{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T15:08:14Z","timestamp":1789398494456,"version":"build-2803163510"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T00:00:00Z","timestamp":1789344000000},"content-version":"vor","delay-in-days":14,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>To describe a novel free gingival graft (FGG) technique, the \u2018M\u2013saddle FGG technique\u2019 for treating non-keratinized tissue distal to a mandibular second molar associated with a suprabony periodontal pocket, inflammation, and patient discomfort. A 30-year-old patient presented with persistent discomfort, bleeding, food impaction, a 6-mm suprabony periodontal pocket distal to tooth #3.7, 1\u00a0mm of keratinized tissue width (KTW), and reduced vestibular depth (VD). A modified horseshoe-shaped FGG was harvested from the palate and adapted over the distal crest and buccal periosteum. Outcomes were assessed after 3 months. At 3\u00a0months, discomfort, inflammation, and soft tissue trauma during function were completely resolved. KTW and VD both increased by 4\u00a0mm, and periodontal probing depths reduced by 3\u00a0mm. The \u2018M-Saddle FGG technique\u2019 improved KTW, periodontal parameters, VD, and patient comfort, representing a promising novel treatment option for selected mandibular second molar mucogingival defects and suprabony periodontal pockets.<\/jats:p>","DOI":"10.1093\/jscr\/rjag806","type":"journal-article","created":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T11:38:19Z","timestamp":1787657899000},"source":"Crossref","is-referenced-by-count":0,"title":["A novel technique utilizing a free gingival graft to treat a suprabony pocket distal to the mandibular second molar: a case report"],"prefix":"10.1093","volume":"2026","author":[{"given":"Matthew K","family":"Morris","sequence":"first","affiliation":[{"name":"Division of Periodontics, Faculty of Dentistry, Department of Dental Clinical Sciences, Dalhousie University , 5981 University Avenue, Halifax, NS B3H 1W2 ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,9,14]]},"reference":[{"key":"2026091410305074700_ref1","doi-asserted-by":"publisher","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":"2026091410305074700_ref2","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1111\/jcpe.13823","article-title":"Prevention and treatment of peri-implant diseases\u2014the EFP S3 level clinical practice guideline","volume":"50","author":"Herrera","year":"2023","journal-title":"J Clin Periodontol"},{"key":"2026091410305074700_ref3","doi-asserted-by":"publisher","first-page":"476","DOI":"10.12968\/denu.2024.51.7.476","article-title":"An apically positioned flap and free gingival graft around an implant","volume":"51","author":"Morris","year":"2024","journal-title":"Dent Update"},{"key":"2026091410305074700_ref4","doi-asserted-by":"publisher","first-page":"146","DOI":"10.1111\/j.1600-0501.2009.01784.x","article-title":"A systematic review assessing soft tissue augmentation techniques","volume":"20","author":"Thoma","year":"2009","journal-title":"Clin Oral Implants Res"},{"key":"2026091410305074700_ref5","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1902\/cap.2015.140051","article-title":"Periodontal soft tissue non-root coverage procedures: practical applications from the AAP regeneration workshop","volume":"5","author":"John","year":"2015","journal-title":"Clin Adv Periodontics"},{"key":"2026091410305074700_ref6","doi-asserted-by":"publisher","first-page":"220","DOI":"10.1111\/ics.12038","article-title":"Organization, barrier function and antimicrobial lipids of the oral mucosa","volume":"35","author":"Dawson","year":"2013","journal-title":"Int J Cosmet Sci"},{"key":"2026091410305074700_ref7","doi-asserted-by":"publisher","first-page":"rjaf1013","DOI":"10.1093\/jscr\/rjaf1013","article-title":"The 'Sandwich dressing technique' for management of the palate following soft tissue augmentation procedures: a case series","volume":"2025","author":"Morris","year":"2025","journal-title":"J Surg Case Rep"},{"key":"2026091410305074700_ref8","first-page":"1","article-title":"Impacted lower third molars and periodontal health. An epidemiological, methodological, retrospective and prospective clinical study","volume":"68","author":"Kugelberg","year":"1990","journal-title":"Swed Dent J Suppl"},{"key":"2026091410305074700_ref9","doi-asserted-by":"publisher","first-page":"489","DOI":"10.14740\/jocmr3841","article-title":"Postoperative pain perception and patient's satisfaction after mandibular third molar surgery by primary closure with distal wedge surgery","volume":"11","author":"Leechanavanichpan","year":"2019","journal-title":"J Clin Med Res"},{"key":"2026091410305074700_ref10","article-title":"Laser therapy to increase keratinized tissue width: case report and systematic review","author":"Morris","year":"2023","journal-title":"Oral Health"},{"key":"2026091410305074700_ref11","doi-asserted-by":"publisher","first-page":"94","DOI":"10.1002\/cap.10091","article-title":"Decisions before incisions: technique selection for the distal wedge procedure","volume":"10","author":"Johnson","year":"2020","journal-title":"Clin Adv Periodontics"},{"key":"2026091410305074700_ref12","doi-asserted-by":"publisher","first-page":"83","DOI":"10.1007\/s10006-025-01376-w","article-title":"Free gingival graft shrinkage on periosteal bed and denuded alveolar bone recipient site: a randomized clinical trial","volume":"29","author":"Ganjehzadeh","year":"2025","journal-title":"Oral Maxillofac Surg"},{"key":"2026091410305074700_ref13","doi-asserted-by":"publisher","first-page":"302","DOI":"10.1111\/jcpe.13394","article-title":"Keratinized tissue gain after free gingival graft augmentation procedures around teeth and dental implants: a prospective observational study","volume":"48","author":"Golmayo","year":"2021","journal-title":"J Clin Periodontol"},{"key":"2026091410305074700_ref14","doi-asserted-by":"publisher","first-page":"11","DOI":"10.17096\/jiufd.58759","article-title":"Clinical evaluation of free gingival graft shrinkage in horizontal and vertical dimensions","volume":"49","author":"Cifcibasi","year":"2015","journal-title":"J Istanb Univ Fac Dent"},{"key":"2026091410305074700_ref15","doi-asserted-by":"publisher","first-page":"74","DOI":"10.1902\/jop.1981.52.2.74","article-title":"The relationship between success of free gingival grafts and transplant thickness. Revascularization and shrinkage--a one year clinical study","volume":"52","author":"M\u00f6rmann","year":"1981","journal-title":"J Periodontol"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/9\/rjag806\/71074663\/rjag806.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/9\/rjag806\/71074663\/rjag806.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T14:30:58Z","timestamp":1789396258000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag806\/8793672"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,31]]},"references-count":15,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,8,31]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag806","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,9]]},"published":{"date-parts":[[2026,8,31]]},"article-number":"rjag806"}}