mmediate implant considered the ideal solution in cases of loss of an individual tooth or teeth, to preserve the esthetic as well as to prevent ridge resorption. Uses of immediate implant in esthetic zone faced some problems as narrow ridge and labial bone dehiscence so, uses of nanohydroxy appetite bone substitute considered good choice to solve these problems especially during implant installation. These article presents to patients obtains the immediate implant with nanohydroxy appetite bone substitute around the implant and showing good results with decrease of osteointegration period. By x-ray evaluation, there is significant decrease in crestal bone loss as well as good healing period. Also, by clinical evaluation shows good aesthetics with predominant natural appearance. This study aims to evaluate effect of immediate implant installation (frontier GMI) with carbonated nanohydroxy apatite bone substitutes for preservation of alveolar bone. So, this study is planned to assess efficacy of carbonated nanohydroxy apatite bone substitutes for preservation of alveolar bone and to assess the changes in the soft tissue profile after immediate dental implant placement with carbonated nanohydroxy apatite bone substitutes. For this purpose;ten implants were placed in ten patients each one receives one implant. The patients were 6 males and 4 females ranged in ages from 25 to 40 years. All the implants were placed in maxilla. Observations were made postoperatively at time of implant placement then after 1 month, 3 months and 6 months follow up periods for pain, crestal bone loss, stability, papillae height and mean probing depth. Descriptive statistics of pain score results as function of investigation time was found that the pain score at baseline recorded the worst mean value (3.7) with minimum value (2) and maximum value (6), after 1 month the mean of pain score was (5) with minimum value (3) and maximum value (7), after 3 months the mean of pain score was (6.5) with minimum value (5) and a maximum value (8) while after 6 months the mean of pain score recorded the best mean value (8) with minimum value (7) and maximum value (9).Pair-wise Tukey’s post-hoc test showed non-significant (p>0.05) difference between (baseline and 1 month), (1 month and 3 months) and (3months and 6 months).