Management of the Fresh Extraction Socket in the Aesthetic Area

This study is examining the best way to manage the empty tooth socket left after a tooth extraction in the front part of the mouth (the aesthetic zone, including premolars). When a tooth is removed, the bone and gum around the socket can collapse, which can make it harder to place a dental implant and affect the final appearance. Researchers are testing techniques to preserve the socket and maintain bone and gum tissue. The study compares different socket management strategies after extraction to see which approach best preserves the site for eventual implant placement. The goal is to find the most predictable technique for patients who want to replace missing front teeth with implants. You may be eligible if: - You are 18 years or older - You have a single tooth in the front of your mouth (including premolars) that needs to be extracted - You smoke no more than 10 cigarettes per day - Your gums are healthy (low bleeding on probing, good plaque control) - There is no active abscess or infection at the extraction site - The tooth socket has minimal bone loss (less than 30% of one or more walls) You may NOT be eligible if: - You are still growing (younger than 18) - You have an autoimmune disease, uncontrolled diabetes, or are immunocompromised - You have had radiation therapy to the head or neck for cancer - You are pregnant Talk to your doctor to see if this trial is right for you.