Background: Endodontic procedures sometimes exhibit compromising factors that indicate an alternative surgical approach to conventional non-surgical treatment. (e.g. exodontia, hemisection etc.). To derive benefit of the osseous height and width, as well as the natural tooth angulation, immediate placement of implants after extraction is a reasonable alternative treatment. Methodology: In this study, 32 titanium alloy implants were inserted immediately after extraction of teeth diagnosed during endodontic surgery as having root fractures, perforations, or endodontic-periodontal complications. Results: After 4 to 6 months of osseointegration, implant failure pertaining to lack of integration was seen only in one implant while the remaining implants were prosthetically restored. Sixteen months after occlusal loading, bone loss of -1.5 mm was seen for the 31 implants remaining. Conclusion: The reliability of immediate implants following tooth extraction due to endodontic complications is thus well analysed and investigated through present study.