Guided Modified Socket Shield With Hyaluronic Acid for Black Triangle Management

NCT07586228 | Not Yet Recruiting DMC

• 1 other identifier: OMPDR4-26/3575
• Study Type: interventional
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Dental Implant Failed

Outcome Measures

Primary Outcomes (1)

• Interproximal papilla fill

  Using digital photographs the fill of interdental papilla will be assessed

  12-months

Secondary Outcomes (1)

• pink esthetic score

  12-months

Study Arms (2)

Flapless Socket shield technique with AI-based immediate implant placement

EXPERIMENTAL

The root was vertically sectioned with removal of the palatal fragment and preservation of a 2 mm buccal shield shaped and beveled to support the emergence profile. Guided osteotomy was performed followed by immediate implant placement

Procedure: Guided socket shield without Hyaluronic acid

Flapless Socket shield technique with AI-based immediate implant placement & Hyaluronic Acid

EXPERIMENTAL

The root was vertically sectioned with removal of the palatal fragment and preservation of a 2 mm buccal shield shaped and beveled to support the emergence profile. Guided osteotomy was performed followed by immediate implant placement then 0.2 mL of hyaluronic acid was injected into the interproximal papillary area

Procedure: Guided socket shield with hyaluronic acid

Interventions

Guided socket shield with hyaluronic acid PROCEDURE

Computer guided socket shield with immediate implant placement with papilla injection by 0.2 mL of hyaluronic acid

Flapless Socket shield technique with AI-based immediate implant placement & Hyaluronic Acid

Guided socket shield without Hyaluronic acid PROCEDURE

Computer guided socket shield with immediate implant placement

Flapless Socket shield technique with AI-based immediate implant placement

Eligibility Criteria

• Age: 20 Years - 50 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• 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.
• Systemically healthy.

You may not qualify if:

• 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
• Patients with a history of chemotherapy, radiotherapy in head and/or neck region.
• Patients on bisphosphonate or steroids therapy.

Sponsors & Collaborators

• Kafrelsheikh University: lead

Study Sites (1)

faculty of dentistry, kafrelsheikh University

Kafr ash Shaykh, Kafrelsheikh, 214312, Egypt

Location

MeSH Terms

Interventions

Hyaluronic Acid

Intervention Hierarchy (Ancestors)

Glycosaminoglycans; Polysaccharides; Carbohydrates

Study Officials

• Ahmed abdelmonem, bachelor

  Faculty of dentistry, Tanta University

  STUDY CHAIR

Central Study Contacts

walid elamrousy, Phd

CONTACT

01029552024; waled_hammed@den.kfs.edu.eg

Ahmed Abdelmoneim, bachelor

CONTACT

01061283932; pg_1821970@dent.tanta.edu.eg

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: single by the Outcomes Assessor
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor df Periodontology, Faculty of Oral and Dental Medicine, Kafrelsheikh University

Model Details: 2 parallel arm single blinding

Study Record Dates

• First Submitted: May 8, 2026
• First Posted: May 14, 2026
• Study Start: May 10, 2026
• Primary Completion (Estimated): June 10, 2027
• Study Completion (Estimated): June 15, 2027
• Last Updated: May 15, 2026

Record last verified: 2026-05

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)