This is a very unique situation where a patient had an extensive medical history, multiple allergies including to metals, was opposed to getting root canal treatment on the diseased tooth and had high aesthetic requirements. A clinical exam was done, there was type II to type III mobility and the tooth was symptomatic.  The general dentist sent a two-dimensional peri-apical x-ray that confirmed suspicions root pathology. A Cone Beam CT scan exam (3D Imaging) confirmed the previous finding but also allowed to assess the possibility of and plan for an immediate implant placement with an aesthetic temporary crown.