{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T01:55:33Z","timestamp":1760061333327,"version":"build-2065373602"},"reference-count":27,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,6,14]],"date-time":"2024-06-14T00:00:00Z","timestamp":1718323200000},"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":[[2025,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Gingival recession can be considered an undesirable condition that results in the exposure of the root surface. There are many techniques that can be employed to address gingival recession; however, they frequently involve a second surgical site. Other approaches have been introduced in the past to address this concern, and this case study discusses the use of a modified technique to achieve root coverage.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A patient presented to the periodontics clinic with concerns regarding gingival recession. A modification to the semilunar technique was employed to address the recession, whereas double sling sutures were utilized to maintain the coronal repositioning of the flap.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Maxillary central incisors initially presented with 2\u20133\u00a0mm of facial recession and root coverage was achieved by use of a modified surgical semilunar approach. No rebound noted over a 6\u2010month period, newly established gingival margin deemed clinically stable.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This case study provides an alternative to addressing gingival recession in the maxillary anterior region, when &lt;3\u00a0mm of recession is noted. Avoidance of a second surgical procedure and\/or donor site is of particular benefit, as well as maintenance of the blood supply.<\/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>There is insufficient evidence on the use of a modified wingspan incision design Phenotype modification with elimination of a second surgical site is most ideal for the patient.<\/jats:p><\/jats:list-item>\n<\/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>Comprehensive diagnosis and proper case selection Meticulous flap management and adequate release to allow for repositioning without tension Appropriate use ofsuture and suturing technique.<\/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>Thin periodontal phenotype Poor oral hygiene and plaque accumulation postoperatively Loss to follow\u2010up.<\/jats:p><\/jats:list-item>\n<\/jats:list><\/jats:p><\/jats:sec>","DOI":"10.1002\/cap.10296","type":"journal-article","created":{"date-parts":[[2024,6,14]],"date-time":"2024-06-14T08:10:53Z","timestamp":1718352653000},"page":"124-129","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The wingspan suspension approach: A modified semilunar technique for multiple areas of recession"],"prefix":"10.1002","volume":"15","author":[{"given":"Allison N.","family":"Rascon","sequence":"first","affiliation":[{"name":"Department of Periodontics School of Dental Medicine, University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bradley","family":"Lander","sequence":"additional","affiliation":[{"name":"Department of Periodontics School of Dental Medicine, University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph P.","family":"Fiorellini","sequence":"additional","affiliation":[{"name":"School of Dental Medicine University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rodrigo","family":"Neiva","sequence":"additional","affiliation":[{"name":"Department of Periodontics School of Dental Medicine, University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,6,14]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1992.63.6.489"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.16-0671"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12330"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1834-7819.1999.tb00219.x"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3913(84)90448-7"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1978.49.12.607"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/002203459607502S07"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2003.0137"},{"key":"e_1_2_8_10_1","first-page":"152","article-title":"Free autogenous gingival grafts. 3. 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