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Implant placement in a region with impacted tooth is a therapeutic challenge for the dentist for both old and adult patients; especially, when patient needs surgical/restorative treatments along with esthetic concerns. In this case report implants were placed through horizontal maxillary impacted tooth, restored immediately by fixed partial prosthesis in adult patient. It may offer a possible therapeutic option for implant-supported restorations in patients, for whom surgery and orthodontic traction are not possible or patients who refuse to undergo more invasive extraction surgery. Although definitive planning and cautions are recommended as transcanine implant placement may involve long-term risk.