The anterior maxilla is a particularly challenging area for immediate implant placement due to its thin buccal bone walls. These walls are more susceptible to resorption after tooth extraction, which can lead to significant bone loss and inadequate support for an implant. However, Different socket dimension may affect the amount of bone formed labial to the implant, regardless of the garfting procedure.
Immedaite implants in anterior maxilla
thick gingival phenotype
intact but thin labial plate of bone (≤1mm)
sufficient apical bone to attain implant primary stability (a minimum of 35 Ncm insertion torque)
smokers
pregnant women
patients with systemic disease
patients with parafunctional habits such as bruxism or clenching,