The special soft and hard tissue anatomical structure of the maxillary anterior aesthetic zone, characterized by naturally thin lateral bone plates and delicate gingivae, makes it prone to postoperative complications, including bone resorption and gingival papilla recession. Conventional freehand immediate implant has inherent limitations including crude preoperative evaluation, inaccurate intraoperative positioning, and insufficient postoperative soft tissue shaping, which fail to meet the high-precision requirements of “pink esthetic” restoration in the anterior tooth region. In view of the above problems, this paper starts from the anatomical risks during immediate implant in the aesthetic zone and the deffciencies of traditional surgical methods, systematically summarizes the clinical advantages and accuracy differences of digital immediate implant restoration in the oral aesthetic zone, and predicts the development trends of cutting-edge technologies such as artiffcial intelligence and real-time dynamic soft tissue monitoring, so as to provide theoretical evidence for the precision and standardization of immediate implant in the aesthetic zone.