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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.

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