The replacement of congenitally missing maxillary lateral incisors can be a challenge from both a restorative and surgical perspective. The restorative dentist is limited in achieving esthetics by the surgical result not only by the implant position but by the surrounding periodontium of the site itself, as well as the adjacent teeth. The present case, replacing congenitally missing lateral incisors with an immediate provisional restoration, is important because it demonstrates the ideal team approach. By each clinician participating in stage I surgery, the restorative dentist and periodontist can work toward an optimal result. The combination of restorative expertise and regenerative enhancements simultaneously can result in a minimally invasive approach with fewer appointments and greater patient acceptance.