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immediate extraction and implant placement

Loss of tooth in the aesthetic zone is a traumatic experience with or without compromise in phonetics. Hence, in the aesthetic zone implant supported single tooth replacement is one of the most challenging situations confronting the clinician. According to the traditional protocols 3-4 months of healing period is required for the consolidation of extraction socket. Taking into account the prosthetic treatment, patients frequently are required to wait up to 1 year for replacement of a lost tooth.[1] Attempts to shorten the overall length of treatment period have focussed on approaches like early or immediate loading following implant placement, immediate implant placement in fresh extraction site, and immediate implant placement and early or immediate loading.[2–4] The concept of immediate implant loading has recently become popular due to less trauma, reduction in overall treatment time, decrease in hard and soft tissue resorption, increase in patient's acceptance, along with better function, aesthetics and has a psychological benefit also.[5,6] In this case report the harmony of soft and hard tissue was preserved by immediate implant placement and early loading in anterior maxilla.