Background
The molars of felines are essential for mastication. Gingival recession in these teeth may arise from malocclusion or periodontal disease. Chronic gingival recession and root exposure can lead to heightened root sensitivity, deposition of plaque and calculus on the root surface, and inflammatory reactions.

Objective
The coronally positioned flap (CPF) is a frequently employed method in humans for repositioning retracted gingiva to its original location. This study assessed the potential of CPF as a therapy to enhance root surface coverage to within the normal range in feline mandibular molars exhibiting gingival recession.

Methods
Sixteen mandibular premolars or molars displaying Class II or III gingival recession were addressed using conservative surgical techniques. Open flap debridement (OFD) and CPF were performed in conjunction with enamel matrix derivative (EMD) to augment periodontal regeneration. The cases were reassessed 1 to 3 years postoperatively, and treatment success was determined by the extent of complete or partial root covering achieved.

Results
The vertical bone defect ratio (VBDR), evaluated through dental radiographic examination, improved from 0.24 ± 0.07 preoperatively to 0.16 ± 0.08 postoperatively. Of the 16 treated teeth, 14 had significant improvement, while 2 showed no change. The mean clinical attachment level (CAL) improved from 2.22 mm ± 0.25 preoperatively to 0.7 mm ± 0.43 postoperatively. Out of the 16 treated teeth, 15 exhibited a successful improvement in clinical attachment level (CAL). According to the entire success criteria, 13 out of 16 cases (81.3%) met the objective success benchmark without complications.

Conclusions
Periodontal surgery in felines has historically been underused for many reasons. However, progress in veterinary medicine and the development of superior regenerative materials are driving increased attempts to explore innovative therapeutic options. CPF with EMD achieved complete or partial root coverage on premolars or molars. This study aspires to facilitate the development of a more advantageous eating environment for cats with retracted teeth by conservative approaches in the future.

Keyword
Gingival recession, Coronally positioned flap, Emdogain, Open flap debridement, Open root planning, Periodontitis