Immediate implant placement introduces a

high risk of esthetic complications. Because of

this, proper diagnosis and augmentation for soft

and hard tissues is frequently necessary. Several

clinical studies have shown that the facial mucosa

is the main complication observed with immediate

implants. To achieve a correct mucosal level on the

facial aspect the implant needs to be positioned in

a coronal–apical direction and the mucosa must

be supported by a buccal plate that has sufficient height and thickness. Papilla height is also another

important factor, and this can be affected by many

factors, including tooth extraction technique,

incision placement, the timing of implant placement,

and adjacent hard tissue, soft tissue, and tooth

relationships. Thus, an array of biological and

surgical concepts influence treatment outcomes.