Labial Bone Thickness Change in Immediate Implant Placement In Maxillary Esthetic Zone

Inclusion Criteria: 1. Patients with a bounded single non-restorable upper tooth in the anterior maxilla (15-25) FDI (El Ebiary et al., 2023b) 2. Patients with an age range of 21 to 65 years old (Levine et al., 2022) 3. Patients with good oral hygiene with BoP ≤ 10 % (Chapple et al., 2018) 4. Compliant patients willing to follow up to one year. 5. Remaining labial bone thickness ≥ 1mm measured on C.B.C.T. and confirmed on the day of surgery after tooth extraction and before final implant placement. Exclusion Criteria: 1. The presence of acute/active infection related to the non-restorable tooth (Block et al., 2009) cited in (Soegiantho et al., 2023) 2. Presence of labial bone defect as fenestration/dehiscence (Crespi et al., 2008) cited in (Soegiantho et al., 2023) 3. Large cyst or pathological lesion related to the tooth (Tallarico et al., 2016-2017) cited in (Soegiantho et al., 2023); (Morton, Wismeijer, Chen, Hamilton, Wittneben, Casentini, Gonzaga, Lazarin, Martin, Molinero-Mourelle, et al., 2023) 4. History of radiation to the maxilla (Cannizzaro et al., 2010) cited in (Soegiantho et al., 2023) 5. History of bisphosphonate therapy or other anti-resorptive agents (Cannizzaro et al., 2010) cited in (Soegiantho et al., 2023) 6. Uncontrolled systemic or metabolic disease. (Cecchinato et al., 2015) cited in (Soegiantho et al., 2023) 7. Patients with parafunctional habits or active periodontitis (Cannizzaro et al., 2010) cited in (Soegiantho et al., 2023) 8- Tobacco abuse (\>10 cigarettes per day) (Canullo et al., 2010) cited in (Soegiantho et al., 2023) 9- Alcohol abuse (Block et al., 2009) cited in (Soegiantho et al., 2023)