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What to Expect During Crown Lengthening Surgical Stent (Video Guide)

Have you noticed one tooth looking longer than the others or feeling sensitive near the gumline? This may be gum recession, when gum tissue pulls back and exposes the root surface. Left untreated, it can cause sensitivity, decay, and esthetic concerns.

One of the most effective solutions is the Coronally Advanced Flap with Connective Tissue Graft (CAF + CTG), often considered the gold standard for treating single tooth recession.

What Is CAF + CTG?

This procedure combines two steps:

  • Coronally Advanced Flap (CAF): the gum is gently loosened and moved upward to cover the exposed root.

  • Connective Tissue Graft (CTG): a small piece of tissue (usually from the palate) is placed under the flap to thicken and strengthen the gums.

Together, these techniques restore the gumline, protect the root, and provide long-lasting stability.

How the Procedure Works

  1. The area is numbed for comfort.

  2. The root surface is cleaned and prepared.

  3. A small flap of gum is advanced upward.

  4. A graft is taken from the palate and placed over the recession.

  5. The gum flap is secured with sutures to cover the graft.

The entire process is usually done in one visit.

Benefits of CAF + CTG

  • Covers the exposed root, reducing sensitivity

  • Thickens and strengthens the gums

  • Prevents future recession

  • Natural esthetic results that blend with your smile

Healing and Recovery

Healing is quick and comfortable for most patients. You may have mild soreness at the donor site (palate), but this resolves within days. Normal activities resume quickly, with special instructions for brushing and eating while the area heals.

Conclusion

If gum recession is affecting your comfort or your smile, CAF with CTG is one of the most predictable and long-lasting treatments available. Book a consultation with our periodontist to see if this procedure is right for you.