Introduction: Dental implants have become an integral part of comprehensive management of dental patients. The clinical immediate replacement of lost teeth by osseointegrated implants have been one of the most significant advances in dentistry. Basal dental implants where developed for immediate use.
 
Objectives: This study was designed to evaluate immediate placement of basal dental implants in maxillary premolar region.
 
Materials and methods: Thirteen basal dental implants placed in ten adult patients having maxillary premolar tooth or remaining root indicated for extraction, all patients were operated under local anaesthesia, atraumatic extraction using a periotome was performed then the tooth was removed using the forceps, mesial and distal incisions were done,  an osteotomy was done, the basal dental implant was placed then stability was measured by periotest, clinical evaluation and radiographic follow up using cone beam C.T ware done. 
 
Results: Thirteen implants were placed and followed up both clinically and radiographically for 6 months. In our study, the range of implant stability using periotest was -7.9 to +6.2 immediately, while after 6 months, the range of implant stability was -8.0 to +3.7.
Conclusion: Basal dental implants are a reliable option for immediate placement after extraction of maxillary premolar teeth with good flap, suturing and reinforcing on maintaining good oral hygiene.