This is a great example of a difficult center front tooth dental implant . The gum is thin and it is very scalloped. I restored this case with a cemented (rather than screw retained) custom zirconia abutment and porcelain crown. The white zirconia underneath the gum line prevents the gray show through that many front dental implants have.
The gum sometimes needs to be thickened as well which was done by a simultaneous gum graft at time of extraction along with a bone graft to fill the void between the implant and bone. I made sure the gum line did not move by shaping and forming the gum to prevent black triangles and a long tooth.
Final photo was taken 3 years after the original just this week.
Ramsey A. Amin, D.D.S.
Diplomate of the American Board of Oral Implantology /Implant Dentistry
Fellow-American Academy of Implant Dentistry