Contemporarily, dental implant is considered as the gold standard for managing complete or partially edentulous patients. Even though with meagre rates of failure, peri-implantitis is one complication that is worth deciphering. The prevalence of peri-implantitis is reportedly increasing with time so correct diagnosis is the most important factor for proper management of peri-implant disease. Regular evaluation and elimination of risk factors (history of periodontitis, poor oral hygiene, diabetes, smoking, alcohol consumption, genetic traits, absence of keratinized mucosa and implant surface) are effective precautions against peri implantitis. The management of peri-implant mucositis is also considered as an important preventive measure for the onset of peri- implantitis. In addition to aspects of osseointegration, type and structure of the implant surface are of importance. For the treatment of peri-implant disease multiple conservative and surgical methods are available. To minimize its detrimental effects, it is important to take a holistic view of the condition. Therefore, this review gives an overview on the prevalence, etiology, risk factors, prevention and treatment of peri-implantitis.

One of the greatest challenges for implant placement in the maxillary anterior zone is not only the restoration of function but also the esthetics. The reestablishment of a normal alveolar contour after implant placement is a critical step in esthetic success. This important aspect consists of replacing the lost portion of the alveolar process and associated soft tissue. It can be onerous to establish a balance between the tooth and the surrounding apparatus at prosthesis - soft tissue interface. This case presents the implant placement aspect with an in-depth consideration of positional parameters and post implant placement with consideration of soft tissue management and manipulation. Thus, the final restoration fitted precisely and harmoniously with the natural and esthetic contours of the gingiva and provided the esthetic results which both the practitioner and the patient were aiming to achieve. Hence, validating use of this technique for suitable patients.