Aim: To assess the predisposing factors and clinical conditions associated with gingival recession (GR). Materials and methods: The study was a cross-sectional study. Individuals aged 18–40, who visited the outpatient department of periodontics between June and November 2022, underwent examination. A total of 550 subjects were examined to assess the presence of GR. Those identified with GR underwent further clinical examination. Data collection was facilitated through the utilization of a proforma. The validation of the proforma was assessed by the faculty of the institution. Results: Among the 550 individuals examined, 222 presented with GR. A majority, accounting for 79.73% of patients, exhibited RT1 type of recession. The horizontal brushing method, coupled with the use of a medium-type toothbrush, was observed to exert more injurious effects on the marginal gingiva, thereby contributing to GR. Approximately, 57.21 and 45.05% of patients reported experiencing dentinal hypersensitivity and esthetic impairment, respectively. Conclusion: Mucogingival deformities, especially GR, affect a significant number of patients. Identifying the predisposing factors is crucial for developing long-term prevention strategies for GR. Additionally, patient education and motivation are essential to guide individuals toward undergoing root-covering procedures. Clinical significance: GR typically results from the interplay of various factors. Assessing gingival biotypes is crucial for evaluating the effectiveness of therapy and predicting treatment outcomes. Different gingival biotypes, such as thin or thick, can influence the response to various dental procedures. The data collected may aid in developing enduring strategies to prevent mucogingival defects and predicting the efficacy of treatment approaches. Raising awareness and educating about oral hygiene maintenance should yield lasting benefits. Emphasizing the prevention of GR should be the ultimate aim, rather than dealing with it after it has already developed.