This is the replacement of a maxillary left premolar. This a situation where there will be delayed implant placement after a combination of vertical ridge augmentation and internal sinus floor elevation. A tissue-level one piece ceramic implant was placed and allowed to osseointegrate like conventional dental implants for four months. At the start of the prosthetic phase the supragingival abutment and prosthetic tulip portion of the implant was prepared bringing the margin to the gingival line. A full contour zirconia crown was cemented using RMGI cement.