A pleasant smile is considered a symbol of beauty and well-being in the modern society. A variety of factors including teeth form/ position and gingival tissue levels may influence the overall smile aesthetics. Periodontal plastic procedures have the potential to create soft tissue environment that leads to improving the esthetic aspect of the lower third of the face by establishing the proper tooth proportion and by placing the gingival margin in a suitable position. All periodontal plastic procedures have potential to create the soft tissue environment that permits the esthetic reconstruction of even some of the most challenging cases. It also creates new restorative technique approaches by providing ideal tooth length and gingival contours.In this book, all periodontal plastic surgical procedures has been discussed in details which not only result in desirable significant cosmetic enhancement but also a healthy periodontal environment.