Inclusion Criteria:  Presence of a partial edentulous or edentulous alveolar ridge. Presence of a tooth or several teeth regarded as non-restorable with the intention of immediate implant placement. Periodontally healthy remaining dentition. Presence of a non-infected surgical site.  Presence of enough bone and soft tissue for the implant to be placed without additional augmentation procedures.  Must be able to swallow tablets  Exclusion Criteria:  Patients with medical conditions that required antibiotic premedication such as prosthetic heart valve replacement, skeletal joint replacement, previous history of infective endocarditis and a history of rheumatic fever. Patients with metabolic diseases such as type I or II diabetes mellitus. Patients with past and present neoplastic disease. Previous radiotherapy in the head and neck area. Immunosuppressed patients. Patients with blood coagulation impairment. Patients with a history of systemic steroid medication or recent systemic antibiotic therapy. Pregnant and lactating women Patients with allergy to the antibiotic chosen.