Background: The aim of the current study was designed to evaluate the clinical and radiographic effects of the melatonin gel around immediately placed dental implants in maxillary anterior teeth. Methods: Fourteen patients were selected from those who attended the outpatient clinics of Oral and Maxillofacial Surgery Department of Al-Azhar University Hospitals. Group A: beta tri-calcium phosphate bone graft mixed with melatonin gel was packed around the implant to fill the buccal gap. For Group B: beta tri calcium phosphate bone graft mixed with saline was packed around the implant to fill the buccal gap. PRF membrane is prepared to cover the graft.  Results: Implant stability showed increasing value in both groups a higher mean value was recorded in group A. Increased bone density throughout follow-up period.at 3 months follow-up, a higher mean value was recorded in group A, with a significant difference. Conclusion: Melatonin achieve increased bone density and stability in the healing period. Immediate post extraction implant offers patient satisfaction due to less time and less pain.