Alveolar Ridge and Soft Tissue Augmentation Using Graft From the Maxillary Tuberosity

In the study immediate implant is placed in the anterior region with autogenous bone grafting from the maxillary tuberosity in one group and in the other group immediate implant is placed with xenograft .IN both groups soft tissue grafting is done using connective tissue assessment of buccal bone thickness and soft tissue will be done 6 months post operative

Inclusion Criteria:Systemically healthy patients (American Society of Anesthesiologists I; ASA I).Age range (20-40) years.Good compliance with the plaque control instructions following initial therapy.Patients diagnosed with bone defect in the maxillary anterior esthetic zone (class 1 & 2)Availability for follow up and maintenance program.Exclusion Criteria:Peri apically infected teethPresence of smoking habit.Presence of occlusal interferences.Pregnant females.Vulnerable group of patients (handicapped, mentally retarded and prisoners) (according to the recommendation of esthetical committee of Faculty of Dentistry Ain Shams University).