The upper right central incisor had to be extracted due to poor prognosis. The challenge in this case was that the patient had a high smile line, so showed a lot of her gums whilst smiling. Therefore the gum architecture had to be maintained and look natural; often when we lose teeth the soft tissues become less full and can regress. This case involved a combination of bone and soft tissue grafts to ensure the gum around the implant crowns look as natural as possible to fit in with the surrounding gum upon smiling.
BDS (Hons.) MJDF RCS (Eng), MClinDent (FRP Lond) FICOI, MSc (Dental Implantology)
BDS (Lond) MJDF RCS (Eng)