Patient 42 years old, healthy and fit had 11 extracted due to root fracture. In the same surgical time, an implant 4,3 - 13mm was placed with bone regeneration followed by an immediate loading with an acrylic provisional crown. Half year later, the provisional crown was replaced by a final zirconia crown. A follow up period of 4 years shows good aesthetics with stable hard and soft tissues. Keywords: Root fracture, immediate implant, immediate loading, bone regeneration, acrylic crown, zirconia crown.