Currently, with increased esthetic demands, implantologists must establish a harmonious gingival contour and an intact papilla. Height and contour of peri-implant papilla are infl uenced by a position of the implant, an osseous support, a volume of gingival embrasure, and a biotype of interdental gingiva. Various hard and soft tissue surgical techniques for preservation and reconstruction of papilla have been introduced. Preservation and reconstruction of alveolar bone under an area of interdental papilla is the foundation for the presence of papilla by socket preservation, guided bone regeneration. Soft tissue grafting can be used to enhance esthetic outcomes. For preservation and reconstruction of peri-implant papilla, a multidisciplinary approach involving both the restorative dentist and surgeon should be followed.