Implant therapy in the anterior esthetic region has made significant strides through improvements in implant design, techniques and technologies. As implant dentistry has become mainstream in daily practice there is an ongoing need to understand the advantages and limitations of various surgical and clinical prosthodontic procedures. Specifically the interaction of abutment design, abutment biomechanical stability, composition, surface texture and anatomic shape has an interactive role in influencing peri-mucosal health. The long term results of this interaction can lead to chronic inflammatory infiltrate and mucosal recession around dental implant restorations. The issues related to implant treatment planning, site development, soft tissue management procedures will be discussed in this presentation. Objectives: Participants will gain practical information and a greater understanding of: Understand the current science related to implant design, osseous and soft tissue wound healing, Assessment of the esthetics and relative risks for recession in the anterior esthetic zone. Understand the role of patient specific abutments, selection and applications in clinical care.