This is Part 2 of a 2-part series with Immediate dental implants are an accepted contemporary treatment option for the replacement of missing teeth. One pitfall of immediate implant use, however, is the inevitable residual space that remains between the implant and the socket wall which can result in bone loss and formation of a bony defect. We will review the current evidence on how to manage this bone void at the time of implant placement to optimize long-term clinical outcomes.