The establishment of anterior implant esthetic is confused by lots of dentists. The goal to preserve adequate bone, or even create more bone during tooth extraction is critical. Today, we use many methods, such as, bone graft, guild bone regeneration, and orthodontic treatment., to preserve/create adequate bone volume for implant prosthesis. This case is a 40 year-old male whose maxillary left central incisor had crown-root fracture. We extrude the root of maxillary left central incisor and direct the bone outgrowth at the same time. Implant was installed immediately after extraction of the maxillary left central incisor. Provisional restoration fabricated to create a stable soft tissue relationship. Then delivered the final restoration.