The use of endosseous dental implants to rehabilitate both fully and partially edentulous patients has been peer-reviewed in the literature for more than 25 years. Cumulative success rates for the treatment of partial edentulism with dental implants has been reported as 96% in delayed or late-placement sites. Recently, significant attention has been given to the placement of implants in fresh extraction sites to avoid such potential concerns as bone resorption, multiple surgical procedures, increased treatment time, and unsatisfactory esthetics. This article discusses the salient aspects of immediate dental implant placement from a historical, histologic, and clinical-perspective, and describes the surgical methods for this procedure.