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Esthetic implant therapy is an advanced treatment modality in today's field of implantology, aiming to achieve an ideal esthetic and functional treatment outcome within the alveolar ridge or the edentulous spaces. Placement of dental implants in the esthetic zone is a technique- sensitive procedure with little room for error. Guidelines are presented for ideal implant positioning and for a variety of therapeutic modalities that can be implemented for addressing different clinical situations involvingreplacement of missing teeth in the esthetic zone.