Original protocols for placing and restoring dental implants included a strictly staged approach as the standard modus operandi. Following a submerged healing period, implants were connected to the oral environment with a so-called 2nd-stage surgery. Over the past 2 decades, implants placed immediately following tooth extraction as well as implants placed in demanding aesthetic conditions have been introduced as a standard treatment modality. With this, additional time points and techniques have been introduced to properly manage peri-implant soft tissues. This presentation will review original and current flap and tissue grafting techniques for a state-of-the-art site development. Furthermore, the clinical decision making on different time points for soft tissue management will be introduced.

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