One of the key factors in determining the esthetic success of implant-supported prostheses in the esthetic zone is the preservation of the natural architecture of the peri-implant tissues. A case replacing two maxillary lateral incisors with reduced buccal cortical bone by means of implant-supported crowns was illustrated. The socket shield technique was adopted to conserve the tissue volume, guided surgery was used to manage the optimal implant insertion, and anatomically shaped transmucosal implant components were selected to shape peri-implant soft tissues with the ideal emergence profiles and allow for direct digital impressions without scan bodies. The association of immediate implantation, guided surgery, socket shield technique, anatomically shaped transmucosal implant components, and digital impressions without scan bodies was used to achieve a successful rehabilitation with healthy, stable, and anatomically shaped peri-implant tissues.
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