Retaining the Supra-Crestal Architecture
A case where a maxillary central incisor was hopeless. It was removed and the the crown and a small part of the root structure was bonded back into place with the hope and expectation that good socket regeneration would occur. However although the gingival complex was retained well, a residual bone defect remained. To compensate, an apical approach to the region was made. This did not disturb the crestal soft tissue architecture. It was possible to debride the region, to place an implant (through a minimal crestal opening) and then to augment with Bio-Oss and Bio Gide. This allowed a very satisfactory final restorative result to be developed.