This study evaluated crestal bone loss around 123 implants in 86 patients that were divided into three groups based on mucosal tissue thickness: thin (group A), thin augmented with a xenogenic membrane (group B), and thick (group C). Radiographs were taken immediately after surgery and 2 months post-operatively to measure bone loss mesially and distally. There was no statistically significant difference in bone loss between the three groups. However, bone loss was less for the augmented thin tissue group compared to the thin tissue group. While 2 months may not have been enough time for significant differences, augmenting thin tissues could help preserve crestal bone levels. Tissue thickness appears important for maintaining crestal bone and establishing good est