This program will outline the critical decisions that are necessary to achieve optimal esthetic dental implant restorations. Extraction with immediate dental implant placement versus a delayed approach will be reviewed with discussion of diagnostic determinants that help in the treatment decision. Provisional restoration, essential for successful esthetic outcomes, will be reviewed and immediate versus conventional provisional restoration will be discussed. Hard and soft tissue augmentation will be reviewed with emphasis on treatment decisions following tooth extraction. Case planning with 3-dimensional treatment protocols will be discussed and guided-surgical implant procedures will be presented.