Placement of an immediate implant is becoming popular because of its potential in minimizing the treatment time and enhancing the patient comfort and esthetic outcomes. It is crucial to maintain adequate thickness of labial bone with the establishment of a stable and healthy gingival seal around the implant abutment to prevent the invasion of bacteria and peri-implant inflammation. Diode lasers have been developed as a promising tool in dentistry, providing a precise manipulation and photocoagulation effect that may have a positive influence on both bone remodeling and soft tissue healing. This study aims to evaluate the effectiveness of the utilization of diode laser photocoagulation with immediate implant placement and customized healing abutment in the maxillary esthetic zone.

Inclusion Criteria:

• Patients with non-restorable maxillary teeth in the aesthetic zone are indicated for extraction and subsequent immediate implant placement, including those with:
• A severely carious tooth that cannot be restored.
• Pulpal necrosis or irreversible pulpitis that is not amenable to endodontics.
• Periodontally involved teeth with grade 2 mobility or above.
• Teeth with root caries that can't be restored.
• Patients with an extraction socket Type I.
• A good standard of oral hygiene.

Exclusion Criteria:

• Patients with extraction socket Type II or III, with buccal plate defects.
• Absence of at least 2 mm of bone apical to the extraction socket
• tooth ankylosis.
• Patients with deciduous teeth.
• Heavy smokers.
• Systemic conditions
• History of oral or intravenous bisphosphonate therapy or any treatments with other medications that may interfere with bone metabolism within the past 12 months