The use of dental implants to replace missing teeth has been universally accepted since the early 1970’s. While the initial guidelines required implants to be placed in healed alveolar ridges, improvement in implant surface technology and understanding of wound healing around the dental implant allowed the development of more time efficient treatment protocols, including immediate implant placement following tooth extraction. This approach is particularly popular when used to replace single rooted teeth in the anterior regions, as it maintains the appearance of an intact dentition. This Quality Resource Guide (QRG) provides an in depth discussion of the pros and cons of immediate implant placement, with analysis of risk factors that potentially lead to soft tissue recession and the clinical conditions that must be considered when considering placement of an immediate dental implant. The QRG also provides a discussion of the technique of placing an immediate implant, supported by a well-documented case. This QRG is an important reference for the dental office that treats patients where immediate implants may be a therapy option. In addition, it provides background for the clinician to answer patients’ questions regarding the role of this treatment approach in his/her dental care.