Dr. Griffin, Boston/USA, explains his concept of placing implants in the aesthetic zone. Difficult cases including a case of an implant removal are shown. He introduces a concept of how to deal with implants not placed correctly in the vertical and horizontal dimension. Cases where implants have been placed incorrectly and the subsequent aesthetical consequences are elaborated with plenty of clinical examples. Dr. Griffin argues that ideally implant supported restorations should match form and function of the existing dentition.