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Immediate implant placement can be challenging, especially in the aesthetic zone. How can we persistently achieve predictable results and longevity of the treatment? Immediate implant placement and provisionalisation (IIPP) is a well-documented treatment modality with long-term success rate. The key is understanding the perfect balance of biology and prosthetics to achieve a natural, harmonised outcome. Understanding the limitations and different techniques of hard tissue grafting and soft tissue manipulation procedures will facilitate achievement of optimal aesthetic outcome in complex cases. This course aims at explaining the indication, diagnosis, planning and execution with focus on current technologies and concepts to guide you through the thinking process.