Objectives: We assessed the implant stability (a clinical indicator of the extent of osseointegration at regular intervals. We observed changes in the peri implant soft tissues following immediate loading after placement. We measured marginal bone level changes using intraoral periapical radiographs in follow up examinations We also record ed the incidence of complications. Methods: Of the patients reporting to Mithila Minority Dental College & Hospital, Darbhanga, Bihar, 20 single tooth implants were placed in 20 pati ents desiring replacement of missing teeth in the esthetic zone (maxillary incisors, canines, and I mplants of the Noris Medical Implant System were surgically placed. T emporary a crylic resin crown swere fabricated and cemented on the same day. Th e permanent prosthes e s w ere inserted 6 months postoperatively Results: Of 20 dental implants evaluated clinically, a ll showed successful osseointegration over a 1 year follow up. Conclusion: I mplants loaded immediately osseointegrate successfully. This off ers an attractive alternative to conventional protocols involving a 6 month waiting period provid ing several obvious advantages.However, patient selection is critical