This study compared immediate versus delayed dental implant placement in 124 patients requiring single tooth extractions. Immediate implants placed at the time of extraction required bone augmentation more often than implants placed 12 weeks later (72% vs 43.9%). Delayed implants were less likely to have wound failures and exhibited better soft tissue outcomes. Based on the need for more frequent bone grafting and poorer aesthetic results, the study concludes delayed implant placement may be preferable to immediate placement in the aesthetic zone.