This randomized controlled clinical trial aims to compare peri-implant hard and soft tissue dimensional changes following immediate implant placement with the socket shield technique and immediate restoration versus early type II implant placement with contour graft in the esthetic zone. The primary outcome is the Pink Esthetic Score (PES), while secondary outcomes include mid-facial mucosal recession, radiographic vertical and horizontal buccal bone remodeling, and patient satisfaction after 12 months.
Adults aged 18 years or older
Patients presenting with a single non-restorable tooth in the esthetic zone indicated for extraction and implant replacement
Presence of a thin buccal bone plate (<1 mm)
Adequate bone volume to allow implant placement in a prosthetically ideal position
History of systemic diseases that may affect bone healing
Use of medications that may influence bone metabolism (e.g., bisphosphonates)
Smoking within the past 5 years
Presence of acute infection at the surgical site or adjacent teeth
Gulf Medical University
Lead sponsor