{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,24]],"date-time":"2026-05-24T12:06:05Z","timestamp":1779624365858,"version":"3.53.1"},"reference-count":17,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2026,5,24]],"date-time":"2026-05-24T00:00:00Z","timestamp":1779580800000},"content-version":"vor","delay-in-days":23,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Gingival recession (GR) in the mandibular anterior region presents a clinical challenge because factors such as shallow vestibular depth, frenal pull, and limited soft tissue thickness may compromise graft stability during root coverage procedures. This case series describes the management of Cairo RT1 and RT2 GR defects using a modified coronally advanced tunnel technique combined with subepithelial connective tissue grafting and tooth-anchored encircling sutures for graft stabilization. Five systemically healthy patients presenting with eleven recession defects were treated. At the 3-month follow-up, a high level of root coverage was achieved, with complete root coverage observed in most sites, including all RT1 defects and the majority of RT2 defects. Increased gingival thickness was also observed in several treated sites. The modified technique, emphasizing graft stabilization and passive flap mobility, may enhance clinical outcomes in mandibular anterior GRs.<\/jats:p>","DOI":"10.1093\/jscr\/rjag390","type":"journal-article","created":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T11:33:18Z","timestamp":1777980798000},"source":"Crossref","is-referenced-by-count":0,"title":["Enhancing graft stability in coronally advanced tunnel with connective tissue graft for Cairo RT1 and RT2 gingival recession: a case series"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1142-7101","authenticated-orcid":false,"given":"Dler Ali","family":"Khursheed","sequence":"first","affiliation":[{"name":"Department of Periodontics, College of Dentistry, University of Sulaimani , Madame Mitterrand Street, Sulaymaniyah 46001, Kurdistan Region ,","place":["Iraq"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,5,24]]},"reference":[{"key":"2026052407332805300_ref1","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1111\/idj.12617","article-title":"Treatment of gingival recession: when and how?","volume":"71","author":"Imber","year":"2021","journal-title":"Int Dent J"},{"key":"2026052407332805300_ref2","doi-asserted-by":"crossref","first-page":"S204","DOI":"10.1002\/JPER.16-0671","article-title":"Mucogingival conditions in the natural dentition: narrative review, case definitions, and diagnostic considerations","volume":"89","author":"Cortellini","year":"2018","journal-title":"J Periodontol"},{"key":"2026052407332805300_ref3","doi-asserted-by":"crossref","first-page":"661","DOI":"10.1111\/j.1600-051X.2011.01732.x","article-title":"The interproximal clinical attachment level to classify gingival recessions and predict root coverage outcomes: an explorative and reliability study","volume":"38","author":"Cairo","year":"2011","journal-title":"J Clin Periodontol"},{"key":"2026052407332805300_ref4","first-page":"1","article-title":"Esthetic and functional treatment of gingival recessions in the mandible: a micro-surgical and mini-invasive concept based on tunneling procedure and controlled connective tissue graft exposure: case reports","volume":"4","author":"Ronco","year":"2017","journal-title":"J Clin Med Case Rep"},{"key":"2026052407332805300_ref5","article-title":"Digital and tomographic identification of risk indicators for gingival recession in the mandibular anterior region: a cross-sectional study","volume":"16","author":"Blasi","year":"2025","journal-title":"J Periodontol"},{"key":"2026052407332805300_ref6","doi-asserted-by":"crossref","first-page":"671","DOI":"10.4103\/0972-124X.156881","article-title":"Etiology and occurrence of gingival recession - an epidemiological study","volume":"19","author":"Mythri","year":"2015","journal-title":"J Indian Soc Periodontol"},{"key":"2026052407332805300_ref7","doi-asserted-by":"crossref","first-page":"177","DOI":"10.12968\/denu.2024.51.3.177","article-title":"Gingival recession. Part 1: prevalence and aetiology","volume":"51","author":"Hudson","year":"2024","journal-title":"Dent Update"},{"key":"2026052407332805300_ref8","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1111\/jcpe.12254","article-title":"Tunnel technique with connective tissue graft versus coronally advanced flap with enamel matrix derivative for root coverage: a RCT using 3D digital measuring methods. Part II. 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