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Within the last two decades, concepts and therapeutic modalities have been developed to solve most of the problems of partial edentulism in the zone of esthetic priority. Each implant restoration in a zone that is visible upon a full smile, requires special attention and represents a demanding procedure even if prerequisites for a good outcome appear to be fulfilled at first glance. As implant placement is an irreversible act, careful pre-surgical planning is necessary and special attention must be paid to alternative options with all benefits and side effects. Clinicians should make the patient understand the treatment plan including the risks for a possible adverse esthetic outcome.