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
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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