Immediate implants in recently vacated sockets are considered a predictable and efficient approach; however, the processes of healing and osseointegration associated with specific grafting substances, such as sticky bone and demineralized bone matrix containing calcium sulfate hemihydrate (DBM-CSH), warrant further exploration. This investigation is designed to appraise these grafts in the context of concurrently inserted implants. A total of 18 subjects (6 men and 12 women) requiring at least 1 dental extraction were randomly assigned to 2 groups. Group I received sticky bone grafts, whereas group II received DBM-CSH treatment. Both clinical and imaging evaluations were performed at the commencement, then at 3 months, and again at 6 months post-insertion, with outcomes statistically analyzed. The trial corroborated that the insertion of immediate implants employing non-traumatic protocols successfully safeguards the hard and soft tissue architecture around the extraction locus. Throughout the 6-month observation window, both groups demonstrated meaningful soft-tissue gains, with the sticky bone cohort showing greater crestal bone height gain than the DBM-CSH cohort. Immediate implant insertion with either sticky bone or DBM-CSH grafts yields esthetically pleasing results and poses no risk of contamination or pathogen transfer. The integration of DBM into autologous fibrin glue (sticky bone) may augment the performance of immediate implants.
