Gingival recession is a common periodontal presentation that could be attributed to periodontal disease, various anatomic factors, aggressive tooth brushing and improper flossing. The risk factors such as (tooth malposition, path of eruption, tooth shape, profile and position in the arch, alveolar bone dehiscence, muscle attachment and frenal pull, periodontal disease and treatment, iatrogenic; restorative or operative treatment, improper oral hygiene methods etc. The most important factor increasing the risk of gingival recession may be a thin gingival biotype. So, these factors can act as deterrents for successful root coverage.