High clinical success rates have been reported when implants are placed according to standard indications. This has encouraged efforts to improve the success rates for implants placed in more demanding clinical situations. One of these indications is tooth replacement with implants placed into extraction sockets. Although the first clinical procedures for the placement of implants immediately following tooth removal were described long ago, it is only recently that the details of such clinical approaches have been studied in greater detail. One of the aims of the present consensus meeting was to scrutinize the available literature to identify predictable and successful procedures for replacing extracted teeth with implant-supported reconstructions. In addition, where the data from the literature were inconclusive or absent, the clinical experience of the members of the consensus group was used as the basis for the recommendations.