Maintaining oral hygiene is necessary for optimal periodontal health which increases the longevity of a person's natural dentition. The goal of periodontal therapy is to reproduce an environment that allows a high standard of oral hygiene since inadequate oral hygiene is associated with mucogingival deformities. Say no to plagiarism. Get a tailor-made essay on "Why Violent Video Games Shouldn't Be Banned"? Get an Original Essay Periodontal plastic surgery emphasizes the biological and functional problems affecting the periodontium and focuses on improving the aesthetic appearance. The appearance of mucogingival deformities often impacts patients in terms of aesthetics and functionality. A shallow vestibule is often associated with plaque accumulation and consequently marginal gingival inflammation. Gingival recession is defined as exposure of the root surface due to apical migration of the junctional epithelium (JE), resulting in an unaesthetic appearance and dentin hypersensitivity. Aberrant frenulum along with inadequate buccal depth causing gingival recession. Gum recession is a very common clinical finding in the anterior region of the lower jaw. Various surgical modalities have been used for vestibuloplasty, including submucosal vestibuloplasty, vestibuloplasty with secondary epithelialization, Edlan-Mejchar vestibuloplasty, and vestibuloplasty with soft tissue grafting. A 45-year-old woman presented with the chief complaint of trauma while brushing her teeth in the lower anterior region, referred to the outpatient of the Department of Periodontology, Sardar Patel Postgraduate Institute of Dental & Medical Science, Lucknow. On intraoral examination, the patient was found to have Miller grade I mobility along with narrow width of the attached gingiva in the lower anterior region. Phase I therapy included full-mouth scaling and root planning, occlusal correction was performed where indicated, and oral hygiene instructions were reinforced for the patient. a buccal extension of the patient's mandibular labial vestibule was planned to increase the width of the attached gingiva. Routine blood tests were performed (total and differential leukocyte count, fasting and postprandial blood glucose, hemoglobin, bleeding and clotting time). Pre-surgical preparation involved washing the facial skin around the oral cavity with a povidone-iodine solution and the patient was rinsed with a 0.2% chlorhexidine digluconate mouthwash for one minute. The patient was anesthetized using 2% lidocaine with an epinephrine concentration of 1:80,000. The surgical procedure described by Edlan and Mejchar was followed. The incisions were started by making a vertical incision mesial to one of the mandibular canines and starting from the junction of the attached and free gingiva an incision was made for a distance of 10–12 mm extending to the lower lip. A similar incision was made parallel to the other mandibular canine, and these two incisions were joined by a horizontal incision across the midline. A split-thickness flap then separated the loose labial mucosa from the underlying muscle. The result was a loose flap of labial mucosa with its base on the gum which was then folded upwards and a horizontal incision was made on the periosteum, which now becomes visible. The periosteal incision was extended in the vertical direction at its ends. The periosteum was then separated from the bone, forming a second flap with the base.