Immediate implantation is the placement of an implant that is done immediately after tooth extraction, during which the implant is placed in the dental alveolus of the extracted tooth. The immediate protocol can be used as a therapy for replacing one tooth, partial toothlessness or complete toothlessness. Immediate implantation, defined as the installation of a dental implant immediately into a fresh extraction alveolus, is considered a predictable and acceptable procedure. There is no need to wait for bone formation after tooth extraction with immediate implantation. Many studies have shown that crestal bone loss is less with immediately implanted implants for the reason that the reduced surgical trauma of immediate implantation will reduce the risk of bone necrosis and enable the bone remodeling process, that is healing period is fast and allows trabecular bone to transform into lamellar bone. The natural alveolus is rich in periodontal cells and matrix and makes healing faster and more predictable. The case report presents a clinical case of oral rehabilitation in the area of the upper first premolar in a 28-year-old female patient. The patient came to the office complaining of an aesthetic problem due to a horizontal premolar fracture. Radiological analysis revealed extensive secondary caries that goes below the level of the surrounding crestal bone, which could not be adequately treated with classic conservative and prosthetic treatment. The patient was offered the extraction of the mentioned tooth and the installation of the implant in the extracted alveolus. During implantation, the implant with a wide conical connection is placed subcrestally with the aim of increasing the vertical thickness of the soft tissues.