Esthetic implant therapy in the anterior maxilla is dependent on multiple factors including the lip drape, the implant position and the available peri-implant soft tissue to name a few. The latter two factors become increasingly important in a patient with a high lip line where a fraction of a millimeter can spell success or disaster. This is further confounded by the fate of the extraction socket. The shift in paradigm from FPDs to implants has placed special emphasis on the management of the extraction wound and timing of implant placement. With immediate implants becoming increasingly predictable as the parameters for successful treatment get better defined each day, and with the considerable reduction in treatment time and increased patient compliance, its relevance in the current context of implant dentistry is ever increasing. Here, report a case of immediate implantation in the maxillary central incisor region and discuss the various factors that predicate success.
