The functional and aesthetic success of implant treatment in the anterior zone depends not only on the quality of the prosthetic restoration, but also on the contour, position, and stability of the soft tissues. It is these tissues that conceal the implant neck and establish a gingival level that is harmonious with the adjacent tissues. Nevertheless, in the literature, marginal bone loss of 1.2mm to 1.5mm after implant placement and loading is often considered unavoidable.

In the anterior zone, this phenomenon is responsible for unaesthetic gingival recession that will undoubtedly occur in patients with difficult, thin periotypes, and often in moderate periotypes as well. In patients with favorable, thick gingival, limited marginal bone loss does not necessarily have a negative effect on the aesthetic result. In the posterior region, bone remodeling will increase the extrabony lever arm that can jeopardize the longevity of the implant.