← All explanationsCoronally advanced flap

What is a coronally advanced flap?

A coronally advanced flap is a surgical technique that moves gum tissue towards the tooth crown. Its aim may be partial or complete coverage of an exposed root surface. A connective tissue graft may be added depending on the findings.

For training & practice ↓
SMILE meets DESIGN
Fictional depiction of an exposed root as a possible starting condition; no surgical step, graft or treatment result is shown.AI-generated
Possible starting condition · no surgical step
01 / 03

Understand the direction

Coronal means towards the tooth crown. Existing soft tissue is mobilised and secured in a more coronal position. The tooth itself is not moved.

02 / 03

With or without a graft

Additional connective tissue may support the tissue situation. Need depends on thickness, defect and treatment aim, among other factors. A donor site has its own discomfort and healing requirements.

03 / 03

Healing is part of the result

Sutures stabilise the new position. Aftercare protects healing. Complete, permanently unchanged root coverage cannot be guaranteed; bleeding, swelling or infection are possible risks.

Read the full explanation
  1. Understand the direction

    Coronal means towards the tooth crown. Existing soft tissue is mobilised and secured in a more coronal position. The tooth itself is not moved.

  2. With or without a graft

    Additional connective tissue may support the tissue situation. Need depends on thickness, defect and treatment aim, among other factors. A donor site has its own discomfort and healing requirements.

  3. Healing is part of the result

    Sutures stabilise the new position. Aftercare protects healing. Complete, permanently unchanged root coverage cannot be guaranteed; bleeding, swelling or infection are possible risks.

Notes on the teaching images
  • Possible starting condition · no surgical step
  • No graft or tissue tunnel is depicted
  • No before-and-after or treatment result shown

At a glance

Purpose?

Selected recession defects and root coverage.

Always a graft?

No; this is decided individually.

Certain lasting complete coverage?

No.

Knowledge in motion

Explained in 36 seconds.

Three steps. No audio.
Each scene can also be selected manually.

Coronally advanced flap: short film

Silent educational film with German on-screen text and simplified teaching images. Not a patient case or a promised treatment outcome. The full English explanation is available as text.

Often confused

Root coverage or crown lengthening?

Root coverage moves the soft-tissue margin towards the crown. Crown lengthening aims to expose more tooth structure. These are not interchangeable operation names.

Quick answers
Does this lengthen the tooth crown?

No. The flap moves towards the crown to cover exposed root. Surgical crown lengthening has a different purpose.

Does every recession require this operation?

No. Symptoms, progression, cleanability, tissue findings and preferences are assessed together. Monitoring or other measures may be appropriate.

Can I brush normally immediately afterwards?

Follow the individual aftercare plan for the operated area. Early mechanical trauma should be avoided, and reviews form part of treatment.

At the practice

For the appointment

You can bring this question to your appointment:

How much coverage is achievable, and what additional benefit would a graft offer in my case?

Discuss your individual findings and whether a referral is appropriate.

Discuss your findingsAppointment selection at Doctolib
Meet Dr. Niusha Barahmand Pour ↗
Learning layer for training & practiceUnderstand terminology and deepen knowledge
Coronal
Towards the tooth crown.
Flap
A surgically mobilised tissue segment that remains connected to surrounding tissue.

Make the distinction

Root coverage moves the soft-tissue margin towards the crown. Crown lengthening aims to expose more tooth structure. These are not interchangeable operation names.

Knowledge questionWhich way is the flap advanced?

For learning, not for assessing personal symptoms. Your answer is not stored or sent.

  1. Towards the crown
  2. Towards the root tip
  3. Into the root canal
View answer

Towards the crown

Coronal advancement moves tissue towards the crown for possible root coverage.

Sources and context

Editorial research: . General information, not an individual diagnosis or treatment recommendation. Teaching illustrations are simplified and do not depict a patient case.