Overview
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?
Eligibility
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.
