EVALUATION OF IMMEDIATE LOADED IMPLANTS PLACED USING THE SOCKET SHIELD TECHNIQUE IN THE ESTHETIC ZONE (A RANDOMIZED CONTROLLED CLINICAL TRIAL)

INTRODUCTION: Once teeth are extracted, the alveolar bone with the labial bone plate reduction occurs as a consequence of the absence of blood flow. The socket-shield technique )SST) was introduced to end these consequences. OBJECTIVES: Our goal was to compare between the conventional approach and the SST perspectives; clinical and radiographical. MATERIALS AND METHODS: 20 individuals were parted into 2 groups; the study group: The (SST) with immediate loading was applied 10 implants in the anterior maxilla. The control group: 10 implants were instantly placed using immediate implant placement (IIP) along with the immediate loading. For both groups, CBCT-scans were pre-operatively evaluated and 6 months period for evaluating the dimensional changes within the labial bone plates including both the vertical and horizontal bone loss (VBL, HBL), measuring of clinical attachment loss (CAL), the dental implant stability quotients (DISQs) and the pink esthetic scores (PES), RESULTS: The mean Dental Implant Stability (DISQ) was 77.92+2.44 and 75.14+2.34 in control and study groups respectively 6 months postoperatively, the average HBL bone level 6 months postoperative in Group 1 was 6.88+0.97mm, and in Group 2 was 6.74+0.93mm. While mean VBL level after 6 months of follow up in Groups 1 and 2 was 0.93+0.57mm, and 1.55+0.85mm respectively. The mean PES in Group 1 was 12.10+0.57 after 6 months, while in Group 2 was 7.80+1.14. The mean CAL 6 months Post-operatively in Group 1 and Group 2 was 0.90+0.57mm and 1.50+0.85mm respectively. There was high statistically significant difference between the study and control group. CONCLUSIONS: The technique of socket-shield was conserved the labial root part