{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T04:55:11Z","timestamp":1781844911773,"version":"3.54.5"},"reference-count":40,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T00:00:00Z","timestamp":1781740800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T00:00:00Z","timestamp":1781740800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["aap.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Adv Periodontics"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This case report describes 18\u2010month clinical and digital outcomes after bilateral treatment of multiple gingival recessions using coronally advanced flap plus acellular dermal matrix (ADM).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A 46\u2010year\u2010old woman with multiple maxillary recessions received bilateral surgery. Outcomes at baseline (BL), 6 months (6M), 12 months (12M), and 18 months (18M) included recession depth, recession width, keratinized tissue width, and gingival thickness. Intraoral scans were taken at all visits. Standard Tessellation Language (STL) models were superimposed per hemiarch using baseline\u2010referenced and remodeling\u2010interval analyses. Digital metrics included root mean square (RMS) and average positive and negative deviations for each interval.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>At 6M, the left side achieved complete root coverage, with partial recurrence at teeth #13 and #14 at 12 and 18M. On the right, teeth #6 and #3 improved and remained stable. At tooth #4, limited dehiscence with partial ADM exposure occurred at 1 week without infection. Loose sutures were removed, and 0.12% chlorhexidine gauze cleansing without rinsing was prescribed until epithelial closure. Conservative care led to progressive re\u2010epithelialization and complete closure by 1 month, with stable integration at 18M. Digital analysis showed higher RMS values on the right in baseline\u2010referenced comparisons (BL \u2013 6M, BL \u2013 12M, and BL \u2013 18M) and remodeling intervals (6M\u201312M, 12M\u201318M, and 6M\u201318M), indicating greater surface deviation on the right side during follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Both sides showed favorable evolution but different healing trajectories. Serial STL superimposition documented tissue remodeling and post\u2010exposure healing, supporting its use as a complementary tool for mucogingival follow\u2010up. In this case, the site with early ADM exposure showed gradual healing after conservative management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Key points<\/jats:title>\n                    <jats:p>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>Early acellular dermal matrix exposure may heal when there are no signs of infection and follow\u2010up is strict.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Serial superimposition of intraoral scans adds side\u2010specific information that complements routine clinical assessment.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Plain language summary<\/jats:title>\n                    <jats:p>This report presents a patient with bilateral maxillary gingival recessions, treated with the same surgical technique and a soft\u2010tissue substitute. One side healed uneventfully. On the other side, there was an early wound opening with partial matrix exposure; the area closed progressively and was fully covered by 1 month, with stability at 18 months. Clinical measurements and serial 3D intraoral scans showed improvement on both sides. However, the two sides showed different remodeling patterns over time. The patient was satisfied with the outcome, although cervical restoration was required in the tooth with exposure. The exposed matrix area closed progressively without the need for additional surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cap.70081","type":"journal-article","created":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T04:43:45Z","timestamp":1781844225000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Digital workflow to assess healing after acellular dermal matrix exposure in root coverage: A case report"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9584-3224","authenticated-orcid":false,"given":"Edgar Daniel","family":"Vargas\u2010Quiroga","sequence":"first","affiliation":[{"name":"Department of Oral &amp; Maxillofacial Surgery and Periodontology, Ribeir\u00e3o Preto School of Dentistry University of S\u00e3o Paulo Ribeir\u00e3o Preto S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-5812-051X","authenticated-orcid":false,"given":"Ana Carolina Duarte","family":"Firmino","sequence":"additional","affiliation":[{"name":"Department of Oral &amp; Maxillofacial Surgery and Periodontology, Ribeir\u00e3o Preto School of Dentistry University of S\u00e3o Paulo Ribeir\u00e3o Preto S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4073-0297","authenticated-orcid":false,"given":"D\u00e9bora S. F.","family":"S\u00e1vio","sequence":"additional","affiliation":[{"name":"Department of Oral &amp; Maxillofacial Surgery and Periodontology, Ribeir\u00e3o Preto School of Dentistry University of S\u00e3o Paulo Ribeir\u00e3o Preto S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-1944-8919","authenticated-orcid":false,"given":"Rhayssa Tritula","family":"Barini","sequence":"additional","affiliation":[{"name":"Department of Oral &amp; Maxillofacial Surgery and Periodontology, Ribeir\u00e3o Preto School of Dentistry University of S\u00e3o Paulo Ribeir\u00e3o Preto S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0945-4028","authenticated-orcid":false,"given":"Juliana Jendiroba","family":"Faraoni","sequence":"additional","affiliation":[{"name":"Department of Restorative Dentistry, Ribeir\u00e3o Preto School of Dentistry University of S\u00e3o Paulo Ribeir\u00e3o Preto S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7098-5090","authenticated-orcid":false,"given":"Mario","family":"Taba\u2010Jr","sequence":"additional","affiliation":[{"name":"Department of Oral &amp; Maxillofacial Surgery and Periodontology, Ribeir\u00e3o Preto School of Dentistry University of S\u00e3o Paulo Ribeir\u00e3o Preto S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7949-9980","authenticated-orcid":false,"given":"Bruna S. 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