Due to the evolution of esthetic implant dentistry and tissue regeneration (hard and soft tissue), flap design plays a crucial role in the maintenance and regeneration of the marginal soft tissue and interdental papillae around dental implants. The present study aims to compare soft and hard tissue changes following immediate implant placement with ridge augmentation using the vestibular flap versus single flap approach.
Patients who have one non-restorable maxillary anterior (Canine to Canine region) with sound adjacent teeth.
Intact thick biotype gingival tissue with at least 2mm band of keratinized tissue.
Buccal bone thickness less than 1mm assessed in CBCT with good apical bone for implant primary stability.
Good oral hygiene
Smokers
Pregnant and lactating females.
Medically compromised patients.
Patients with active infection related at the site of implant/bone graft placement.