Over the past twenty-five years, the subepithelial connective tissue graft has emerged as the primary treatment technique for reproducible, predictable, esthetic long-termresults. However, recent advances in tissue banking have allowed the development of acellular dermalmatrix as an alternative to palatal donor tissue for root coverage grafting. This course will allow the comparison of both techniques for clinical success, and review the basis in the literature for the comparison of anticipated clinical outcomes for root coverage.