Elamrousy Modified Approach for Socket Shield Technique

The current trial aim was to evaluate clinically and radiographically the changes around dental implants inserted immediately in maxillary anterior esthetic zone using a novel combination of autogenous demineralized dentin graft (ADDG) with socket shield technique (SST) and compared this approach to socket shield technique (SST) alone. The present study included 50 participants, aged 20 to 45, with teeth that needed to be extracted. After Kafrelsheikh University research ethics committee approval, participants were randomized into 2 groups: the control group patients underwent immediate implantation using SS protocol, while the study group patients underwent the same procedure, but ADDG was created using the extracted palatal portion of the tooth; and then placed in the peri-implant gap defect.

Inclusion Criteria: * above the age of 18years * presence of non-restorable maxillary anterior tooth * had intact socket walls following tooth extraction * the gingival biotype was thick. Exclusion Criteria: * history of systemic condition * history of using bisphosphonates or other drugs that might impact bone turnover * a history of smoking during the previous five years, * a history of any acute infections at the surgical site, * teeth having root resorptions * massive periodontal destruction * buccally fractured root either vertically or horizontally beneath the alveolar crest.