The anterior maxilla is a particularly challenging area for immediate implant placement due to its thin buccal bone walls. These walls are more susceptible to resorption after tooth extraction, which can lead to significant bone loss and inadequate support for an implant. However, Different socket dimension may affect the amount of bone formed labial to the implant, regardless of the garfting procedure.

Bone formation labial to the immediate implant is not related to the initial thick- ness of the labial plate of bone, rather than the initial labio-palatal socket dimension. this study aims to evaluate the bone formed labial to the implant following a Novel Socket Evaluation System.

Inclusion Criteria:

• Immedaite implants in anterior maxilla
• thick gingival phenotype
• intact but thin labial plate of bone (≤1mm)
• sufficient apical bone to attain implant primary stability (a minimum of 35 Ncm insertion torque)

Exclusion Criteria:

• smokers
• pregnant women
• patients with systemic disease
• patients with parafunctional habits such as bruxism or clenching,
• infected socket
• periapical pathosis
• history of radiotherapy or chemotherapy within the past 2 years.

Primary care clinic