Objective To evaluate the aesthetic effect of palatal roll connective tissue flap applied to soft tissue increments in implant restoration in the anterior zone. Methods Eighteen patients treated anterior implant restoration (20 implants) underwent palatal roll connective tissue flap, at the same time when the gingival healing cap was placed. Fifteen patients treated anterior implant restoration (16 implants) underwent conventional second-stage surgery as a control. We recorded the score of lip soft tissue fullness and pink esthetic score (PES) at the follow time points: before second-stage surgery; 1 month and 6 months after second-stage surgery. Results The score of lip soft tissue fullness in the observation group were significantly higher than those in the preoperative and control groups at 6-month follow-up (P<0.05). The PES in the observation group was significantly higher than that in the preoperative and control groups at 1-month and 6-month follow-up (P<0.05). Conclusions The palatal roll connective tissue flap can significantly improve the red aesthetics of the implant restoration and has good stability. Key words: Dental implantation; Palate/AH/SU; Connective tissue/SU; Surgical flaps; Tooth/SU