Objective: The aim of this study was to evaluate Hyaluronic acid effect on immediate implant osseointegration placed in extracted sockets.Subjective and Methods: This study was conducted on 20 individuals; they were divided into two groups, Group (A) who received immediate implants with Hyaluronic acid and Group (B) who received immediate implants without Hyaluronic acid.Results: Comparing the two groups in periotest records, Probing depth (PD), crestal bone resorption, bleeding on probing (BPI). The results of this investigations showed that there was no statistically difference between the two groups.Conclusion: Immediate implant placed in extraction socket with the adjunctive use of Hyaluronic acid proved to be not effective on immediate implant osseointegration.