Material and methods: A total of 50 patients were enrolled and randomly divided into two groups. In each eligible patient, the mandibular right or left molar was randomly selected to receive either an immediate or delayed provisional crown. The outcome measures i.e. implant survival, Complications, Marginal bone levels; Peri-implant mucosal response was noted. A statistical analysis was performed.

Results: In the present study Mean marginal bone levels after 6 months were 0.67± 0.12 mm for immediately loaded implants and 0.70 ± 0.15 mm for delayed loaded implants, and no statistically significant differences were observed between the two groups. After 12 months, the mean marginal bone levels were 0.81 ± 0.15 mm for immediately loaded implants and 0.84 ± 0.14 mm for delayed loaded implants, and there was no statistically significant difference between the two groups. The mean PPD values were 2.73 ± 0.58 for immediate loaded implants and 2.71 ± 0.53 mm for delayed loaded implants, and there was no significant difference found between groups.

Conclusion: The present study concluded that the outcome of immediately loaded mandibular molar implants was comparable to delayed loading.