Abstract
Objectives: The objective of this study was to evaluate immediate implant placement with socket sealing by a provisional restoration. Subjects and methods: The study included 12 patients: 9 males and 3 females, the study was designed Randomized controlled clinical study. The study protocol involved atraumatic extraction with flapless technique immediate implant with bone graft protected by a provisional restoration, all patients followed up for 6 months. Results: The results of the present study showed the mean implant stability was increased from 67±3.46 immediately after treatment to 76± 2.31 the mean bone density was increased from 539.5±63.25 preoperatively, to 649.25± 37.4 after 6 months, regarding the mean of horizontal bone loss the greatest mean value was 0.58±0.08. The mean value of the vertical bone loss was 0.59 ±0.24 mm after 6 months. Conclusions: Immediate implant with a provisional restoration as socket seal device shown preservation of the labial bone plate thickness and height and potentially enhanced the thickness of the peri-implant soft tissues coronal to the implant abutment interface Implant stability and bone density were increased with these procedures. Keywords: atraumatic extraction; flapless technique; immediate implant; socket seal.