30-year-old patient presented with a fractured tooth #8 (upper left central incisor). She had a fairly high smile line and wanted to replace the tooth with an implant, but to also create a natural gum line and tooth appearance. Because of the thin nature of the bone around the tooth, bone grafting was recommended first, followed by the implant at later time.
The tooth was extracted and immediately grafted with some bone graft material at the same time. She was then given a temporary prosthesis. The site healed completely in 6 months. A single implant was then placed and allowed to heal for another 2 months. A temporary crown was placed on the implant and the gum tissue was allowed to mature for about three months before fabrication of her final crown.