{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T22:51:40Z","timestamp":1789685500218,"version":"4.0.1"},"reference-count":11,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,12,21]],"date-time":"2022-12-21T00:00:00Z","timestamp":1671580800000},"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>One of the most challenging aspects of treating gingival recession type 3 (RT3) is reconstructing lost interdental papillae, which is directly related to the loss of interproximal bone. Free gingival graft (FGG) has been successfully used to increase the keratinized tissue width (KTW) with minimal trauma to the interdental papilla. This presented case suggests that FGG can be used for reconstruction of lost initerdental papilla creeping attachment also plays an additional role in improving the results.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case Presentation<\/jats:title><jats:p>The included two case reports suggest a novel technique using an FGG that is shaped in an inverted T\u2010shape to achieve partial root coverage, improve the compromised interdental papilla, and increase the KTW in RT3 defects.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This report presents a novel yet intuitive surgical technique for partial coverage of RT3 defects and reconstruction of the interdental papilla.<\/jats:p><\/jats:sec><jats:sec><jats:title>Summary<\/jats:title><jats:p>The inverted T\u2010shape soft tissue graft may be a valuable technique for papillary reconstruction in the challenge of RT3 recessions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Key points<\/jats:title><jats:p>Why is this case new information?\n<jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>Reporting innovative technique with the interproximal extension of the FGG that sutured lingually with the lingual marginal gingiva.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Improve interdental clinical attachment phenotype and height.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>More predictable root coverage because of increased vascularized interproximal bed for the graft to be survived.<\/jats:p><\/jats:list-item>\n<\/jats:list><\/jats:p><jats:p>What are the keys to the successful management of this case?\n<jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>Having at least 2mm interproximal space for graft survival.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Good Extension with proper fixation of the lingual part of the graft, and stabilization of the graft.<\/jats:p><\/jats:list-item>\n<\/jats:list><\/jats:p><jats:p>What are the primary limitations to success in this case?\n<jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>limited capacity for perfusion and survival of the lingual extension due to limited vascularity.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>More investigations are necessary to confirm the validity of this technique.<\/jats:p><\/jats:list-item>\n<\/jats:list><\/jats:p><\/jats:sec>","DOI":"10.1002\/cap.10231","type":"journal-article","created":{"date-parts":[[2022,11,23]],"date-time":"2022-11-23T02:31:47Z","timestamp":1669170707000},"page":"67-71","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Inverted T\u2010shape free gingival graft for treatment of RT3 gingival recession defects: Reporting of two cases"],"prefix":"10.1002","volume":"13","author":[{"given":"Abdusalam","family":"Alrmali","sequence":"first","affiliation":[{"name":"Department of Periodontics and Oral Medicine University of Michigan School of Dentistry  Ann Arbor Michigan USA"},{"name":"Department of Oral Pathology Oral Medicine and Oral and Maxillofacial Surgery University of Tripoli School of Dentistry  Tripoli Libya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad H. A.","family":"Saleh","sequence":"additional","affiliation":[{"name":"Department of Periodontics and Oral Medicine University of Michigan School of Dentistry  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hom\u2010Lay","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Periodontics and Oral Medicine University of Michigan School of Dentistry  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,12,21]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2015.130674"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.11607\/prd.1978"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2012.110685"},{"key":"e_1_2_6_5_1","first-page":"24","article-title":"The apically incised coronally advanced surgical technique (AICAST) for periodontal regeneration in isolated defects: a case series","volume":"53","author":"Calzavara D","year":"2021","journal-title":"Quintessence Int"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1986.57.6.360"},{"key":"e_1_2_6_7_1","first-page":"698","article-title":"King and Pennel's free graft series: a defining moment revisited","volume":"24","author":"Allen AL","year":"2003","journal-title":"Compend Contin Educ Dent"},{"key":"e_1_2_6_8_1","first-page":"165","article-title":"Use of the gingival unit transfer in soft tissue grafting: report of three cases","volume":"24","author":"Allen AL","year":"2004","journal-title":"Int J Periodontics Restorative Dent"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.17-0721"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.11607\/prd.4180"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.2012.01896.x"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0757.2001.027001072.x"}],"container-title":["Clinical Advances in Periodontics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cap.10231","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/cap.10231","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aap.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cap.10231","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T20:19:07Z","timestamp":1760041147000},"score":1,"resource":{"primary":{"URL":"https:\/\/aap.onlinelibrary.wiley.com\/doi\/10.1002\/cap.10231"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,21]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023,3]]}},"alternative-id":["10.1002\/cap.10231"],"URL":"https:\/\/doi.org\/10.1002\/cap.10231","archive":["Portico"],"relation":{},"ISSN":["2573-8046","2163-0097"],"issn-type":[{"value":"2573-8046","type":"print"},{"value":"2163-0097","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,12,21]]},"assertion":[{"value":"2022-10-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-11-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-12-21","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}