Validity of autogenous dentin graft in filling the jumping gap in immediate dental implant placement in anterior maxilla

Objectives: The purpose of the present study was to evaluate the validity of using autogenous dentin graft to fill the jumping gap in immediate dental implantation of anterior maxilla. Material and methods: The study comprised fourteen patients seeking treatment for compromised anterior maxillary teeth. Two equal groups were randomly selected from the patients (7 in each group). In both groups, the patients have their offending teeth extraction with simultaneous immediate implantation. The gap around the implants were grafted with autogenous dentin in group1 and autogenous bone in group 2. All patients were clinically and radiographically evaluated for implant stability and the changes of bone density around implant. Results: In both groups, all implants showed acceptable primary stability with a significant improvement in secondary stability measured at 6 months postoperatively, no difference was found between groups. The mean value of bone density was significantly increased in both groups, no difference was found between groups. Conclusion: The use of autogenous dentin graft with immediate implantation offers a new promising safe, compatible, and effective method for managing the healing process around immediate dental implants placement.