The present study aims to compare the dimensional stability of the supra-implant complex following flapless immediate implant placement using two socket management approaches: the connective tissue graft and the socket shield technique. Three-dimensional volumetric analysis and cone-beam computed tomography (CBCT) will be employed to assess and quantify changes in soft and hard tissue thickness and height surrounding the implant site.

The current study will include 28 non-restorable single maxillary anterior teeth indicated for extraction. Patients will be randomly allocated into two equal groups. The test group will undergo immediate implant placement combined with the socket shield technique and a customized healing abutment, whereas the control group will receive immediate implant placement with connective tissue grafting and a customized healing abutment. A pilot surgical guide will be used for both groups. The primary outcome measure will be labio-palatal ridge dimension changes changes. Secondary outcome measures included labial soft-tissue volumetric changes, bone formation labial to the implant, vertical bone level changes and pink esthetic score. All outcomes will be evaluated after a 12-month follow-up period.

Inclusion Criteria:

• Initial intact thick gingival biotype
• 2 mm band of keratinized tissue,
• Thin intact labial bone plate (< 1mm)
• Good apical bone for primary stability
• Patients who had provided an informed consent.

Exclusion Criteria:

• Immediate implants with bone grafts or guided bone regeneration procedures
• Uncontrolled diabetes mellitus
• Patients taking IV bisphosphonates for treatment of osteoporosis
• Patients with active infection related at the site of implant
• Patients with untreated active periodontal diseases.