Socket-Shield Technique With Immediate Implant

Primary Objective:Evaluate of labial plate of bone changes using immediate implant with the socket shield technique in anterior esthetic zone.Secondary Objective:Evaluate of soft tissue changes using the immediate implant with socket shield technique in anterior esthetic zone.

Inclusion Criteria:.1. Healthy adlult patient 2. Age from 20-50 years old. 3 Tooth involved in the esthetic zone. 4. Socket Type I. (Elian et al., 2007) 5. Natural teeth adjacent to the involved tooth should be free from periapcial infection.6. Sufficient hard and soft tissue volume in vertical and buccolingual direction (Levine et al., 2014) 7. Good oral hygiene. 8. Indication for tooth extraction included :( Degidi et al., 2010)Non-restorable teethRemaining rootsEndodontic failuresExclusion Criteria :1. Presence of acute dento-alveolar infection of involved tooth.2. Pregnant and breast feeding. 3. Smokers. (Takamiya et al., 2013) 4. Decision impaired individuals (prisoners, handicapped, and mentally retarded) 5. Vertical or Horizontal root fractures on buccal aspect below bone level. 6. External or internal root resorption.-