Comparison of Peri Implant Soft Tissue Esthetics With Immediate Temporization With and Without Subepithelial Connective Tissue Graft

Inclusion Criteria: 1. Age \> 18 years old 2. Good medical and psychological health 3. Absence of untreated caries lesions and untreated/uncontrolled periodontal disease. If patients required periodontal treatment (non-surgical and/or surgical), this was arranged outside the study protocol and completed at least 30 days prior to the enrolment 4. Need of a single-tooth replacement in the aesthetic (incisor, canine or premolar) region 5. Willingness to sign the informed consent form Exclusion Criteria: 1. Any known disease (not including controlled diabetes mellitus), infections or recent surgical procedures within 30 days of study initiation; 2. Chronic treatment (i.e., 2 weeks or more) with any medication known to affect oral status (e.g., phenytoin, dihydropyridine, calcium antagonists and cyclosporine) within 1 month before baseline visit; 3. Anticoagulant therapy with warfarin, clopidogrel, ticlopidine or once daily aspirin (more than 81 mg); 4. HIV or Hepatitis; 5. Physical handicaps that would interfere with the ability to perform adequate oral hygiene; 6. Alcoholism or chronic drug abuse; 7. Heavy smokers (\>10/cigarettes per day); 8. Lack of adequate primary stability at implant insertion that enables immediate provisionalization (insertion torque ca 30 Ncm).