Aim and objective: This case report represents the clinical treatment plan and radiographic outcome treated with early loaded SLActive surface Straumann implants in fresh extraction sockets in the maxillary and mandibular jaws. Background: Endosseous dental implants have revolutionized the way clinicians address edentulous or partially edentulous patients. Traditional implant procedures require a several-month healing interval following tooth extraction and an unloading healing period before restoration. Case description: A 68-year-old patient reported to our clinic with the complaint of replacing missing teeth. On examining the oral cavity and planning treatment protocol, immediate early loaded implants were initiated. The eight remaining anterior maxillary and mandibular teeth were extracted, an additional four maxillary and two mandibular implants were placed. A full mouth rehabilitation was planned with the patient. The treatment followed atraumatic extraction of anterior teeth and SLActive Straumann's immediate implant placement in the extraction socket. The prosthetic rehabilitation was done with a porcelain fused to metal crowns, and occlusion was checked. The patient was recalled for follow-up at week, month, 3 months, with no gingival tissue abnormalities were found. Conclusion: Immediate implant placement is a breakthrough in modern dentistry, which is beneficial to the patient as it reduces the treatment time and number of surgeries. The SLActive Straumann implant has accelerated bone healing and soft-tissue preservation. As a result, immediate implant treatment is one of the ideal procedures for preserving the patient's esthetic requirements. Clinical significance: The implant placement immediately after extraction has become a treatment of choice for patients as it preserves esthetics, reduces surgeries, and proven to be helpful in bone healing and soft-tissue preservation.