This was a case of unilateral cleft lip and palate, where primary lip, palate, bone grafting was previously done by Maxillofacial Surgeon Dr. S. M. Balaji. Due to cleft alveolar defect upper left lateral incisor and canine teeth were missing. Following orthodontic treatment, missing lateral incisor was replaced with dental implant. Naturally well blended fixed ceramic crown was given which enhanced the appearance. Patient feels comfortable to have fixed dental implant replacement for her missing teeth.