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Non surgical periodontal therapy is a critical aspect of periodontal treatment, aimed at removal of the etiologic factor, thereby halting the disease progression and re-establishment of biologically acceptable root surface for healing. With non surgical periodontal therapy, periodontal health can be achieved in the least invasive manner. In comparison to other modes of periodontal treatment, Non-surgical therapy remains the corner stone of periodontal treatment, as not only the first mode of treatment approach for treating periodontal disease but it also restores tissue health to prepare it for further surgery. Scaling and root planing have been extensively studied over decades to evaluate their efficacy, to decide on the treatment approach, to determine the criteria for assessing its adequacy to facilitate healing. This review article focuses on the studies done to bring into light the various aspects of non surgical periodontal therapy.

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Traumatic tooth brushing habits and anatomic variations often leads to gingival recession. The exposed root surfaces not only result in sensitivity but are unaesthetic too. Furthermore, the tissue resistance to such changes are very low in thin gingival biotype.Periodontal plastic surgery plays a pivotal role in such cases. Many soft tissue graft material and technique have been studied by various clinicians and researchers. From the point of view of evidenced based practice, autologous connective tissue grafts have the highest predictability and success rate. In this current case report, connective tissue graft is used along with tunnel and pouch technique for recession coverage of multiple defects in thin gingival biotype.