Peri-implant Soft Tissue and Bone Evaluation in Fully Computer Guided Immediate Implants

Inclusion Criteria: * Males and females aged at least 18 years. * Patients free from any systemic disease as evidenced by health questionnaire - - Single tooth failure of a maxillary anterior region (incisors, canines, and premolars) with neighbouring teeth present and healthy periodontal conditions. * Intact socket walls evident on cone beam computed tomography and confirmed on the day of extraction. * Natural teeth present adjacent to the tooth being replaced in addition to a natural counterpart tooth present for esthetics criteria evaluation. * Adequate bone apical to the tooth to be replaced with a minimum primary stability of 30 Ncm. * Thick gingival biotype. Exclusion Criteria: * Presence of active infection around the failing tooth or adjacent teeth. * Presence of active periodontal disease and gingival recession in the esthetic area. * Systemic diseases , pregnancy and smoking. * Recent orthodontic treatment. * Bruxism and parafunctional habits . * Labial plate dehiscence, fenestration, or loss after tooth extraction * Inability to achieve primary stability after implant placement * Vulnerable groups: prisoners, mentally retarded, etc