Management of the jumping gap in the Vestibular Socket Therapy. And to study what is the best technique to manage this gap for optimal esthetic result.

22 patients were randomly assigned to Group 1: Had received implants with the vestibular socket technique accompanied with bone grafting the jumping gap between the implant and the labial membrane.

Group 2: Had received implants with the vestibular socket technique, but without bone grafting the jumping gap.

Facial bone thickness and height were evaluated using CBCT scans at baseline before tooth extraction and after 6 and 13 months

Inclusion Criteria:

• presence of a hopeless tooth or teeth in the esthetic zone (maxillary anterior area)
• No active infection
• Adequate bone palatally and apically
• Presence of contralateral tooth for the tooth being replaced

Exclusion Criteria:

• Hopeless tooth with acute infection
• heavy smokers (more than 10 cigarettes per day)
• pregnant and patients received recent chemotherapy/radiotherapy (during the previous year)