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This program is an alternate perspective into how "esthetics-driven" implant dentistry has evolved, and why today it is often essential to combine "pink" and "white" prosthetic replacement to achieve that optimal result. This change in philosophical approach involving gingival colored restoratives, incorporates a new modus operandi and treatment planning for implant cosmetics in the esthetic zone in the presence of ridge deficiencies. Preemptive planning of soft and hard tissue grafts, implant placement, ridge reduction and restorative design now utilize definitively specific protocols for these type of prosthetic gingival restorations.