Evaluation the Accuracy of Immediate Implant Placement Using SocketFit Static Surgical Guide Versus Conventional Static Surgical Guide in Anterior Esthetic Zone

Overview

This study compares two types of surgical guides used during immediate dental implant placement in the upper front teeth. One guide is a conventional static surgical guide, while the other is a modified SocketFit static surgical guide designed to improve stability after tooth extraction. The purpose of the study is to determine whether the SocketFit guide improves the accuracy of implant placement.The findings may help improve the precision and predictability of immediate dental implant treatment in the anterior esthetic zone.

Immediate implant placement in the anterior esthetic zone is a predictable treatment option that reduces treatment time and preserves peri-implant soft and hard tissues. Static computer-guided surgery has improved the accuracy of implant placement; however, guide stability may be compromised immediately after tooth extraction because of complex morphology and angulation of post-extraction sockets, as well as variations in bone density.These factors can lead to surgical drill displacement, causing the implant to deviate from its intended trajectory.Therefore, The SocketFit static surgical guide incorporates a socket-engaging extension designed to enhance guide seating and stability during osteotomy preparation. Limited evidence is available regarding the accuracy of this modified guide compared with the conventional tooth-supported static surgical guide. Therefore, this study aims to evaluate the accuracy of immediate implant placement using the SocketFit static surgical guide versus the conventional static surgical guide in the anterior esthetic zone. Accuracy will be assessed by comparing the planned and actual implant positions using postoperative Cone Beam Computed Tomography (CBCT) superimposition, evaluating coronal, apical, angular, and depth deviations.