Figure 1: a) A Millerís class 1 gingival recession is present in correspondence to the upper canine, (Thin black line indicating width of keratinized gingiva; thick black line indicating length and width of the papilla). b) A trapezoidal partial thickness flap is raised. c) Distal papilla is de-epithelized. d) The de-epthelized papilla along with the periosteum attached to the bone is reflected and rotated 90 degrees to cover the recession defect. The papilla is sutured to the connective tissue bed. e) Flap coronally positioned to cover the graft. f) Three months after treatment. g) Complete root coverage and excellent esthetics at 12 months postoperatively.