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