{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T00:54:11Z","timestamp":1778460851123,"version":"3.51.4"},"reference-count":48,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,1,3]],"date-time":"2023-01-03T00:00:00Z","timestamp":1672704000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Implant Dent Rel Res"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Immediate implant in postextraction sockets requires managing the postextraction alveolar resorption. This randomized clinical trial examined vertical and horizontal changes 1\u2010year following flapless immediate implant with and without xenograft at sites with thin labial plate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Forty patients with hopeless teeth in maxillary esthetic zone were randomly assigned to receiving either one immediate implant without bone graft (control) or with bone graft (intervention). Cone beam computed tomography (CBCT) scans were obtained pre\u2010extraction and 1\u2010year postoperatively to measure thickness and dimensional changes of the labial bone.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Cone beam computed tomography measurements revealed that a xenograft, when compared to no xenograft, led to 0.2\u2009mm increased fill of the horizontal gap (95% confidence interval (CI): \u22121.1, 0.7). In both groups, there was a significant reduction in the labio\u2010palatal bone width after 1\u00a0year compared to baseline (<jats:italic>P<\/jats:italic>\u2009\u2264\u20090.05). There was no significant difference (<jats:italic>P<\/jats:italic>\u2009&gt;\u20090.05) between the xenograft when compared to no xenograft regarding the labio\u2010palatal bone collapse % at 0\u2009mm (\u22120.2, 95% CI: \u22124.8, 4.5) and 2\u2009mm apical to the labial crest (1.9, 95% CI: \u22121.8, 5.6). While at 5\u2009mm the ridge was significantly reduced (<jats:italic>P<\/jats:italic>\u2009\u2264\u20090.05) in the no xenograft when compared to xenograft (4.5, 95% CI: 0.7, 8.2). The xenograft when compared to no xenograft, led to 1.1\u2009mm less vertical bone changes (95% CI: 0.4, 1.9). Both groups revealed significant positive correlation between labio\u2010palatal socket dimension and bone formed labial to the implant (<jats:italic>P<\/jats:italic>\u2009\u2264\u20090.05). [Correction added on 7 February 2023, after first online publication: In the 8th line of this section, the word \u201ccollapse\u201d was changed to \u201cridge\u201d in this version.]<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This investigation suggested that immediate implants with or without grafting the labial gap preserved alveolar bone dimension and that bone formation labial to the implant was related to initial labio\u2010palatal socket dimension.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cid.13178","type":"journal-article","created":{"date-parts":[[2023,1,4]],"date-time":"2023-01-04T00:27:47Z","timestamp":1672792067000},"page":"271-283","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Bone dimensional changes after flapless immediate implant placement with and without bone grafting: Randomized clinical trial"],"prefix":"10.1111","volume":"25","author":[{"given":"Ahmed Ibrahim Aboul","family":"Fettouh","sequence":"first","affiliation":[{"name":"Implant Specialty Program, Continuing Education Center, Faculty of Dentistry Misr International University  Cairo Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7268-7882","authenticated-orcid":false,"given":"Noha A.","family":"Ghallab","sequence":"additional","affiliation":[{"name":"Oral Medicine and Periodontology, Faculty of Dentistry Cairo University  Giza Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khaled Abdel","family":"Ghaffar","sequence":"additional","affiliation":[{"name":"Oral Medicine and Periodontology, Faculty of Dentistry Ain Shams University  Cairo Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nael Adel","family":"Mina","sequence":"additional","affiliation":[{"name":"Private Practice BDS Misr International University  Cairo Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariam Samy","family":"Abdelmalak","sequence":"additional","affiliation":[{"name":"Private Practice BDS Misr International University  Cairo Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdelrahman Ali Gamaleldin","family":"Abdelrahman","sequence":"additional","affiliation":[{"name":"Private practice Orascan radiographic center  Cairo Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nesma Mohamed","family":"Shemais","sequence":"additional","affiliation":[{"name":"Oral Medicine and Periodontology, Faculty of Dentistry Cairo University  Giza 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