Morphology of the peri implant soft tissue adjacent the implant component plays a pivotal role in displaying the implant esthetics. Creating an implant restoration that cannot be distinguished from the rest of the natural dentition is the ultimate goal. The ability to preserve the architecture, modify and even improve the soft tissue contours lies in the hands of the periodontists and greatly influence the overall restorative result. The main approach of the periodontist is to establish and accomplish natural soft tissue dimensional architecture without formation of any scar tissue on labial gingival interface and most importantly preserve the interproximal papillae. There are various innovative methods for promoting and preserving the soft tissue profile around the implants. Second stage surgery should be given emphasis and not just thought as a process of uncovering the coverscrew. A whole lot can be done and is an excellent opportunity to give finesse to the soft tissue profiling around implant components. Implant therapy Specially in the anterior maxilla is challenging for the clinician because of the esthetic demands of patients and difficult pre-existing anatomy
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