Socket Shield vs Conventional Immediate Implant

Not Applicable

Interventions: Procedure: socket shield technique
Procedure: conventional immediate implant placement with immediate temporization

Brief Summary: eighteen implants will be placed in patients with non-restorable maxillary teeth in the aesthetic area.the recruited patients will be divided into two groups .group 1 will undergo socket shield technique with immediate temporization ,while group 2 will undergo conventional immediate implant placement with immediate temporization. to compare bone loss and aesthetic outcomes in the two techniques.

Recruitment & Eligibility

Inclusion Criteria

Patients with non-restorable maxillary anterior teeth in the esthetic zone indicated for implant placement.
Both sexes.
No intraoral soft and hard tissue pathology
No systemic condition that contraindicate implant placement

Exclusion Criteria

Heavy smokers more than 20 cigarettes per day.
Patients with systemic disease that may affect normal healing.
Psychiatric problems
Disorders to implant are related to history of radiation therapy to the head and neck neoplasia

Arm && Interventions

Group	Intervention	Description
socket shield technique	socket shield technique	socket shield technique with immediate temporization
conventional immediate implant	conventional immediate implant placement with immediate temporization	conventional implant placement with immediate temporization

Primary Outcome Measures

Name	Time	Method
implant stability	immediately after implant placement	implant stability will be measured using osstell device

Secondary Outcome Measures

Name	Time	Method
Amount of bone loss	after 3 month from implant insertion.	Will be measured using linear measurements from CBCT

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