The creation of an esthetic implant restoration with gingival architecture that harmonizes with the adjacent dentition is a formidable challenge. The predictability of the peri-implant esthetic outcome may ultimately be determined by the patient’s own presenting anatomy rather than the clinician’s ability to manage state-of-the-art procedures. To more accurately predict the peri-implant esthetic outcome before removing a failing tooth, five diagnostic keys are discussed. These keys include relative tooth position, form of the periodontium, biotype of the periodontium, tooth shape and position of the osseous crest. KEYWORDS: Dental Implants, Periodontal, Peri-implan
