Immediate Implant Placement Using the Socket Shield Technique in Maxillary Esthetic Zone

Inclusion Criteria: * Patients with a non-restorable maxillary tooth in the aesthetic zone indicated for extraction and subsequent immediate implant placement. * Patients with extraction socket Type I. * A good standard of oral hygiene. Exclusion Criteria: * Patients with extraction socket Type II or III, with defect in the buccal plate. * Absence of at least 2 mm bone apical to the extraction socket, necessary to obtain adequate primary stability for the implant assessed by pre-operative radiographic evaluation. * The presence of any local factor that may interfere with extraction as tooth ankylosis. * Patients with deciduous teeth. * Patients with bruxism * Heavy smokers. * Systemic conditions that are considered as a contraindication for placement of implant or those that may interfere with wound healing and immunocompromised conditions and uncontrolled autoimmune diseases. * History of oral or intravenous bisphosphonate therapy or any treatments with other medications that may interfere with bone metabolism within the past 12 months. * Patients receiving radiotherapy or chemotheraphy. * Patient with active infection or chronic infection with severe bone loss.