Implant treatment in aesthetics are geared toward maintaining and preserving more bone and soft tissue. "Implants function as natural teeth but they do not behave as natural teeth." Nowadays, the improvement in implant technology and knowledge of healing patterns after tooth extraction has made it possible to achieve adequate success rates and favorable esthetic outcomes with immediate implants. It should be pointed out that immediate implant placement can be considered as a possible treatment option only when strict clinical criteria are met, such as integrity of the buccal bone plate, integrity of bone peaks of the adjacent teeth, integrity of soft tissue (adequate amount of keratinized gingiva, adequate gingival scallop and adequate interdental papillae) and a thick gingival biotype.Under these clinical conditions, immediate implant placement could be considered as a viable treatment option that shows predictable outcomes. For these reasons, the following points, as discussed in this review, should be considered and reviewed before implant placement in fresh extraction sockets