The practice of immediate implant placement is gaining momentum in clinical practice and can be a very rewarding way to deliver implant therapy to patients. Appropriate patient selection and an understanding of newly developed techniques and protocols are needed to ensure that the high rates of success seen with conventional implant therapy hold true for implants placed immediately. While gaining in popularity in recent years, immediate implant placement is technically challenging and should only be undertaken by clinicians with considerable experience in implant dentistry, both surgically and prosthetically. The objective is to provide a general review about immediate implant placement and to summarize uses and applications in which this technique can be indicated.