To describe a novel workflow for the anterior dental esthetics in immediate implant and immediate aesthetic restoration with digital technique.

Before the implant placement, a intra-oral optical scan (IOS) combined with CBCT was performed to virtually design the 3D implant position and restoration. A surgical guide and an individualized Ti abutment restoration was CAD/CAM-fabricated out of the PMMA-based in a fully digital workflow and seated at the stage of minimal invasive surgery.

The technique achieved immediate implant and immediate restoration after tooth extraction. Immediate restoration of temporary crown could be completed immediately in second patient visit after the operation, finally realized the aesthetic implantation with preserved soft tissue contour.

The fully digital technique changed the conventional workflow which achieves more efficiency and better aesthetic effect.