Among the individuals who applied to the Department of Periodontology, Faculty of Dentistry, Health Sciences University between 2019 and 2021, patients with an unrestorable tooth in the maxillary esthetic region and required implant placement were included in this randomized clinical trial. Before implant surgery, patients were randomized into socket shield technique and guided bone regeneration groups. While the buccal gap was untreated in the socket shield group, a xenograft, and membrane were applied in the regeneration group. Peri-implant pocket depth, modified plaque index, modified bleeding index, keratinized mucosa width, and mucosal thickness were recorded at the permanent restoration and the postoperative first year. Horizontal bone level and vertical bone level were assessed with cone beam computed tomography images taken before the surgery and one year after prosthesis insertion. The pink esthetic score was evaluated with intraoral photographs taken before the surgical procedure and first-year follow-up.
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Peri-implant probing depth
Timeframe: Four months after implant restoration and first-year follow-up
Modified plaque index
Timeframe: Four months after implant restoration and first-year follow-up
Modified bleeding index
Timeframe: Four months after implant restoration and first-year follow-up
Keratinized mucosa width
Timeframe: Four months after implant restoration and first-year follow-up
Mucosal thickness
Timeframe: Four months after implant restoration and first-year follow-up
Radiographic bone level in the horizontal dimension
Timeframe: Before implant surgery and first year follow-up
Radiographic bone level in the vertical dimension
Timeframe: Before implant surgery and first year follow-up
Pink esthetic score
Timeframe: Before implant surgery and first year follow-up