This randomized clinical trial aims to evaluate labial bone plate changes following immediate implant placement in Type II extraction sockets using two different xenograft materials and de-epithelialized free gingival graft in the esthetic zone . Patients requiring extraction and immediate implant placement will be randomly allocated into two groups according to the xenograft material used for defect grafting. Clinical and radiographic outcomes will be assessed to determine dimensional bone changes and implant success
Patients with one or more non-restorable teeth or remaining roots without signs of acute infection in the maxillary anterior region.
Type II extraction sockets.
Sufficient bone (>3 mm) apically and palatally to allow for proper implant positioning with sufficient primary stability (≥ 30 N cm).
Good compliance.
Teeth with current acute periapical infection.
Medically compromised patients.
Heavy smokers (smoking of more than 10 cigarettes per day ).
Alcohol or drug abuse.
Basma Gamal Mohamed Ahmed
Lead sponsor
Alexandria University
Sponsor institution