The patient is a 36-year-old, healthy female. Her right canine presents with a very bad aesthetic. The patient complained about pain and swelling in the area of tooth #13 (6). A fistula with active suppuration was located on the buccal side. Complementary exams show a major loss of periodontal bone, especially in the buccal wall. The tooth had a root canal and was lost.
The treatment plan includes atraumatic extraction of tooth #13(6). Careful removal of all the socket granulation tissue. Placement of an immediate implant, socket bone grafting and immediate load with a temporary crown. 6 months later, placement of the final crown.