This study followed 30 consecutively placed implants in the esthetic zone, inserted at the time of tooth extraction, and immediately temporized and augmented with bone grafting and resorbable guided bone regeneration. Implant survival, adverse events, and esthetic outcomes were evaluated. In this study, the esthetic zone is defined as the dentition spanning maxillary or mandibular first bicuspids. All implants osseointegrated and were ready for definitive restorative therapy by 12 weeks. No adverse events, such as infection, persistent inflammation, or abutment screw loosening, occurred. Radiographic bone levels were documented. This study also emphasizes clinical technique and rationale.