Achieving ideal aesthetic results with dental implants is a challenge in the maxillary anterior region. Optimal implant position, sufficient volume of hard and soft tissues, and the presence of an inter proximal papilla are essential. Although dental implants have been used for more than 40 years to replace missing teeth, current procedures are aesthetically driven. Implants involves two surgical procedures, an extended healing period, and creates provisionalization challenges. As a result, immediate loading  of an implant at the time of placement has become a viable treatment option, particularly in the aesthetic zone. When replacing one or two teeth in the anterior maxilla, provisionalization can be simplified by immediately loading the implant. This will retain Bone quality and quantity with Initial stability.

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