Abstract
Immediate loading of definitive zirconia restorations on three single maxillary anterior implants was evaluated over 2 and 12 months. Guided implant placement and immediate digital scans facilitated precise restoration delivery within 48 h. All implants showed 100% survival, minimal marginal bone loss, and improved peri-implant soft tissue health. These findings suggest promising outcomes for immediate implant restoration in esthetically demanding regions, warranting further studies with larger cohorts and extended follow-ups.