Objective To explore the effect of different bone gap management methods on soft tissue aesthetics after immediate implantation in the maxillary anterior region. Methods A total of 92 patients who underwent immediate implantation in the maxillary anterior region in the Department of Stomatology, Beijing Nuclear Industry Hospital from October 2023 to October 2024 were selected as the research subjects. According to the random number table method, they were divided into the control group and the observation group, with 46 patients in each group. The control group received conventional Bio-Oss for bone gap management, and the observation group received new bone regeneration membrane combined with conventional Bio-Oss for bone gap management. The soft tissue aesthetics scores, implant stability, bone healing status and satisfaction were compared between the two groups. Results The soft tissue aesthetics scores of the observation group at 3 and 6 months after operation were (9.32±1.21) scores and (10.65±1.12)scores, respectively, which were higher than those of the control group [(8.21±1.52)scores and (9.32±1.35) scores] (P <0.05). The implant stability of the observation group at 3 and 6 months after operation was better than that of the control group (P <0.05). The bone mineral density and bone height of the observation group at 3 and 6 months after operation were better than those of the control group (P <0.05). The satisfaction of the observation group at 6 months after operation (100.00%) was higher than that of the control group (89.13%) (P <0.05). Conclusion After immediate implantation in the maxillary anterior region, the application of a new type of bone regeneration membrane combined with conventional Bio-Oss for bone gap management can not only improve the soft tissue aesthetics score and implant stability, but also promote bone healing, thereby effectively enhancing patient satisfaction.