Abstract: Immediate implant placement is a reliable treatment modality for replacing compromised teeth in the esthetic zone, offering advantages such as reduced treatment time and fewer surgical interventions. However, the surgical trauma associated with immediate implant placement induces remodeling of the alveolar bone and surrounding soft tissues, and subsequent changes in hard and soft tissue contours may pose esthetic risks. Concurrent soft tissue grafting performed at the time of immediate implant placement has emerged as a promising strategy to mitigate these risks and has recently become a focus of research. This review synthesizes recent evidence-based findings to discuss key considerations regarding clinical outcomes, material selection, and immediate restoration in the context of concurrent soft tissue grafting with immediate implant placement, thereby providing clinical decision-making support for practitioners.

Key words: Immediate implant placement, Soft tissue grafting, Connective tissue grafting, Soft tissue substitutes, Gingival recession