Replacing a maxillary central incisor with immediate implant placement can be a challenging clinical task. This case report outlines a comprehensive digital approach used for a 35-year-old male patient who sustained a horizontal root fracture following a sports injury. The treatment plan incorporated digital implant planning, a minimally invasive tooth extraction, computer-assisted implant placement, soft tissue enhancement, and provisional restoration to shape the gingiva. The process started with a CBCT scan and a treatment consultation, where the patient opted for an implant. A 3D-printed surgical guide ensured precise implant placement, followed by a soft tissue graft to improve the gum contour. A provisional restoration was used to support and shape the peri-implant tissues. After healing, a final digital impression was taken, and a screw-retained all-ceramic crown was fabricated. This digital workflow allowed for precise planning and seamless execution of the implant procedure, leading to a functional and aesthetic result while minimizing treatment time. The case demonstrates that successful immediate implant placement in the aesthetic zone demands careful planning and execution, with advanced digital tools playing a crucial role in achieving favorable results.
