Objective: The present study evaluated marginal bone level around immediate loaded implants using one piece and two piece implants. Subjects and methods: A group of 22 patients were divided into two groups; Group 1: 11 Patients received immediate loaded implant placement using one piece implants. Group 2: 11 Patients received immediate loaded implant placement using two piece implants. According to clinical evaluation; plaque Index, gingival Index and peri-implant probing depth were recorded and measured at three and six months and nine months, also implant quality score was measured. Radiographically, marginal bone level was measured and bone density and compared in three months, six months, nine months. Results: Group 1 showed a significant decrease in the peri-implant probing depth compared to Group 2. Group 1 showed significant buccal marginal bone loss than Group 2 allover the time intervals. There is no significant difference in the palatal or mesial or distal surface between the two groups. Also no significant difference between the two groups including plaque index or gingival index or bone density. Concerning the implant quality scale; 100% of group 2 were scale 1 , while 50% of group 1 were considered scale 1. Conclusion: immediate loading of two piece dental implants appeared significantly superior than one piece type.