Implant restoration in the oral aesthetic zone aims to achieve the dual reconstruction of function and aesthetics. As the core carrier of aesthetic effect, the long-term stability of peri-implant soft tissue is the key to determining the durability of restoration effect and patient satisfaction. With the intersection and integration of multiple disciplines, research in this ffeld has advanced from clinical manifestations to frontiers such as biological mechanisms, precise intervention and efffcacy evaluation. Based on implant restoration in the oral aesthetic zone, this review systematically elaborates on the biological basis of soft tissue and its key inffuencing factors, details the current mainstream precise assessment and intervention strategies, further discusses the key points of long-term maintenance and management, and prospects for future research hotspots, aiming at providing theoretical references and decision-making bases for clinical practice.