Objective To compare the application effect of immediate implant restoration and early implant delayed restoration of anterior teeth in patients with periodontal disease. Methods From April 2021 to February 2022, 90 patients with periodontal disease who underwent anterior teeth implant restoration in the Department of Periodontal Mucosa, Yinchuan Stomatological Hospital were selected as the research objects. According to the random number table method, they were divided into reference group and exploration group, with 45 patients in each group. The reference group was given immediate implant restoration, and the exploration group was given early implant delayed restoration. The periodontal tissue health, aesthetic effect, complications and subjective satisfaction were compared between the two groups. Results The gingival penetration depth at 3, 6 and 12 months after repair and bone resorption at 12 months after repair in the exploration group were better than those in the reference group (P<0.05). The PES score and WES score of the exploration group were higher than those of the reference group at 12 months after repair (P<0.05). The incidence of complications in the exploration group was 11.11%, which was lower than 26.67% in the reference group (P<0.05). The subjective satisfaction scores of the exploration group were higher than those in the reference group (P<0.05). Conclusion The application effect of immediate implant restoration of anterior teeth in patients with periodontal disease is better than that of early implant delayed restoration, which can effectively improve the health of periodontal tissue, and has positive significance for improving the aesthetic effect of anterior teeth and subjective satisfaction of patients. Meanwhile, the incidence of complications is low and the safety is high