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The principle of biological width: case analysis

Tooth Extraction and Implant Placement Due to orthopedic considerations, the decision was made to remove tooth 21 carefully using a scalpel. The root of tooth 21 is extracted while preserving the outer cortical plate, which is about 0.5 mm thick and very vulnerable to lysis. An implant is placed maintaining biological width principles; directed bone regeneration fills the space with xenograft material without soft tissue augmentation.

Soft Tissue Augmentation Strategy Given the thin biotype of mucosa that needs improvement, a small graft from a potential tuberosity area was used for vestibular contour correction by placing it under mucosal flap on vestibular side initiating minimal regenerative process. In six months further augmentation will be done using either free gingival or connective tissue grafts from palate ensuring proper healing before finalizing with normal length transplant.