Fear of losing the teeth is common among patients presenting with gingival recession. This report describes a case in which unusual gingival recessions were caused by lip piercing. Periodontal treatment involved removal of the causative agent, hygiene instruction, scaling and root planing, and coverage of the root with a subepithelial connective tissue graft. The therapeutic measures applied in this case yielded satisfactory root coverage, an increase in the width of the keratinized gingiva, improvement in hygiene status and absence of dental hypersensitivity.