Immediate dental implantation, by definition, is a type of implant placement that occurs after tooth extraction and the implant is being placed into the alveolar socket of the extracted tooth. Final crown restauration is completed within 48 hours of the implant placement. Advantages include lower price, lower operation number, faster procedure and lower trauma during bone preparation process. Immediate dental implant protocol also offers a good predictability and high success rate, which is dependent upon the clinician’s skill, experience and their ability to abide to the strict rules and guidelines. This includes discerning indications and contraindications, choosing the correct implant type, atraumatic tooth extraction, proper implant placement, correct flap technique and others. Clinicians have to be skilled enough to fix any unexpected aesthetic outcome, that may occur as an unexpected result of this treatment. Immediate protocol can be used for single tooth replacement therapy, partial edentulism or complete edentulism. If the implantation site is located in the anterior of the mouth, a high demand is placed on aesthetic outcome, which is hindered by a smaller inter-dental space, requiring the surgeon to make a detailed plan of treatment. If the implant location is in the posterior part of the mouth, the pressure for the perfect aesthetic outcome is reduced. Problems may occur with the close proximity of mandibular nerve canal to the dental root or in maxilla to the sinus. When dealing with multi-root teeth, they require the separation of dental roots, successful extraction, followed by the placement of implant into the interradicular septum, not the root socket.