Comparison Between Socket Shield and Conventional Techniques in Immediate Implant Placement.

The goal of this randomized clinical trial is to compare whether immediate implant placement using the socket-shield technique can better preserve bone density, bone level, and peri-implant tissue health compared to conventional immediate implant placement in patients requiring tooth extraction in the maxillary esthetic zone.

This study is conducted in systemically healthy adult patients aged 20-60 years who have non-restorable maxillary anterior teeth indicated for immediate implant placement.

The main questions this study aims to answer are:

Does the socket-shield technique result in better peri-implant bone density and bone level preservation compared to the conventional immediate implant technique?

Does the socket-shield technique lead to improved clinical peri-implant parameters, including probing depth, bleeding on probing, keratinized tissue width, and soft tissue thickness?

participants will be divided into two groups: (both groups will receive immediate implant placement of a tooth requiring extraction in the maxillary esthetic zone.) First group: will recieve immediate implant using conventional technique. second group: will recieve immediate implant using socket shield technique.

Participants will:

• Undergo clinical and radiographic examinations, including cone beam computed tomography (CBCT).
• Receive immediate implant placement using either the conventional technique or the socket-shield technique.
• Be followed up clinically and radiographically for 9 months to assess bone and soft tissue healing.
• Attend regular postoperative and follow-up visits for evaluation of implant stability and peri-implant tissue health.