In conventional implant system, we provide delayed loading, which needs prolong time period. Paradigm shift occurs from delayed to immediate loading implant system through cortical implantology. Cortical implant is a science but even more so, it's an art where technique and procedure with thorough knowledge can be well executed by skilled, educated dentists via multidisciplinary approach. This system is associated with a special occlusal scheme, which demand rigid fixation of screw to the stable cortex