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CAF on Pig jaw By. DK-Perio A coronally advanced flap (CAF) is a surgical technique commonly used in periodontal (gum) surgery to treat gum recession, a condition where the gum tissue pulls away from the tooth, exposing the root surface. In a CAF procedure, the gum tissue near the recession site is carefully lifted or separated from the underlying bone and then repositioned (advanced) upward toward the crown of the tooth. This repositioning covers the exposed root surface, effectively reducing or eliminating the recession. The flap is then secured in its new position with sutures. The coronally advanced flap technique aims to improve both the esthetics and the health of the gum tissue by covering the exposed root surface, which can be sensitive and prone to decay. It can also help to prevent further recession and bone loss around the affected tooth. This procedure is typically performed by a periodontist, a dentist who specializes in the treatment of gum disease and the supporting structures of the teeth.