Early (Type 2) placement in a healthy, non-smoking male patient aged 28 years who required removal and replacement of the maxillary right central incisor due to external root resorption. A horizontal bone deficit requires a simultaneous augmentation procedure. The overall esthetic risk is high due to the horizontal bone deficit, medium to high lip line with exposure of the soft tissue margin when smiling, and the patient’s high esthetic expectations. After flapless tooth extraction and a healing period of 6 weeks, a standard-diameter one-piece implant is placed. A gap between the implant and the facial bone wall is filled with autogenous bone chips harvested from the anterior nasal spine and covered with DBBM particles