Effect of Subepithelial Connective Tissue Graft with Socket Shield Technique

Effect of Subepithelial Connective Tissue Graft with Socket Shield Technique on Periimplant Tissues in Immediate Implant Procedure

The goal of this clinical trial is to Evaluate of the soft tissue profile changes and labial plate of bone in the anterior esthetic area when using socket shield technique in conjunction with immediate implant and subepithelial connective tissue graft, in comparison to using immediate implant combined by subepithelial connective tissue graft. The main questions it aims to answer is :

• does the socket shield technique better preserve gingival contours and connective tissues, resulting in improved esthetic outcomes?
• Researchers will compare socket shield combined with immediate implant placement and a subepithelial connective tissue graft to immediate implant placement with just a subepithelial connective tissue graft to see if more favorable soft tissue profile changes and better preservation of the labial plate of bone are obtained.

participants will :

. subjected to partially extracted socket with immediately placed implant and subepithelial connective tissue graft.

.subjected to immediate implant with subepithelial connective tissue graft.

Inclusion Criteria:

• Medically free
• Maxillary esthetic zone extended to the second premolar with healthy roots
• Good oral hygiene
• Hopeless teeth

Exclusion Criteria:

• Patients with systemic conditions that can affect bone turnover
• Smokers
• Pregnant women
• Chronic and active periodontal disease
• Vertical and horizontal root fracture
• Dehiscence or fenestration of the labial plate of bone
• Gingival recession