The patient had an absence of tooth 11, in addition to vestibular bone mass loss.

This fact was due to the wear of the alveolar bone, which is a problem that affects the elderly population. However, more and more recurrent in younger patients whose daily habits, whether in food or oral hygiene, are not ideal. Thus, developing periodontitis, through the accumulation of bacteria in the tissues of the oral cavity. In short, this disease affects the set of tissues that includes, especially the gum, bone and periodontal ligament, in order to maintain the firmness of the teeth in the jaw.

In view of the loss of vestibular bone mass, the team found a method to solve the case, by placing an implant (type IV) in immediate load, as well as connective tissue graft, at the same surgical time. During the surgery a temporary crown was placed, afterwards the natural tooth.

With the purpose of monitoring and comfort for the patient, we did the monitoring in fixed periods: 1 week, 1 month, 3 months, 1 year and 2 years. Thus, the procedure had an excellent response and acceptance. So, after 9 years the patient continues and maintains a healthy dentition.

In short, the stability provided by the conjunctive graft allowed the case to be performed in a single surgical phase, placing the implant under load.
In fact, we highlight the fact that this technique converts the case, also, stable for many years.

In this clinical case, we report 9 years later, in which the patient maintains healthy teeth.

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