Implant therapy and CAD/CAM technologies are advancing quickly, providing predictable esthetic and functional treatment options. A recent development involves the use of zirconia-reinforced lithium-silicate ceramic for fabrication of implant-supported restorations. Suitable for monolithic crowns, the material provides the optical advantages of a silicate ceramic with improved physical strength. Several prerequisites, however, are necessary to fabricate screw-retained monolithic restorations in the anterior maxilla. This case report demonstrates the clinical steps to fabricate a monolithic ceramic CAD/CAM crown on an immediately placed dental implant in the esthetic zone.