After the successful conclusion of periodontal therapy, the dentist is often confronted with a situation that the patient regards as aesthetically unsatisfactory. This can be observed especially in cases where there is substantial loss of attachment, as in patients with severe forms of chronic and aggressive periodontitis. Aesthetic reconstruction of lost hard and soft tissue structures and possibly of lost teeth in patients with periodontal disease is one of the greatest challenges in dentistry. Numerous very different options are available for this reconstruction: these can be subdivided into purely prosthetic (replacement) measures and combined prosthetic and plastic and periodontal surgery measures. The article gives an overview of the wide range of possible periprosthetic treatments.