Objective Clinical cases of immediate loaded implants were retrospectively analyzed, in the aim of evaluating the clinical value of immediate loading. Methods From July 2005 to October 2009, 99 immediate loaded implants were implanted in 29 patients. The overall data including radiography, clinical examination were collected during the follow-up periods ranged from 4 to 46 months. The implants were evaluated with the survival rate, bone resorption, soft tissue esthetics（including gingiva papilla index and pink esthetic score）. Results Survival rate for immediate loaded implant was 97.0%. The average bone resorption were 0.22 mm at 4-6 months after surgery, bone increase of 0.15 mm were found at 6-12 month, and bone increase up to 0.16 mm at 12-46 months. The gingival papilla index was 2.68, while pink esthetic score was 12.58. Conclusion Immediate loaded implant is an effective repairing method for patients missing teeth and the esthetics effect is ideal.
