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Background and objective: The socket shield technique where the buccal fragment of the root is left attached to the socket wall before the dental implant insertion. The purpose of retaining the buccal fragment is to aid in restoring the esthetic natural appearance around dental implant. Aim: To assess the role of the retention of a buccal part of the root in preserving the pre-implant esthetic and functional condition. Methods: Forty patients had been enrolled randomly. Twenty cases of socket shield technique as study group and twenty cases of conventional immediate implant as control group, and these two groups were followed up and evaluated for the implant survival, pink esthetic score for the soft tissue related to dental implant, and radiographically with PA and O.P.G in addition to CBCT that aid in finding any pathology or bone defect and the thickness of the buccal bone related to placed implant. Results: One case failed out of twenty of each group. 95% success rate. With the clinical evaluation of pink esthetic score the socket shield technique showed a higher value that approximates the natural teeth 12.26, while in conventional technique there was decrease in the values of pink esthetic score 9.63. The results of the conventional immediate implant technique were unpredictable, and some of the cases after one year needed soft tissue graft to repair the esthetic defect that was not needed in socket shield technique. Conclusion: The Socket shield technique could be a good choice and treatment modality for the esthetic zone. It gives the optimum esthetic results but still needs a very experienced surgeon to prevent the complications that are related to this technique.

Socket Shield Technique for Dental Implants in The Esthetic Zone, Clinical And Radiographical Evaluation