When patients present with high smile line it is very risky to do immediate placement in the esthetic zone.  In this case I extracted-grafted with cytoplast membrane allowed 3 months of healing before implant placement

Warning-High Smile

Warning–High Smile

Extraction-Graft-Cytoplast membrane

Essix Provisional

3 months post graft

3month after implant placement and custom abutment

Provisional

Final Restoration

Custom Abutment with E-Max

Final

Final

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