Navigating the transition from natural teeth to implant placement is a pivotal aspect of clinical decision-making, since tooth extraction is one of the most common procedures performed in the human body. This process begins with tooth extraction that invariably leads to a series of biologic events which if not managed properly may lead to atrophy of the alveolar bone. Clinicians face a myriad of choices influenced by patient and site characteristics, often in the context of time constraints, material considerations, and established protocols. Elevating treatment predictability hinges on evidence-based choices underscored by thorough risk assessment. In an era increasingly attuned to both rapid care and efficient procedures, the pursuit of immediacy resonates with patients and clinicians alike. This presentation serves as a guide to help and navigate the protocols based on pivotal risk factors demanding assessment for informed decisions. Delving into the nuances of immediate versus delayed implant placement, decision regarding the timing of implant placement, the precise implant positioning, the decision to graft the horizontal gap between the implant and socket, and the need for soft tissue augmentation will receive consideration in this presentation. Crucially, the presentation discusses implant provisionalization using both conventional and digital techniques. Influence over outcomes is not limited to technique alone; material selection (implant characteristics, graft materials, and biologics) can influence the outcomes. The presentation will address the integration of digital dentistry into the workflow.