Background The aesthetic and functional success of dental implants, especially in the anterior maxilla, is critically dependent on the health and stability of the surrounding soft tissues. This study aims to evaluate the soft tissue parameters around single tooth implants restored with either cemented or screw-retained crowns. Materials and Methods A total of 40 patients with single tooth implants in the anterior maxilla were selected for this study. The patients were divided into two groups: Group A (n=20) with cemented crowns and Group B (n=20) with screw-retained crowns. Clinical parameters such as probing depth (PD), clinical attachment level (CAL), bleeding on probing (BOP), and keratinized tissue width (KTW) were measured at baseline and after 6 months. Soft tissue esthetics were assessed using the Pink Esthetic Score (PES). Results At the 6-month follow-up, Group A showed a mean PD of 2.5 ± 0.4 mm, CAL of 2.8 ± 0.3 mm, and KTW of 3.2 ± 0.5 mm. In contrast, Group B demonstrated a mean PD of 2.3 ± 0.5 mm, CAL of 2.6 ± 0.4 mm, and KTW of 3.4 ± 0.6 mm. The mean PES was 11.2 ± 1.3 for Group A and 11.8 ± 1.4 for Group B. There were no statistically significant differences between the groups in terms of PD, CAL, BOP, KTW, and PES (p>0.05). Conclusion Both cemented and screw-retained crowns on single tooth implants in the anterior maxilla showed comparable outcomes in terms of soft tissue health and esthetics. The choice of restoration method should be based on clinical judgment and patient preference, as both options provide satisfactory results.