The patient has a root fracture at tooth 11 and due to the root micro movement in the alveolar ridge together with the periodontal bacterial infiltration, the buccal bone was resorbed (type 2 class). Tooth 11 was extracted atraumatically and the socket preservation procedure was performed in accordance with the open-healing protocol. The final outcome was stable, from both functional and esthetic points of view, reinforcing the biological advantages using the open-healing technique followed by fl apless tissue level implants in the esthetic zone.
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