{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T20:29:33Z","timestamp":1783196973507,"version":"3.54.6"},"reference-count":22,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,10,27]],"date-time":"2024-10-27T00:00:00Z","timestamp":1729987200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Esthet Restor Dent"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Treatment of gingival recession in the anterior mandible is more complex due to unique anatomic features including excessive tension due to frenal and muscle attachments, thin tissue, shallow vestibule, and narrow interdental space. These features are particularly limiting in the presence of deep recession and negatively impact the success most routine soft tissue grafting procedures. The recently proposed laterally closed tunnel combined the benefit of tension management from tunneling rather than incising papillae with lateral closure of deep recession to minimize the need for coronal advancement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical Considerations<\/jats:title><jats:p>This is an effective, although technically demanding procedure. This report presents a method of facilitating tunnel preparation by utilizing superficial papillary access incisions bilaterally in the papilla between the lateral incisor and canine. This papilla has the least tension and most robust interdental volume and blood supply. This incision creates a mini flap that facilitates tunnel dissection and graft placement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Because the mini flap is used for graft insertion, the suturing for lateral closure can be performed before graft insertion. The result is reduced technical difficulty.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jerd.13324","type":"journal-article","created":{"date-parts":[[2024,10,28]],"date-time":"2024-10-28T05:19:23Z","timestamp":1730092763000},"page":"1157-1164","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Papilla Access Tunnel Combined With the Laterally Closed Tunnel: A Technique for Treatment of Deep Gingival Recession in the Anterior Mandible"],"prefix":"10.1111","volume":"37","author":[{"given":"Edward P.","family":"Allen","sequence":"first","affiliation":[{"name":"Department of Periodontics, Texas A&amp;M College of Dentistry Center for Advanced Dental Education  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin G.","family":"Murphy","sequence":"additional","affiliation":[{"name":"Department of Periodontics, School of Dentistry University of Maryland  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anton","family":"Sculean","sequence":"additional","affiliation":[{"name":"Department of Periodontology, School of Dental Medicine University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,10,27]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jerd.12712"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1985.56.12.715"},{"key":"e_1_2_7_4_1","first-page":"471","article-title":"The Bilateral Pedicle Flap\u2010Tunnel Technique: A New Approach to Cover Connective Tissue Grafts","volume":"19","author":"Blanes R. J.","year":"1999","journal-title":"International Journal of Periodontics & Restorative Dentistry"},{"key":"e_1_2_7_5_1","first-page":"653","article-title":"Minimally Invasive Treatment of Maxillary Anterior Gingival Recession Defects by Vestibular Incision Subperiosteal Tunnel Access and Platelet\u2010Derived Growth Factor BB","volume":"31","author":"Zadeh H. H.","year":"2011","journal-title":"International Journal of Periodontics & Restorative Dentistry"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.11607\/prd.4525"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.11607\/prd.3680"},{"key":"e_1_2_7_8_1","first-page":"479","article-title":"Subpapillary Continuous Sling Suturing Method for Soft Tissue Grafting With the Tunneling Technique","volume":"30","author":"Allen E. P.","year":"2010","journal-title":"International Journal of Periodontics & Restorative Dentistry"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12178"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.20-0350"},{"key":"e_1_2_7_11_1","unstructured":"R. M.Rafiee \u201cDental Papilla Analysis: A Multifactorial Viewpoint\u201d(master's thesis University of Southern California 2011)."},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784\u2010012\u20100759\u20104"},{"key":"e_1_2_7_13_1","unstructured":"A. I.Shahbazi \u201cClinical Relevance of Vascular Distribution in the Palate and Vestibule \u2013 Establishing the Theoretical Foundation of Novel Flap Designs for Graft Harvesting and Reconstructive Procedures\u201d(PhD diss. School of Clinical Medicine Semmelweis University 2019) https:\/\/doi.org\/10.14753\/SE.2019.2327."},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1563\/1548\u20101336(2003)029<0165:IASOTM>2.3.CO;2"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2007.11.007"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.1410"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.11607\/prd.6584"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0b013e318267bcc5"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.3390\/toxins13020096"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.5115\/acb.22.266"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000004043"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.1939"},{"key":"e_1_2_7_23_1","first-page":"576","article-title":"The Combined Laterally Closed, Coronally Advanced Tunnel for the Treatment of Mandibular Multiple Adjacent Gingival Recessions: Surgical Technique and Report of 11 Cases","volume":"52","author":"Sculean A.","year":"2021","journal-title":"Quintessence International"}],"container-title":["Journal of Esthetic and Restorative Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jerd.13324","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T17:23:35Z","timestamp":1747675415000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jerd.13324"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,27]]},"references-count":22,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,5]]}},"alternative-id":["10.1111\/jerd.13324"],"URL":"https:\/\/doi.org\/10.1111\/jerd.13324","archive":["Portico"],"relation":{},"ISSN":["1496-4155","1708-8240"],"issn-type":[{"value":"1496-4155","type":"print"},{"value":"1708-8240","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,27]]},"assertion":[{"value":"2024-08-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-27","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}