Objective: To investigate if immediate reconstruction of fresh extraction sockets’ lost buccal wall would reduce the possibilities of implant surface exposure and improve the treatment predictability. Materials and Methods: A retrospective chart review of Healthy patients harboring periodontally compromised anterior teeth that were planned for extraction and subsequent implant therapy were the target of our study. All the sockets included witnessed loss of the buccal bone plate. Seventy-two anterior sockets were grafted with xenogenic grafts to reconstruct such defects immediately after the extractions. 9 to 13 months later, the alveolar ridges were surgically exposed and implants were placed. Results: All the surgical sites did not show any labial plate thinning, dehiscence, or fenestration at the time of implant placement. Moreover, no gingival recession and implant metal show was noticed up to 39 months post crown placement. Conclusion: Immediate reconstructions of lost buccal plate in fresh extraction sockets reduces the chances of implant surface exposure up to two years post crown placement.