This randomized controlled study is aimed to evaluate the esthetic, clinical, and radiographic outcomes following the placement of immediate single-tooth implant with hard and soft tissue augmentation.
Subjects will randomly assigned to one of two groups:
* Group A (control group) receiving an immediate single-tooth implant in the esthetic zone with bone augmentation only.
* Group B (study group…
This randomized controlled study is aimed to evaluate the esthetic, clinical, and radiographic outcomes following the placement of immediate single-tooth implant with hard and soft tissue augmentation.
Subjects will randomly assigned to one of two groups:
* Group A (control group) receiving an immediate single-tooth implant in the esthetic zone with bone augmentation only.
* Group B (study group) receiving an immediate single-tooth implant in the esthetic zone with bone augmentation and connective tissue graft (CTG).
The main questions it aims to answer is:
Is there is a significant difference in the esthetic outcome between bone augmentation alone and bone augmentation combined with connective tissue graft after immediate dental implant in the esthetic zone?
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Eligibility Criteria
Inclusion Criteria:
* Patients with a non-restorable tooth or a remaining root without signs of acute infection in the maxillary esthetic zone.
* The failing tooth is an incisor, canine or first bicuspid in the maxilla bounded by natural sound teeth.
* Sufficient bone (\>4 mm) apically and palatall…
Inclusion Criteria:
* Patients with a non-restorable tooth or a remaining root without signs of acute infection in the maxillary esthetic zone.
* The failing tooth is an incisor, canine or first bicuspid in the maxilla bounded by natural sound teeth.
* Sufficient bone (\>4 mm) apically and palatally to allow for proper implant positioning with sufficient primary stability (≥35 N cm).
* Sufficient mesial-distal and interocclusal space for placement of the implant and definitive restoration.
Exclusion Criteria:
* Patients with systemic conditions affecting bone healing (e.g., uncontrolled diabetes).
* Teeth with current acute periapical infection.
* Dehiscence of the labial (facial) bone plate after extraction.
* Signs of uncontrolled periodontal disease.
* Heavy smokers and vulnerable groups (pregnant females and decision-impaired individuals).
* History of head and neck radiation therapy.
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