The purpose of this article is to provide clinical recommendations for creating an esthetic restoration when utilizing an endosseous implant in the more demanding maxillary or mandibular anterior region of the mouth. The process attempts to correct alterations in form and function due to the undesirable effects of caries, periodontal infection or injury to the teeth and/ or their supporting tissues. Oftentimes, this requires an interdisciplinary approach that may be very delicate, involving the management of bone, soft tissue, and the design of the implant abutment and implant crown forms with carefully constructed physiologic contours. This article focuses on single implant-supported restorations that will have on influence on cosmesis of the esthetic region of the mouth.