Background: Few things in clinical periodontics are more challenging or potentially more rewarding than gaining an ideal result with implant-supported crowns in the esthetic zone.

Methods: This article describes a novel approach to maintaining soft tissue health and support following immediate implant placement and immediate insertion of minimally functional single-unit screw-retained fixed provisionals.

Results: Excellent tissue health, soft tissue profiles, and maintenance of septal bone height are documented with clinical photographs and 1-year follow-up radiographs.

Conclusion: In addition to maximizing the chances for an optimal esthetic result, this technique also allows precise adjustment and stability of occlusal relationships for provisionals in the perioperative period.