Dr. Sheylla Brito

A 30-year-old patient presented with a compromised upper right central incisor (tooth 1.1) due to a root fracture. Following clinical and radiographic assessment, the tooth was deemed unrestorable. An atraumatic extraction was performed, successfully preserving the buccal bone. Immediate implant placement was with excellent primary stability.

To optimize the peri-implant soft tissue contour and volume, a connective tissue graft was harvested from the palatal mucosa and placed on the buccal aspect. The small buccal gap was filled with cerabone® +HyA mixed with autogenous bone, providing excellent volume stability and enhanced handling properties due to the pronounced liquid-binding capacity of hyaluronate, which forms a sticky and malleable material for easy and precise application. This combination ensured optimal adaptation to the defect morphology and promoted effective bone regeneration. A screw-retained immediate provisional crown was delivered during the same session to maintain and support the soft tissue profile.

The definitive restoration was planned after six months of healing and full osseointegration, using an ultra-polished zirconia crown for long-term aesthetics and stability.