Esthetic zone restoration with implant supported tooth replacement is one of the most difficult procedures to execute and has high esthetic challenges because loss of tooth leads to bone resorption and collapse of gingival architecture, causing esthetic compromise and inadequate bone for implant placement. Immediate implant placement is considered one of the conservative and predictable methods to achieve harmonious gingival architecture that also helps in preservation of bone height, soft tissue and esthetic profile. This case report demonstrates the assessment of immediate implant placement in the maxillary anterior region along with early loading using Cone Beam Computed Tomography (CBCT) scan technology and maintaining patient’s high esthetic demands and adjacent soft tissue.