Inclusion Criteria:  English speaking At least 18 years old Able to read and understand informed consent document Patients with teeth/implants lacking keratinized tissue. Must be a patient of the UAB Dental School Presence of periodontally healthy, non-carious neighboring teeth, healthy implants or edentulous ridges on either side of the involved site(s)  Exclusion Criteria:  Non-English speaking Less than 18 years old Smokers/tobacco users (>10 cigarettes/day) Patients with systemic pathologies or conditions contraindicating oral surgical procedures or adversely affecting wound healing Presence of active periodontal disease Previous soft tissue grafting at the site(s) to be treated