Poosy Hany Zaki Mohamed, Mohammed Khashaba And Mohamed Atef,

ABSTRACT
The Loss Of A Tooth Triggers A Remodeling Reaction As Part Of The Healing Process, Involving Various Degrees Of Alveolar Bone Resorption, Especially Affecting The Buccal Lamella. The Bundle Bone Is Primarily Vascularized By The Periodontal Membrane Of The Tooth. Therefore, This Part Of The Alveolar Bone Is Compromised By The Extraction, To Such An Extent That The Buccal Lamella Is Insufficientlynourished, Leading To Its Total Or Partial Resorption.,A Substantial 0.5% To 1% Of The Alveolar Ridge Volume Is Lost As The Result Of It. The Socket-shield (SS) Technique Provides A Promising Treatment Adjunct To Better Manage These Risks And Preserve The Post-extraction Tissues In Aesthetically Challenging Cases. This Technique Was Firstdescribed In 2010 Which Aims At Leaving The Buccal Fragment Of Root Intact And Placing Implant On The Lingual Aspect Of That Fragment So That The Tissues Which Remain In Contact With The Buccal Fragment Retain Their Vitality And Prevent The Ridge From Collapsing Thus Improving The Aesthetics Especially During Implant In The Anterior Maxillary Region. The Tooth Root Fragment?s Periodontal Attachment Apparatus (periodontal Ligament, Attachment Fibers,vascularization, Root Cementum, Bundle Bone, Alveolar Bone) Is Intended To Remain Vital And Undamaged So As To Prevent The Expected Post-extraction Socket Remodeling And To Support The Buccal Tissuesand Esthetics Especialy The Pink One Which Supports The White Esthetics.

Aim: The Aim Of The Study Was To Compare Clinical And Radiographic Assessment Of Grafted Esthetic Zone Socket Shield Technique Vs. Graftless Esthetic Zone Socket Shield, With Immediate Implant Placement & Immediate Temporization.Methodology: A Total Of 30 Patients Who Were Randomly Selected From The Outpatient Clinic Of The Oral And Maxillofacial Department. The Patients Were Randomly Divided Into Two Groups Each Group Contains Fifteenpatients Using Sealed Envelopes That Was Drawn On The Day Of Surgrey, The Study Group Recieved Socket Sheild Technique With Grafting The Jumping Gap With Xeno Graft Particulate With Immediate Temporization And The Control Group Recieved Socket Sheild Technique Without Grafting The Jumping Gap With Immediate Temporization. The Outcome Measure Was :PES, After 6 Months.

Results:.The Median And Range Of The Pink Esthetic Score Of The Control Group Was 10 (8-12) Immediately And Increased To 12 (9-13) After 6 Months, While The Median And Range Of The Pink Esthetic Score For The Study Group Was 10 (8-12) Immediately And Increased 13 (11-14) After 6 MonthsConclusion Grafting The Jumping Gap While Using The Socket Shield Technique Have Quite The Same Result In Relation To Pink Esthetic Score Due To The Presence Of The Shield Itself Which Clarifiesthe Result In Both Groups Regarding The Soft Tissue Reaction.