Esthetic outcomes are attributed to multiple parameters and are a result of numerous clinical and biological important factors. Especially tooth loss in the esthetic zone represents a significant esthetic challenge for the dentist because of the region’s visibility and role in smile performance. Implant treatment offers a variety of strategies for replacing the missing anatomy and requires special pre-surgical individual case planning to achieve optimum esthetic and functional results. Protocols such as immediate, early or delayed implant placement are shown as well as cases where teeth are already missing and additional surgical steps are needed to enlarge the mucosa or bony anatomy to compensate for tissue losses.

The emphasis will be on the identification of the correct clinical, surgical and prosthetic management of implants. New therapeutic modalities and related materials have been specifically developed leading to highly predictable esthetic results in different clinical situations.