Abstract Soft‐tissue dehiscence at the facial aspect of an osteointegrated implant is a common complication which impacts on the final esthetic result. The etiology and ways of diagnosing this condition are still controversial. Many factors seem to influence the position of the peri‐implant soft‐tissue margin, and some of these have been studied more carefully than others. Various surgical and combination surgical‐prosthetic approaches have been described to treat soft‐tissue dehiscence, with the latter appearing to be more predictable. This paper focuses on the factors affecting peri‐implant soft‐tissue margins and describes the different treatment approaches, reported in the literature, to treat buccal soft‐tissue dehiscence, with more focus on the prosthetic–surgical–prosthetic approach.