Elamrousy Novel Approach of Socket Shield Technique
The current trial aim was to evaluate clinically and radiographically the changes around dental implants inserted immediately in maxillary anterior esthetic zone using a novel combination of autogenous whole tooth graft (AWTG) with socket shield approach (SSA) and compared this approach to socket shield technique with xenograft.

The present study included 63 patients, aged 20 to 45, with teeth that needed to be extracted. After Kafrelsheikh University research ethics committee approval, patients were randomized into 3 groups: group I patients underwent immediate implantation using socket shield protocol, while group II patients underwent the same procedure, but the shield/fixture jumping gap was grafted by xenograft. finally group III was grafted by AWTG that was created using the decoronated crown and the extracted palatal portion of the tooth; and then placed in the peri-implant gap defect.
- EligibilityCriteria: Inclusion Criteria:  above the age of 18years presence of non-restorable maxillary anterior tooth had intact socket walls following tooth extraction the gingival biotype was thick.  Exclusion Criteria:  history of systemic condition history of using bisphosphonates or other drugs that might impact bone turnover a history of smoking during the previous five years, a history of any acute infections at the surgical site, teeth having root resorptions massive periodontal destruction buccally fractured root either vertically or horizontally beneath the alveolar crest. - HealthyVolunteers: Accepts Healthy Volunteers - Gender: All - MinimumAge: 25 Years - MaximumAge: 40 Years - StdAgeList: Adult