PDF: Surgical Protocols for Root Coverage: Coronally Advanced vs. Semilunar Flaps



Comparison of Coronally Advanced and Semilunar Coronally Repositioned Flap for the Treatment of Gingival Recession

In periodontal plastic surgery, the management of gingival recession defects represents a fundamental challenge aimed at reducing root hypersensitivity, preventing cervical abrasion, and addressing patient aesthetic concerns.

Among the diverse surgical modalities developed to achieve predictable root coverage, the Coronally Advanced Flap (CAF) remains a well-established gold standard.

Utilizing vertical or horizontal releasing incisions to mobilize the tissue, CAF allows for a tension-free coronal displacement that offers excellent clinical outcomes and highly predictable vascularization.


Concurrently, the Semilunar Coronally Repositioned Flap (SCRF), originally introduced by Tarnow, offers a minimally invasive alternative for localized recessions in patients with adequate keratinized tissue apical to the defect.

By utilizing a semilunar incision parallel to the free gingival margin, this technique allows for coronal repositioning without altering the vestibular depth or jeopardizing the integrity of the adjacent interdental papillae.


This comparative study provides a rigorous clinical evaluation of the therapeutic efficacy, predictability, and stability between the Coronally Advanced Flap and the Semilunar Coronally Repositioned Flap.

By analyzing critical baseline and post-operative parameters—including recession depth, width of keratinized tissue, clinical attachment level (CAL), and patient-reported morbidity—the publication serves as an essential, evidence-based guide.

For periodontists and oral surgeons, this research helps optimize treatment planning, refine patient selection criteria, and enhance surgical outcomes in everyday clinical practice.

Ready to analyze the detailed surgical steps, precise clinical measurements, and long-term comparative data between these two flap techniques?

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