The philosophy of retaining natural teeth as long as possible for the preservation of alveolar bone has been a fundamental concept of dental treatment. With the introduction of predictable osseointegrated implant supported prostheses, placement of an implant immediately after dental extraction can be considered. This paper discusses the technique of implant placement immediately following dental extraction. Clinical experience including 61 patients with follow-up of 1 to 6 years is reported. Keywords: alveoloplasty, endosseous implant, immediate placement