A custom-shaped healing cap may keep gums and bone in better shape after tooth extraction and implant placement

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * Willing to sign an IRB-approved informed consent and HIPAA authorization form prior to participation. * Between the ages of 20 and 75 years old. * ASA Classification I and II. * Hopeless maxillary or mandibular posterior teeth, eligible for immediate implantation, and with intact/successfully restored adjacent teeth. * Willing to perform tasks associated with the study and to attend all study visits. Exclusion Criteria: * HbA1c \>6.5%) as per a chairside test (Siemens Bayer DCA 2000+); * smoker (any status); * immunodeficiency; * history of head and neck radiotherapy; * intake of bone anti-resorptive drugs; * cysts or tumors in the area; * self-reported pregnancy; * poor oral hygiene; * active periodontal disease; * acute endodontic infection and pus discharge on the site itself and adjacent areas; * lack of mutually protected occlusion; * insufficient inter-occlusal clearance (\<15 mm); * sites with an existing midfacial mucogingival recession/deficiency (scar tissue); * sites with a high-scalloped, thin biotype. Those who appear to qualify will have a CBCT scan taken with an open bite and proper retractions of the cheek, lips, and tongue (standard of care), and the following inclusion criteria, based on the CBCT results, must be present in order for the subject to be fully enrolled in the study: * Sites with an intact or minimally damaged facial bone plate measuring greater than 1 mm in thickness; * Sites with at least 5 mm of healthy bone between the socket apex and the relevant anatomical structure (e.g., the maxillary sinus floor in the maxilla or the inferior alveolar nerve, submandibular/sublingual fossa, mental foramen, or anterior loop of the inferior alveolar nerve in the mandible); * In multirooted molar sockets, the presence of a short root trunk and an interradicular septum with a minimum height of 5 mm and a thickness of 3 mm.