In recent years, the demand for cosmetic den­tistry has steadily increased. This has been accompanied by higher patient expectations for an aesthetically pleasing final result. Even the finest restorative treatment can be an aesthetic disappointment if the periodontal component is not factored into the total treatment plan. With sophisticated surgical procedures, the periodontist can provide an ideal gingival frame for restorative dentistry. General den­tists, prosthodontists and orthodontists are increasingly coordinating treatment with the periodontist to achieve the highest level of health, symmetry and aesthetics. Often a collab­orative effort can be the difference that makes the difference in patient satisfaction.