The Primary aim of this study will be to evaluate the clinical, esthetic, and radiographic outcomes of hyaluronic acid combined with immediate implant placement using AI-assisted and computer guided modified socket shield technique in maxillary anterior sites exhibiting black triangles.
Adults (20-50) years old.
Single rooted maxillary anterior teeth with hopeless prognosis.
Periodontally compromised but with >50% remaining bone.
Presence of black triangle ≥2 mm.
Medically compromised patients and systemic conditions that complicate implant placement as uncontrolled diabetes, osteoporosis.
Alcoholic and Smokers patients.
Pregnant or lactating women.
Acute Pathology or infection at implant site
Parallel
Guided socket shield without Hyaluronic acid
Procedure/SurgeryComputer guided socket shield with immediate implant placement
Guided socket shield with hyaluronic acid
Procedure/SurgeryComputer guided socket shield with immediate implant placement with papilla injection by 0.2 mL of hyaluronic acid
Interproximal papilla fill
Using digital photographs the fill of interdental papilla will be assessed
pink esthetic score
The Pink Esthetic Score (range: 0-14) was assessed based on digital intraoral photographs by assigning a score of 0 to 2 for the following criteria compared to the adjacent reference tooth: mesial and distal papillae, soft tissue color, texture, level, contour, and alveolar bone defect
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