Implant in the esthetic zone refers to a dental implant placed in the visible area of the smile, typically front teeth, were achieving a natural aesthetic appearance is crucial due to high visibility when someone smiles; this area requires careful consideration of implant positioning and soft tissue management to achieve optimal esthetic results. Attainment of an aesthetically acceptable final result is central to achieve a successful esthetic result and good patient satisfaction, implant placement in the esthetic zone demands a thorough under-standing of anatomic, biologic, surgical, and prosthetic principle. Ability to achieve harmonious, indistinguishable prosthesis from adjacent natural teeth in esthetic zone is sometimes challenging. Placement of implants in the esthetic zone is a technique-sensitive procedure with little room for error. Guidelines are presented for ideal implant positioning and for a variety of therapeutic modalities that can be implemented for addressing different clinical situations involving replacement of missing teeth in esthetic zone. Addressing these challenges necessitates meticulous treatment planning, effective soft tissue management, follow ups.
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