Cleft lip and palate patients usually feature a shallow vestibule with harmful fibre insertion and low gingival margin mobility, interfering with the marginal periodontal tissue health. The following case report describes a vestibuloplasty technique associated with a free gingival graft in an edentulous ridge and posterior root coverage of the adjacent tooth using a semilunar coronally positioned flap at the left superior canine at the cleft area with satisfactory results.

Keywords: vestibuloplasty, gingival recession, surgical flaps, grafts