: SOCKET SHIELD TECHNIQUE VERSUS EMPTY SOCKET TECHNIQUE

IMMEDIATE IMPLANT PLACEMENT IN THE ESTHETIC ZONE: SOCKET SHIELD TECHNIQUE VERSUS EMPTY SOCKET TECHNIQUE FOR PRESERVATION OF LABIAL ALVEOLAR BONE INTEGRITY

To evaluate the clinical and radiographic outcomes of socket shield technique compared with conventional immediate implant placement.

To evaluate the clinical and radiographic outcomes of socket shield technique compared with conventional immediate implant placement.

PICO

• P: patient require immediate dental implant placement for esthetic consideration
• I: socket shield technique
• C: conventional immediate implant placement
• O:

Outcome name Measuring device Measuring unit Primary outcome Vertical and horizontal bone level Cone beam Computer Tomography (CBCT) Millimeter Secondary outcome (a) Pocket probing depth Periodontal probe Millimeter Secondary outcome (b) Labial Alveolar crestal bone height compared with the lingual side Cone beam Computer Tomography (CBCT) Millimeter

Inclusion Criteria:

1. Patients with remaining roots in the esthetic zone with intact periodontal condition indicated for extraction.
2. Physically able to tolerate conventional surgical and restorative procedures
3. Signing of an informed consent form
4. Implant insertion torque > 32 N cm with good primary stability

Exclusion Criteria:

1. Systemic diseases contraindicating implant placement eg uncontrolled diabetes
2. Severe bruxism
3. Active infection in the teeth to be treated
4. Vertical root fractures with displacement in the teeth of the surgical area