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I m m e d i a t e i m p l a n t s i n t h e e s t h e t i c a r e a Immediate implants in the esthetic area: Our perspective and clinical guidelines Abstract Alexandre Perez,a Nicola Alberto Valente,a Lucille Trottet,a Sibylle Chatelain,a Fortunato Alfonsia & Antonio Baronea a Unit of Oral Surgery and Implantology, Division of Maxillofacial and Oral Surgery, Department of Surgery, Geneva University Hospitals, Faculty of Medicine, University of Geneva, Geneva, Switzerland The placement of implants immediately after tooth extraction has proven to be a predictable treatment strategy with a very high success rate. Nevertheless, the success of this surgery involves strict clinical criteria. A description is provided of a clinical orientation and scientific point of view based on our experience and available evidence of when and how to perform this procedure in the esthetic area. C o r r e s p o n d i n g a u t h o r : Dr. Nicola Alberto Valente Rue Michel-Servet 1 1211 Genève 4 Switzerland navalentedds@gmail.com H o w t o c i t e t h i s a r t i c l e : Perez A, Valente NA, Trottet L, Chatelain S, Alfonsi F, Barone A. Immediate implants in the esthetic area: Our perspective and clinical guidelines. J Oral Science Rehabilitation. 2018 Mar;4(1):16–23. We c o n s i d e r t h e c l i n i c a l c r i t e r i a i n r e l a t i o n t o 1. indications; 2. tooth extraction; 3. soft-tissue management; 4. implant placement technique; 5. the critical distance and gap filling; and 6. immediate versus delayed restoration. These key factors, including a flapless procedure, presence of an intact buccal bone wall, absence of soft-tissue defects, gap filling to counteract the tissue changes after tooth extraction and immediate restoration when possible, should be considered to achieve good esthetic results. K e y w o r d s Dental implants, immediate dental implant loading, tooth extraction, alveolar process, bone remodeling. 16 Volume 4 | Issue 1/2018 Journal of Oral Science & Rehabilitation