Abstract: A male patient 54 years old referred to the clinic for extraction of the upper right lateral incisor due to serious periodontal problems. The history revealed hepatitis B infection without other exogenous or endogenous conditions and relative or absolute contraindications for implant surgery. It was planned to place surgically an implant in the fresh wound socket immediately after the extraction. The extraction performed with luxators with a maximum respect to the surrounding bone. A small buccal flap raised for gaining access at the area. The bone defect caused by periodontitis was found mainly in the buccal aspect. The use of bovine bone graft was found very useful as a scaffold for filling the defect. The bone substitute was applied mixed with fresh blood by using a small dental curved spatula. The healing was uncomplicated. It was concluded that the carrier of hepatitis B does not pose complication when the treatment is adherent to the surgical protocols.