Buccal Plate Augmentation Using Sticky Bone Versus Sticky Bone Filling in the Jumping Gap With Immediate Implant Placement in the Maxillary Esthetic Zone: A Randomized Controlled Trial

What this Trial Is About

This research aims to evaluate the pink esthetic score after Buccal Plate Augmentation using Sticky Bone compared to using Sticky Bone as a jumping gap filling material during immediate implant placement in the upper front teeth area. The study includes patients needing extraction of a non-restorable maxillary tooth in the esthetic zone, with intact buccal bone, to assess these two different surgical approaches. Patients will undergo clinical examinations including medical and dental history, periapical radiographs, and cone beam CT scans to evaluate bone and tooth root conditions before surgery. During treatment, venous blood will be collected to prepare platelet-rich fibrin (PRF) components mixed with bone particles to create sticky bone. In the experimental group, sticky bone is placed into a surgical pouch beside the buccal bone plate, while in the control group, sticky bone is used to fill the gap around the implant in the socket. Both groups receive immediate implant placement and healing abutment attachment. Participants will have follow-up visits at 3 and 6 months post-surgery for evaluation. Assessments include pink esthetic scoring, crestal bone level, thickness of the labial bone plate, soft tissue contour, and patient satisfaction. Standardized imaging and clinical exams will be used to monitor healing and implant integration. The total study duration includes these follow-ups to track outcomes and safety.

Buccal Plate Augmentation Using Sticky Bone With Simultaneous Immediate Implant Placement