Immediate implant placement is a commonly utilized treatment in the maxillary anterior when a natural tooth fails. This method of treatment can pose challenges related to the available anatomy and adjacent teeth when placing the implant in an extraction socket. Virtual planning and the use of a surgical guide allows for implant placement in a more ideal position relative to the contour of the facial plate so as to avoid dehiscence of the implant at placement and enable prosthetic considerations to be followed for the planned restoration. The case illustrated in this article highlights a simplified approach to immediate implant placement and its restoration for a failing maxillary single anterior tooth.