficult cervical restorations","volume":"54","author":"Meraner M","year":"2006","journal-title":"Gen Dent"},{"key":"e_1_2_9_8_1","first-page":"32","article-title":"External root resorption\u2014try to save or extract: a case report","volume":"3","author":"Mackeviciute M","year":"2018","journal-title":"J Cont Med A Dent"},{"issue":"3","key":"e_1_2_9_9_1","first-page":"S128","article-title":"Bioceramics in endodontics\u2014a review","volume":"51","author":"Raghavendra SS","year":"2017","journal-title":"J Istanb Univ Fac Dent"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2015.130674"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2015.150386"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.11607\/prd.4014"},{"issue":"6","key":"e_1_2_9_13_1","first-page":"653","article-title":"Minimally invasive treatment of maxillary anterior gingival recession defects by vestibular incision subperiosteal tunnel access and platelet\u2010derived growth factor BB","volume":"31","author":"Zadeh HH","year":"2011","journal-title":"Int J Periodontics Restorative Dent"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.4012\/dmj.2018-039"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12182"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/cre2.210"}],"container-title":["Clinical Advances in Periodontics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cap.10222","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/cap.10222","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aap.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cap.10222","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T20:19:06Z","timestamp":1760041146000},"score":1,"resource":{"primary":{"URL":"https:\/\/aap.onlinelibrary.wiley.com\/doi\/10.1002\/cap.10222"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1,30]]},"references-count":15,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023,3]]}},"alternative-id":["10.1002\/cap.10222"],"URL":"https:\/\/doi.org\/10.1002\/cap.10222","archive":["Portico"],"relation":{},"ISSN":["2573-8046","2163-0097"],"issn-type":[{"type":"print","value":"2573-8046"},{"type":"electronic","value":"2163-0097"}],"subject":[],"published":{"date-parts":[[2023,1,30]]},"assertion":[{"value":"2022-04-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-07-30","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-01-30","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}