{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T13:44:49Z","timestamp":1782913489136,"version":"3.54.5"},"reference-count":37,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2009,10,1]],"date-time":"2009-10-01T00:00:00Z","timestamp":1254355200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Periodontology"],"published-print":{"date-parts":[[2009,10]]},"abstract":"<jats:p><jats:bold>Background:<\/jats:bold> A clinical case is presented describing a simple approach to harvest a connective tissue graft from the palate. This technique involves partial palatal deepithelialization and procurement of a layer of thin and uniform abundant connective tissue to treat multiple areas of gingival recession.<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold> A 52\u2010year\u2010old European American male was referred for treatment of root sensitivity associated with gingival recession stemming from toothbrush abrasion. The areas of gingival recession associated with teeth #18 through #22 and teeth #27 through #31 were classified as Miller Class III gingival recession. A tunnel technique was planned for both areas in the mandible. The right palate, which served as the donor site, was deepithelialized, and a large connective tissue graft \u223c1 mm thick was harvested. A periodontal probe was used to pass the graft through the tunnel, and the grafted areas were sutured using one or two vertical mattress sutures per interdental area.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> The patient was followed until complete healing was achieved. At 3 months, there was improvement in gingival thickness, keratinized tissue width, and root coverage. Complete root coverage occurred in three of the 10 treated teeth, and the remaining teeth obtained 80% to 90% root coverage. The patient's root sensitivity symptoms were resolved.<\/jats:p><jats:p><jats:bold>Conclusions:<\/jats:bold> The technique is practical and simple to perform. This approach, involving partial palatal deepithelialization and the applied tunnel surgical procedure, resulted in a successful clinical outcome with increased gingival tissue thickness, keratinized tissue, and root coverage.<\/jats:p>","DOI":"10.1902\/jop.2009.090187","type":"journal-article","created":{"date-parts":[[2009,9,30]],"date-time":"2009-09-30T08:55:26Z","timestamp":1254300926000},"page":"1680-1687","source":"Crossref","is-referenced-by-count":18,"title":["Treatment of Multiple Areas of Gingival Recession Using a Simple Harvesting Technique for Autogenous Connective Tissue Graft"],"prefix":"10.1002","volume":"80","author":[{"given":"Dwight E.","family":"McLeod","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elio","family":"Reyes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grishondra","family":"Branch\u2010Mays","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2009,10]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1993.64.9.900"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1971.42.5.264"},{"key":"e_1_2_6_4_1","volume-title":"Pure Mucogingival Problems","author":"Hall WB","year":"1984"},{"key":"e_1_2_6_5_1","first-page":"279","article-title":"A single\u2010incision technique to harvest subepithelial connective tissue grafts from the palate","volume":"19","author":"H\u00fcrzeler MB","year":"1999","journal-title":"Int J Periodontics Restorative Dent"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1985.56.12.715"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.1974.tb01257.x"},{"key":"e_1_2_6_8_1","first-page":"133","article-title":"An alternative technique to the harvesting of a connective tissue graft from a thin palate: Enhanced wound healing","volume":"27","author":"Bosco AF","year":"2007","journal-title":"Int J Periodontics Restorative Dent"},{"key":"e_1_2_6_9_1","first-page":"260","article-title":"A comparison of two techniques for obtaining a connective tissue graft from the palate","volume":"17","author":"Harris RJ","year":"1997","journal-title":"Int J Periodontics Restorative Dent"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2001.72.8.998"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.5005\/jcdp-1-3-9"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1708-8240.2002.tb00143.x"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2008.070546"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1999.70.9.1118"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2002.73.12.1405"},{"key":"e_1_2_6_16_1","first-page":"216","article-title":"Use of the supraperiosteal envelope in soft tissue grafting for root coverage. 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