Gum grafting is a procedure that is performed for both cosmetic and functional reasons. Gums recede because the underlying bone dissolves away from the teeth. This often results in root sensitivity to hot and cold foods as well as an unsightly appearance to the gum and tooth. Gum recession, when significant, can predispose to worsening recession and expose the root surface, which is softer than enamel, leading to root caries and root gouging. In its most severe form, gum recession can lead to tooth loss. Gum grafting is performed to stabilize the situation and prevent further recession. Utilizing the latest techniques, gum grafting can often cover exposed root surfaces yielding a desirable cosmetic result. Grafting is a highly predictable procedure.