A comparative evaluation of immediate implant placement by Vestibular socket therapy between Dynamic navigation system and conventional placement in defective labial wall cases: A Randomized Clinical Trial.

Immediate implants placed conventionally have a high chance of encroaching the safe zone which results in both soft and hard tissue complications in the long run. By using this VST method, we can augment both hard and soft tissue at the extraction site. By using a Dynamic navigation system precise implant placement at 360° in esthetic areas, offering real-time adjustments during osteotomy for enhanced accuracy compared to static guides. The study is a randomized controlled clinical trial proposed to be done in the Department of Periodontics, Saveetha Dental College and Hospitals, Chennai. After patient recruitment, the patients are allotted using lot sampling and patient will be made to pick up the concealed envelop are divided into subsequent groups-

a)The control group is going to be the participants who will be receiving conventional immediate implants via VST. b)The test group will be receiving implants through DNS via VST.

Technique: Perform vestibular socket therapy by incising 1 cm apical to the tooth. Dissect vestibular pouch towards root apex for access. Use bur for osteotomy at the apex and release the ligament. Elevate root fragments and excavate apex. Place the implant with 360-degree contact using the DNS system. Use xenograft in bone defects with GBR membrane. Suture with 4-0 polypropylene and provide permanent prosthesis after period of temporization. The data from results are compared using Student’s T-test and One-way  ANOVA.  The primary objective is to assess buccal wall thickness and marginal bone loss between the two groups. The pink esthetic score and white esthetic score are also assessed secondarily.