The cleft lip and palate is the most common congenital malformation of face. Mucogingival alterations are inherent to clefts, and may be worsened by the comprehensive and sequential therapy, especially plastic surgeries. Gingival recession adjacent to the cleft is a common mucogingival alteration. The cleft is located in the upper front teeth area. Gingival recession on upper front teeth usually cause esthetic and even functional problems reulted from periodontal changes. Therefore, prevention and improvement of gingival recesion adjacent to the cleft is of clinical significance. This review summarizes the research progress of gingival recession adjacent to the cleft, its epidemiology and treatment.