Silicate β-TCP vs Extended Sticky Bone for Peri-Implant Jumping Gap in Guided Immediate Implants: RCT

This randomized clinical trial compares three peri-implant jumping gap management approaches following fully guided immediate implant placement in the maxillary esthetic zone. Clinical and digital outcomes will be evaluated after immediate provisionalization and final restoration.

Inclusion Criteria: * 1\) Patients with non-restorable teeth in maxillary esthetic zone requiring dental extraction. 2\) Age range: from18 to 50 years. 3) Adequate inter-arch relation and inter-occlusal space to accommodate the prosthetic restoration. 4\) Jumping gap more than 2mm. 5) Patients with good oral hygiene. 6) Patients willing to participate in the study's follow-up intervals. Exclusion Criteria: * 1\) Patients with any pathological lesion or aggressive periodontal disease at the planned surgical site impaired the immediate implant placement. 2\) Alcohol or drug abuse. 3) Smokers. 4) Patients with systemic diseases that absolutely contraindicate implant placement (bleeding disorders, immunosuppression,…etc.) 5) Pregnancy. 6) Patients with para-functional habits (bruxism and clenching). 7) Lack of motivation or inability to maintain good oral hygiene.