evaluation of the use of collagen membrane inside the socket and outside it during immediate implant placement

Twenty patients, who are candidates for immediate implant placement, will participate in this prospective clinical trial.

Group 1(10 patients) :

immediate implant placement with bone graft and collagen memebrane outside the buccal plate

Group 2 (Control group)(10 patients) :

immediate implant placement with bone graft and collagen memebrane inside the buccal plate assessment of the buccal bone thickness assessment of soft tissue thickness

• Esthetic outcome evaluation Will be done using the root coverage esthetic score (Cairo et al. 2009) that include

Both evaluations will be done at 3, 6 and 9 months

Inclusion Criteria:

• Systemically free patients (American Society of Anesthesiologists I; ASA I).
• Age range (20 -50) years.
• Good compliance with the plaque control instructions following initial therapy.
• Patients diagnosed badly decayed tooth in esthetic zone indicated for immediate implant placement
• Availability for follow up and maintenance program.

Exclusion Criteria:

• Patient suffering from periodontitis
• Presence of smoking habit.
• Presence of occlusion interference.
• Pregnant and lactating females.
• Vulnerable group of patients (handicapped, mentally retarded and prisoners).