This lecture will feature how to manage complex esthetic dilemmas with interdisciplinary care. It’s not enough to make the teeth look esthetic. The teeth must blend within the framework of the lips and with the gingival form. Ideal gingival architecture and symmetry complete optimal esthetic cases. Periodontal and implant surgical procedures will be discussed from both the prosthodontist and periodontist perspectives. Cases involving crown lengthening, gingival augmentation, pontic site development and implants will be presented. The interdependence on quality provisionals and surgical procedures will be stressed.