PERIODONTOLOGY CONTEMPORARY ESTHETIC PERIODONTICS Aim: In contemporary dentistry, disease prevention and regeneration have dictated the paradigm shift from the practitioner's reactive approach to disease occurrence in his increasingly educated and demanding patient population to an innovative and proactive patient treatment. This clinical paper with case reports will address these aspects of muco-gingival surgery around teeth and implants. Summary: Successful periodontal disease control and elimination by skilled dental professionals may leave patients with an esthetic or sensitivity concern. The historical "longer teeth, or no longer teeth" and its sequela require targeted intervention from today's dental team to prevent lesion progression and improve patient satisfaction. After surgical technique and patient compliance with oral hygiene and wound care instructions, the patient's physiology, immunology and molecular biology, is responsible for the clinical outcome of the procedure. Key Learning Points: In cases with lack of keratinized attached gingiva, the results of the present case reports on teeth and implants, indicate that a free gingival graft which deepened the vestibule and created a wide band of attached and keratinized gingiva can aid in reducing discomfort during oral hygiene practices by the patient, improve gingival health and overall patient satisfaction.

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