Gingival recession can result in an unesthetic appearance, hypersensitivity, and root caries. The physiological well-being of the patient is a significant factor associated with the success of dental therapy. Esthetics is one of the main concerns of the patient if recession is present especially in anteriors. Hence, the treatment of choice for root coverage for the anterior teeth should address the biological as well as the patient's aesthetic demands. Numerous surgical procedures have been implicated for root coverage. Aesthetic results from using pedicle grafting procedure are superior to the use of free gingival grafts. The double papilla technique evolved from treating defects where tissues adjacent or apical to the defect alone may be inadequate for grafting purpose. This technique can be used in areas with shallow vestibule and palatal areas. The double papilla technique combines the esthetic results of pedicle graft with the predictability and usefulness of free gingival graft and is an effective and predictable method of obtaining esthetic root coverage.
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