Objective: The present study was performed to evaluate immediate implant placement with socket-shield technique versus using bone graft filling the jumping gap in the form of sticky bone in maxillary aesthetic zone.
Material and Methods: sixteen patients were included in this study (n=16). They were divided into two groups; group (I): eight Patients were subjected to socket shield procedure with immediate implant placement. Group (II): eight Patients were subjected to immediate implant placement with sticky bone in the jumping gap. After surgery each patient were evaluated clinically for: pain values, esthetic results using pink esthetic score (PES) and implant stability using ostell device. All patients received immediate and 6 months postoperative CBCT to assess bone density and the dimensional changes in the labial bone plates.
Results: The mean vertical bone loss value after 6 months in group I was 0.28 ± 0.13 mm contrary to group II which was 0.46 ± 0.19 mm which was statistically significant. The mean horizontal bone loss value after 6 months in group I was 0.17 ± .099 mm while in group II it was 0.25 ± 0.13 mm which was statistically not significant.
Conclusion: Both Socket shield technique and GBR using sticky bone preserved the labial bone thickness and height with superiority of socket shield in preservation of its height.
Key Words: Immediate implant; Socket shield; Sticky bone;