The objective of this study was to assess the dimensional changes in alveolar bone following immediate post-extraction implant placement with loading versus without loading in the maxillary premolar region. Thirty patients were randomly allocated into two groups. Group A: Immediate Implants with loading; Group B: Immediate Implants without loading. Atraumatic extraction was conducted, followed by implant installation. If necessary, the space between the implant and the socket wall is filled with bone graft material. The height of the alveolar bone crest, the width of the alveolar bone, and implant stability were evaluated. CBCT images were utilized to assess the alveolar bone breadth surrounding all sides of the implants. At 0.3, six months postoperatively, utilizing the superimposition and subtraction approach. The results indicated no significant difference between the two groups concerning changes in bone height and width at three and six months. The study demonstrated that early loading of dental implants produces predictable outcomes for the preservation of alveolar ridge width and height, equivalent to conventional loading protocols. The authors recommend long term term follow up to better study the loading effects.