Implant placement and restoration to replace single or multiple teeth in the esthetic zone is an especially challenging area for the clinician, particularly in sites with deficiencies in soft tissue or bone. Preservation or creation of a soft tissue scaffold needed to create the illusion of a natural tooth is often challenging and difficult to achieve. Placement of a dental implant in the esthetic zone is a technique sensitive procedure. More recently a trend towards single stage and immediate extraction implants have emerged, appearing especially attractive in anterior region, where soft tissue drape is present before the tooth extraction and the patients are more anxious to get a fixed replacement.