When replacing a missing tooth in the esthetic zone, the implant supported single tooth restoration can result in a very natural and pleasing solution for the patient, being also a conservative procedure that preserves the adjacent remaining dentition. Immediate implant placement with an immediate provisional crown can avoid stressful and uncomfortable healing time for the patient who no longer has to wear an interim removable appliance. In selected clinical situations, excellent tooth esthetics for implant supported single tooth restorations can be achieved by using the natural extracted tooth as both provisional and final restoration. No longterm data is available today as far as the survival rate of such restorations and the predictability of such a treatment modality. This case report describes a technique for utilizing the patient's extracted tooth for the fabrication of an inconspicuous final anterior restoration, reporting a 5-year follow-up.