Immediate Implant Placement With Immediate Loading With and Without Connective Tissue Graft

Aesthetic Outcome of Immediate Implant Placement With Immediate Loading With and Without Sub Epithelial Connective Tissue Graft

extraction of badely decayed anterior teeth immediate implant placement with immediate temporaization

Intra-operative procedure:

Local anesthesia will be injected intra-orally at the implant site. Atraumatic extraction of badley decayed teeth in the aesthetic area .

For group A :

traditional drilling for immediate implant placement . immediate temporization .

For group B :

traditional drilling for immediate implant placement . immediate temporization . subepithelial connective tissue graft from the palate .

Inclusion Criteria:

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

Exclusion Criteria:

• Patients with systemic disease that may affect bone quality.
• Patients with poor oral hygiene and active periodontal diseases.
• Heavy smokers more than 20 cigarettes per day.