Immediate implant placement in the esthetic zone, represents one of the biggest challenges in dentistry. It implies a multidisciplinary approach involving prosthetic and periodontal aspects to obtain long term stability, aesthetic and functional results. The introduction of predictable surgical and prosthetic techniques, as well as biocompatible materials have made it possible to meet the aesthetic and functional demands of patients. Post-extraction implants can be placed with the option of immediate loading. This has proven to be a breakthrough in modern dentistry.It is necessary to have a careful case selection, correct diagnosis and an appropriate treatment plan to accomplish a successful result. It is also important to assess the possibility of immediate loading depending on the primary stability of the implant, soft tissue management with the provisional prosthesis and the material of the final restoration to obtain the desired results.