Immediate implant placement with immediate provisionalization in the maxillary esthetic zone using mixture of allograft and xenograft vs xenografts to augment the jumping gap (A Randomized Clinical Trial)

Abstract

AIM: The aim of the study is to evaluate the efficacy of grafting material in the jumping gap and their effect on the marginal bone loss in upper esthetic zone by using mixture of allograft and xenograft versus xenograft. Material and methods: A total of 20 extractions sockets, with 17 patients had non-restorable maxillary teeth in the esthetic zone indicated for implant placement. They were selected from the outpatient clinic of the oral Maxillofacial surgery Department, Faculty of Dentistry, Cairo University. • Xenograft as jumping gap filling material is successful for preservation labial cortical plate in immediate implant placement in the aesthetic zone. Summary: This study was performed to evaluate marginal bone loss using mixture allograft and xenograft versus xenograft in immediate implant placement with temporization in esthetic area. Twenty implants were conducted in twenty fresh extraction sockets in 17 patients with one or more hopeless teeth indicated for extraction in the region of maxillary anterior teeth. All patients were systemically free and with reasonable oral hygiene. Conclusion: •Immediate implant with immediate temporization is a viable technique for emergence profile preservation which subsequently adds to better result regarding radiographic bony changes and pink esthetic score.