Hard and Soft Tissue Outcomes of Vestibular Socket Therapy Using Magnesium Membrane Versus Cortical Lamina in the Esthetic Zone.

This randomized clinical trial aims to compare two membrane materials used in Vestibular Socket Therapy (VST) technique during immediate implant placement in Type II extraction sockets in the esthetic zone. A total of 30 patients will be randomly allocated to receive VST using either a biodegradable magnesium membrane or a cortical lamina membrane. Both groups will receive immediate implant placement and xenogeneic bone graft. The study will compare changes in facial bone dimensions, soft tissue volume, implant stability, pink esthetic score, patient satisfaction, surgical time, and postoperative complications over a 6-month follow-up period.

Inclusion Criteria: 1. Age between 18 and 45 years. 2. Requirement for extraction of one or more teeth in the maxillary esthetic zone with Type II extraction sockets. 3. Presence of adequate palatal and apical bone to achieve primary implant stability. 4. Adequate interocclusal restorative space for implant-supported prosthetic rehabilitation. 5. Good oral hygiene and satisfactory plaque control Exclusion Criteria: 1. Acute infection at the intended implant site (e.g., acute abscess or cellulitis). 2. Uncontrolled systemic diseases or medical conditions that may compromise bone healing or osseointegration. 3. History of irradiation to the head and neck region within one year before implant placement. 4. Alcohol or drug abuse. 5. Pregnancy or lactation. 6. Parafunctional habits such as bruxism or clenching. 7. Current smoking or tobacco using. 8. Poor oral hygiene or inability to maintain adequate plaque control.