Lead Sponsor

Cairo University

Age

18 - 65 years

Sex

ALL

Healthy Volunteers

Yes

•Patient-related criteria:
•Adults at or above the age of 18.
•Non-restorable maxillary anterior or premolar tooth requiring extraction and needed an implant placing therapy.
•The failing tooth will have adjacent and opposing natural teeth.
•Sufficient mesial-distal and interocclusal space for placement of the implant and definitive restoration.
•Able to tolerate surgical periodontal procedures.
•Full mouth plaque and bleeding scores less than 20%.
•Compliance with the maintenance program.
•Provide informed consent.
•Accepts the one-year follow-up period.
•Teeth related criteria:
•Intact thick biotype gingival tissue with at least 2mm band of keratinized tissue.
•Intact socket wall before the extraction, buccal bone thickness ≤1mm assessed by CBCT.
•Sufficient apical bone to place an immediate implant with minimum primary stability of 30Ncm.

•Patients diagnosed with periodontal diseases.
•Current or previous smokers.
•Pregnant and lactating females.
•Patients with medical conditions that would compromise the surgical procedures; uncontrolled diabetes mellitus, taking IV Bis-phosphonates for treatment of osteoporosis.
•Patients with active infection related at the site of implant/bone graft placement.
•Patients with parafunctional habits

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