A 41-year-old man presented to the surgeon’s office for extraction of his left upper molar (element 26). Radiographic analysis by CBCT showed sufficient bone to ensure primary stability of the implant. In addition, positive soft tissue evaluation confirmed the possibility of immediate implant rehabilitation. After extraction of the tooth element, the implant tunnel was created and the implant (4.25 x 13.00 mm) was inserted into the alveolar bone. To preserve the structure of the alveolar ridge, the gaps between the implant and basal bone were grafted with a mixture of collagen-preserved cortico-spongious granules of equine origin and autologous bone taken from the implant site (in a 4:1 ratio), reaching the coronal margin of the alveolar bone.