The present study aims to compare the dimensional stability of the supra-implant complex following flapless immediate implant placement using two socket management approaches: the connective tissue graft and the socket shield technique. Three-dimensional volumetric analysis and cone-beam computed tomography (CBCT) will be employed to assess and quantify changes in soft and hard tissue thickness and height surrounding the implant site.
Initial intact thick gingival biotype
2 mm band of keratinized tissue,
Thin intact labial bone plate (< 1mm)
Good apical bone for primary stability
Immediate implants with bone grafts or guided bone regeneration procedures
Uncontrolled diabetes mellitus
Patients taking IV bisphosphonates for treatment of osteoporosis
Patients with active infection related at the site of implant