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APF on Pig jaw by DK-Perio An apically positioned flap is a surgical technique used in periodontal (gum) surgery to treat certain types of gum disease or to access areas of the tooth and bone that need treatment. In this procedure, the gum tissue is cut and separated from the underlying bone, then repositioned lower down on the tooth. This repositioning helps to cover exposed tooth roots or to access areas of bone and root surfaces that require treatment. The flap is then sutured into its new position. The goal of the apically positioned flap is to improve the health of the gum tissue and underlying bone, and to create an environment that is easier to clean and maintain. This procedure is typically performed by a periodontist, a dentist who specializes in the prevention, diagnosis, and treatment of gum disease.