Silicate-Added Beta-TCP in Fully Guided Immediate Implants in the Esthetic Zone

Evaluation of Silicate-Added Beta-Tricalcium Phosphate Putty in Fully-Guided Immediate Implants in the Esthetic Zone Using Customized Healing Abutment

This study aims to evaluate bone and soft tissue changes clinically and digitally after using a customized healing Abutment with or without silicate-added beta-tricalcium phosphate (Si-β-TCP) putty.

Fully guided immediate implant placement in the esthetic zone presents challenges related to soft tissue closure, jumping gap management, and peri-implant stability. The use of silicate-added β-TCP putty with customized healing abutments has been proposed to improve soft tissue healing and maintain peri-implant architecture.

Inclusion Criteria:

1. Patients with non-restorable teeth in maxillary esthetic zone requiring dental extraction.
2. Adequate inter-arch relation and inter-occlusal space to accommodate the prosthetic restoration.
3. Jumping gap more than 2mm.
4. Patients with good oral hygiene.
5. Patients willing to participate in the study's follow-up intervals.

Exclusion Criteria:

1. Patients with any pathological lesion or aggressive periodontal disease at the planned surgical site impaired the immediate implant placement.

2. Alcohol or drug abuse.

3. Smokers.

4. Patients with systemic diseases that absolutely contraindicate implant placement (bleeding disorders, immunosuppression,…etc.)

5. Pregnancy.

6. Patients with para-functional habits (bruxism and clenching).

7. Lack of motivation or inability to maintain good oral hygiene.

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