The fate of the gingival margin on anterior teeth relies on the buccal plate.

 

Anterior dental implants should be placed to the palate in the maxilla, leaving a gap between the implant interface and the buccal plate, preventing pressure necrosis and resorption of the plate.

Grafting or not is a personal preference of the surgeon.

With time a slight depression can be seen in almost every case.

 

As provisional he prefers to use flippers and hessex retainers, although many authors prefer to do immediate provisionals connected to the implant.

 

CREPE GRAFT

Insinuated into the buccal aspect of the site's marginal gingiva

 

LID GRAFT

To cover the top of the alveolus, ensuring first intention healing

 

 

CLINICAL CASE TOOTH #8, WITH EXTERNAL ROOT RESORPTION

 

CLINICAL CASE TOOTH #9