The Anterior Maxilla presents with unique challenges during dental implant therapy as a result of being the part of the mouth that is visible when patients smile. Implant restorations therefore have to blend with adjacent teeth and restorations and be harmonious with the rest of the patient’s dentition. Additionally, because most people show not only their teeth but also varying parts of their gingival tissue, it is essential that their gums are healthy, and has adequate soft tissue quantity and contour around the implant restoration. The objective of this course is to review ways of assessing soft tissue around an implant site prior to tooth extraction and implant placement to ensure adequacy. It reviews procedures to correct soft tissue deficiencies. It also reviews site specific anatomy that affect implant placement and esthetic success such as type of biotype present in the site, smile line, lip length, biologic width, keratinized tissue thickness and other factors that would potentially affect soft tissue health and contours around the dental implant restoration. The course also reviews use of provisional restorations in recontouring soft tissue around anterior maxillary implants to ensure soft tissue emergence profile around permanent restorations are harmonious. It also reviews ways of assessing esthetic success of dental implant restorations using Pink and White esthetic scores.