In case of most bone defect situation and severe periodontal disease patient, immediate provisionalization, Would not provide predictable outcome. Therefore other approaches are recommended, which are the bone and soft tissue graft surgery performed in advance to the placement of implant fixture or simultaneously approach of implant and graft with submerged type surgery. However these approaches would make the operators complicate to manage the soft tissue, patient must wait for long period in edentulous state. It is very stress in Dr and patient . In this presentation, before all tooth is extraction, first of all bone graft is performed in posterior tooth area and then after four or five months period implant installation is perform in posterior area, at same time anterior portion tooth is extraction and then immediately implant is placement in posterior anterior portion. This approach is demonstrated to preserve and improve the existing soft tissue and bone. Bone graft and connective tissue graft were done in implant placement . Implant provisional restoration were performed after three or four days. Progressive loading is performed with temporary provisional crown during three months. In short time of observation, clinical outcomes are predictable in esthetic and patient comfort point of view.