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Achieving an aesthetic implant-supported restoration in the single tooth missing case can be challenging when the implant site is in the anterior region. The objective of this report is to focus on presurgical evaluation of implant site and systematic development of related prosthetic modalities. An accurate diagnostic evaluation, a systematically developed presurgical plan, and knowledge and clinical skill of the various related therapeutic modalities are indispensible. Collection of patient’s information, appropriate abutment selection, soft tissue contour, implant axis, and occlusion need to be discussed for aesthetic clinical outcome. For aesthetic restoration, such as surgical guide stent for precise implant positioning, customized provisional restoration for development of optimal periimplant soft tissue contours, and fabrication customized abutment (mesiostructure) for veriable emergence profile, are recommended.
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