Effect of Customized Versus Stock Healing Abutments on Peri-Implant Soft Tissue

The aim of this study is to compare customized and stock healing abutments for peri-implant soft tissue changes after immediate implant placement in the maxillary esthetic zone, and to assess the feasibility of a full-scale trial.

Inclusion Criteria: 1. Good general health (ASA I or II). 2. Adult patients above 18 years of age. 3. Males or females. 4. Good oral hygiene and compliance with follow-up visits. 5. Willing to sign the informed consent. 6. Non-restorable (hopeless) tooth in the maxillary esthetic zone (canine to canine). 7. Intact facial bone wall of the socket after extraction. 8. Sufficient bone apical and palatal to the socket to achieve primary implant stability (≥ 35 Ncm). 9. Presence of adjacent and opposing natural teeth. 10. Healthy periodontium around adjacent teeth. Exclusion Criteria: 1. Participants with uncontrolled systemic illness. 2. Pregnant or lactating females. 3. Smokers. 4. Concomitant participation in another study. 5. Heavy bruxism habits. 6. History of radiotherapy to the head and neck region or bisphosphonate therapy. 7. Patients who refuse to participate. 8. Acute infection or abscess at the site. 9. Facial bone wall dehiscence or defect. 10. Insufficient bone for primary stability. 11. Active periodontal disease. 12. Previous bone augmentation or implant at the same site.