{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T09:08:52Z","timestamp":1780650532108,"version":"3.54.1"},"reference-count":22,"publisher":"Maad Rayan Publishing Company","issue":"2","content-domain":{"domain":["japid.tbzmed.ac.ir"],"crossmark-restriction":false},"short-container-title":["J Adv Periodontol Implant Dent"],"abstract":"<jats:p>Gingival recession (GR) in malpositioned teeth with a thin periodontal phenotype poses a high risk during orthodontic movement. Phenotype modification before orthodontic treatment may reduce complications and improve clinical outcomes. A 27-year-old woman presented with a 3-mm RT2 gingival recession and&lt;1 mm of keratinized tissue (KT) in tooth 31, which was labially displaced. Cone-beam computed tomography (CBCT) revealed the absence of the vestibular bone, and clinical evaluation confirmed a thin periodontal phenotype. To prevent GR progression during orthodontic movement, a tunneled coronally advanced flap (TCAF) combined with a subepithelial connective tissue graft (SCTG) was performed. Three months later, orthodontic treatment was initiated to lingualize the incisor. At 3-, 6-, and 10-month follow-ups, clinical improvements included an increase in KT width from&lt;1 mm to 5 mm and greater gingival thickness. Complete root coverage was achieved and remained stable after orthodontic therapy. Esthetic results were rated as excellent using the root coverage esthetic score (RES=10\/10). The patient reported minimal postoperative discomfort and no complications. This case highlights the successful use of TCAF with SCTG to modify the phenotype before orthodontic treatment in a high-risk GR case. The interdisciplinary approach led to favorable soft tissue augmentation, complete root coverage, and esthetic stability, supporting its use in similar clinical scenarios.<\/jats:p>","DOI":"10.34172\/japid.026.3900","type":"journal-article","created":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T08:44:27Z","timestamp":1780649067000},"page":"114-119","update-policy":"https:\/\/doi.org\/10.34172\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Treatment of isolated gingival recession by tunneled coronally advanced flap and orthodontics: A case report"],"prefix":"10.34172","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-5311-2778","authenticated-orcid":true,"given":"Alejandro","family":"Guillen","sequence":"first","affiliation":[{"name":"Department of Periodontology, Faculty of Health Sciences, Universidad Peruana de Ciencias Aplicadas, Lima, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3945-1752","authenticated-orcid":true,"given":"Francisco Wilker","family":"Mustafa Gomes Muniz","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9395-1010","authenticated-orcid":true,"given":"Andrea","family":"Vergara-Buenaventura","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Faculty of Health Sciences, Universidad Peruana de Ciencias Aplicadas, Lima, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"20123","published-online":{"date-parts":[[2026,3,24]]},"reference":[{"key":"R1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2010.090631"},{"key":"R2","doi-asserted-by":"publisher","DOI":"10.1002\/jper.16-0671"},{"key":"R3","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2016.150625"},{"key":"R4","doi-asserted-by":"publisher","DOI":"10.1053\/j.sodo.2023.09.002"},{"key":"R5","doi-asserted-by":"publisher","DOI":"10.1038\/s41415-024-7781-1"},{"key":"R6","doi-asserted-by":"publisher","DOI":"10.1002\/jper.19-0037"},{"key":"R7","doi-asserted-by":"publisher","DOI":"10.1002\/jper.17-0619"},{"key":"R8","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2015.130684"},{"key":"R9","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2000.71.2.182"},{"key":"R10","first-page":"14\u201326","article-title":"Tunneled coronally advanced flap for the treatment of isolated gingival recessions with deficient papilla","volume":"17","author":"Barootchi S","year":"2022","journal-title":"Int J Esthet Dent"},{"key":"R11","doi-asserted-by":"publisher","DOI":"10.11607\/prd.7619"},{"key":"R12","doi-asserted-by":"publisher","DOI":"10.11607\/prd.6721"},{"key":"R13","doi-asserted-by":"publisher","DOI":"10.1155\/2024\/5571545"},{"key":"R14","doi-asserted-by":"publisher","DOI":"10.1002\/cap.10211"},{"key":"R15","doi-asserted-by":"publisher","DOI":"10.11607\/prd.7218"},{"key":"R16","doi-asserted-by":"publisher","DOI":"10.11607\/prd.7886"},{"key":"R17","first-page":"338\u201347","article-title":"A modified suture technique for plastic periodontal and implant surgery--the double-crossed suture","volume":"4","author":"Zuhr O","year":"2009","journal-title":"Eur J Esthet Dent"},{"key":"R18","doi-asserted-by":"publisher","DOI":"10.1111\/eos.12935"},{"key":"R19","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2009.080565"},{"key":"R20","doi-asserted-by":"publisher","DOI":"10.1093\/ejo\/cjt073"},{"key":"R21","doi-asserted-by":"publisher","DOI":"10.1111\/prd.12484"},{"key":"R22","doi-asserted-by":"publisher","DOI":"10.34172\/japid.2020.009"}],"container-title":["Journal of Advanced Periodontology &amp; 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