Objective: To investigate the effects of the related factors on the aesthetic implant restoration of anterior maxilla with a typical case report. Methods : A patient, who was failed with metal-ceramic bridge half year, required an implant restoration. Before treatment, a thorough clinical and radiological examination and a SAC classification were done. The teeth were extracted in mininal truama without flap reflection, and implants were inserted with delayed restoration. A provisional restoration supported by temporary abutment was placed to guide the development of the soft tissues. Then the final impression with the custom-made transcopings was made. And a screwretention metal-resin bridge was made with CAD/CAM titanium framework. Results: During follow-up the dental implants and provisional restoration provided the patient with good esthetics, pronunciation and chewing function. Conclusion Many factors may affect the success rates and asethetic effect of anterior implant restorations. Indications, pre-surgical assessments, treatments are keys to aesthetic implant restoration.