Anterior maxillary implantation is a challenging treatment. The authors examined the aesthetic and surgical success of a single dental implant in the anterior by studying 52 implants with a mean follow-up of 37.5 months. Marginal bone loss (MBL), aesthetic parameters, and examiners' satisfaction from the aesthetic outcome were examined. The total surgical survival and success rates as well as the average examiner's aesthetic satisfaction and success rates are presented. Implantation in the anterior has high surgical survival and success rates, as well as a considerably high aesthetic success rate. The high surgical success and survival rates cannot, however, predict aesthetic success.