Anterior single-tooth replacement is the ultimate challenge facing the prosthodontist or the restorative dentist. Use of dental implants as a modality of treatment has overcome the disadvantages of conventional restorative techniques. Implantologists aim at creating an implant-supported restoration that replicates natural teeth. This article focuses on the different techniques that enhance maximum esthetic outcome of implant-supported anterior tooth restorations at the different stages of treatment. In addition, it discusses one of the problems in esthetic implant dentistry, prosthetic-driven implant placement versus available-bone-driven implant placement. (Implant Dent 1999;8: 61–67)