Article:

This paper describes a procedure for immediate loading of an implant following tooth extraction, in a socket presenting severe damage to the vestibular bone plate and gingival recession in the region of the upper central incisors. The procedures of extraction of the tooth, immediate insertion of the implant, connective- bone graft from the maxillary tuberosity and immediate restoration were shown to be a predictable treatment alternative. These procedures led to restoration of the tooth, bone and gingival structures in a single surgical stage and to maintenance of the favorable esthetic and functional result 24 months afterwards.