Peri-implant tissues differ markedly from those around the natural dentition. A thorough understanding of these tissues allows the restoring clinician to predictably manage and shape them through the use of a provisional restoration. The emergence profile of the implant abutment can be designed so as to maximize tissue volume following an immediate loading scenario, and modified later to manipulate and shape the tissue to its desired position. Employing a provisional restoration and carefully manipulating the emergence profile provides in-situ testing of the patient's biology and adaptation, helping the clinician accommodate patient expectations.