Background: Alveolar bone resorption and labial bone plate reduction follow teeth extraction due to the deficiency of blood supply, derived from the loss of periodontal ligaments, and hence the socket shield technique was introduced to preserve the periodontal ligaments related perfusion. Purpose: The study aimed to compare the vertical and horizontal changes of the buccal cortical bone plates, encountered after utilizing the socket shield technique with immediate temporization vs an immediate implant placement with immediate temporization, and analyzing the differences of the implant stability and pink esthetic score evaluation between both techniques. Materials and Methods: A total of 40 dental implants were placed in the maxillary esthetic zone, 20 implants were placed using the socket shield technique with immediate temporization; the study group and 20 implants were placed immediately with immediate temporization; the control group. All patients received immediate and 6 months postoperative CBCT to assess the dimensional changes in the labial bone plates. Implant stability quotients (ISQs) and pink esthetic scores were measured at the time of implant placement and 6 months postoperatively. Results: The horizontal bone loss; ranged from 0 to0.26 (0.15) mm and 0.03 to0.44 (0.32) mm for the study and control groups, respectively. The vertical bone loss; ranged from 0.11 to 0.55 (0.31) mm and 0.25 to 1.51 (0.7) mm for the study and control groups, respectively. The ISQ for the study group increased from 68.6 ± 3.81 to 76.7 ± 3.49, while in the control group it increased from 66.4 ± 5.64 to 75 ± 4.4. PES for the study group increased from 11 to 12, while in the control group it decreased from 13 to 9. Conclusion: The socket shield technique with immediate temporization is a reliable method to reduce the labial bone loss following teeth extraction. However, further studies are required to investigate the effect of grafting the jumping gaps, to evaluate the graft contribution in further reduction of the bone loss.

Aim: To evaluate soft tissue aesthetics around immediate dental implants with dentin chips and xenograft in thin buccal bone . Methodology: 16 patients with non-restorable tooth were recruited in this study for immediate implant placement with augmentation . Patients were randomly assigned into two equal groups; dentin chips group with immediate implant and xenograft group with immediate implant also. Pink aesthetic score are recorded on loading at 6 months & after 1 year of implant insertion according to Vanlıoğlu . Also buccal bone , crestal bone resorption were measured using CBCT on 6 month & 1 year ; implant stability were measured using osstel immediately on implant insertion & before loading and pain is recorded as Numerical rating scale according to Breivik . Results: In the present study, both groups showed better PES after 6 months and 1 year P-value = 0.343; P-value = 0.199 nearly same level of crestal bone & buccal bone at 6 months & 1 year P-value = 0.031; P-value = 0.029 P-value = 0.546; P-value = 0.268 implant stability is better at 6 months and one year P-value = 0.514; P-value = 0.340 and reduction in the post-operative pain within 1 week following implant placement with but with statistically significant difference within each group and also between both groups. Conclusions: The use of autogenous dentin chips proved to be a valid alternative to bone grafting materials to fill the jumping gap in conjunction with immediate implants in the aesthetic zone. PES, the overall difference between the control and the intervention groups showed no statistical significance

Objective: When restoring teeth in the aesthetic zone, soft tissue aesthetics for an immediate implant is considered challenging. This study aimed to evaluate soft tissue aesthetics around immediate dental implants with dentin chips and xenograft in thin buccal bone. Methodology: 16 patients with non-restorable teeth were recruited in this study for immediate implant placement with augmentation. Patients were randomly assigned into two equal groups; dentin chips group with immediate implant and xenograft group with immediate implant also. Pink aesthetic scores are recorded on loading at 6 months & after 1 year of implant insertion according to Vanlıoğlu. Also, buccal bone and crestal bone resorption were measured using CBCT at 6 months & 1 year; implant stability was measured using osstel immediately on implant insertion & before loading, and pain is recorded as a Numerical rating scale according to Breivik. Results: In the present study, both groups showed better PES after 6 months and 1 year P-value = 0.343; P-value = 0.199 ; nearly same level of crestal bone & buccal bone at 6 months & 1 year P-value = 0.031; P-value = 0.029 P-value = 0.546; P-value = 0.268 ; implant stability is better at 6 months and one year P-value = 0.514; P-value = 0.340 and reduction in the post-operative pain within 1 week following implant placement with but with statistically significant difference within each group and also between both groups. Conclusions: The use of autogenous dentin chips proved to be a valid alternative to bone grafting materials to fill the jumping gap in conjunction with immediate implants in the aesthetic zone. PES, the overall difference between the control and the intervention groups showed no statistical significance.