This study compares the peri-implant soft tissue and crestal bone loss around single implants when placed macrosurgically and microsurgically.

Black triangles in dentition especially in the anterior teeth would pose an esthetic concern. Interdental papilla height is crucial for eliminating this black triangle.

32 participants, 16 in two groups were assigned randomly. Microsurgical approach using microsurgical instruments and magnifying loupes were used for one group participants and similar procedure without magnifying loupes and microsurgical instruments was done in the other group.

comparsion of the microsurgical outcome is done by measuring peri implant papilla gain and radiographic crestal bone loss will be done between the groups.

Inclusion Criteria:

• Patients desiring implant placement for replacement of missing tooth and willing to participate in the study

  • Non smokers
  • Patients who do not report any relevant medically comprimising conditions or had not received any radiation therapy in head and neck region for cancer therapy.
  • Subjects with satisfactory residual ridges who demonstrated adequate bucco-lingual and mesio-distal space for implant placement, that facilitates primary stability.
  • Patients who demonstrate Plaque Index <10% and good compliance.
  • Full mouth bleeding scores ≤25% before the implant placement.
  • Sites with sufficient band of keratinised mucosa.

Exclusion Criteria:

• • Pregnant and lactating females

  • Patients on anticancer therapy and immunosuppressant drugs.
  • Implants to be placed in sites with previous periodontal disease
  • Bleeding disorder or on anticoagulant therapy
  • Systemic diseases that would negatively influence wound healing