Objective To analyze the aesthetic effect of autologous tooth crown in immediate implant restoration for anterior teeth. Methods A total of 40 patients who underwent immediate implant restoration for anterior teeth in Xinjiang Korla Second Agricultural Division Hospital from August 2023 to January 2024 were selected. According to different restoration methods, they were divided into the control group and the observation group, with 20 patients in each group. The control group was treated with CAD/CAM cut crown for immediate restoration, and the observation group was treated with autologous tooth crown for immediate restoration. The aesthetic effect, implant condition, marginal bone resorption and masticatory function were compared between the two groups. Results The scores of PES and WES in the observation group were higher than those in the control group (P <0.05). There were no significant differences in implant retention rate, implant loosening rate and implant failure rate between the two groups (P >0.05). The marginal bone resorption in the observation group was lower than that in the control group (P <0.05). The masticatory efficiency and occlusal force in the observation group were higher than those in the control group (P <0.05). Conclusion The application of autologous tooth crown in immediate anterior dental implant restoration has a good aesthetic effect, which does not increase implant loosening and failure, is conducive to improving the health of bone tissue around the implant, and promotes the recovery of masticatory function. It is worthy of clinical application.