Immediate placement of implants into fresh extraction sockets has been shown to deliver good outcomes. The literature reports good implant survival rates, as well as acceptable marginal bone loss, gingival recession and aesthetics.1 In particular, there is evidence that immediate implant placement into molar sites leads to predictable outcomes and high success rates.2 The same study suggests that grafting around the implant in these situations and using an anatomic healing abutment can further reduce resorption of the bone.