Immediate implant placement into extraction sockets has been widely reported in the dental literature, but few studies have evaluated immediate loading of such implants. This retrospective study evaluated 206 implants placed into fresh extraction sites using a flapless technique, followed by immediate provisionalization with nonoccluding single-tooth restorations and definitive restoration within 2 weeks. Cumulative survival and success rates were 98.77% (mean follow-up, 23.1 months). Periodontitis did not influence the outcome adversely. Within the limitations of this study, immediate implant placement and restoration, followed by definitive loading within 2 weeks, achieved outcomes comparable to those historically reported for delayed implants.