Recently the use of dental implants for the replacement of missing teeth in growing children has gained popularity among pediatric dentists. But again when and in which situations it can be used in growing children is a big dilemma. Factors that favor implant placement in children are their excellent local blood supply, good immunobiologic resistance, and enhanced osseous healing. But the dentist should be aware of the potential risks in placing implants in growing children as it can affect their craniofacial growth because the jaws are still growing and developing.