Anterior Single Implants Combined with Bone and Soft Tissue Grafting in Maxillary Esthetic Area: A Report of Two Cases

Immediate implant placement (IIP) is a feasible treatment option for replacing a single tooth in the maxillary anterior region, offering a favorable long-term success rate and the advantages of reduced surgeries and overall treatment time.However, as IIP does not prevent resorption of the alveolar ridge dimensions after tooth extraction, additional hard and/or soft tissue grafting procedures are often considered to compensate for post-extraction ridge alterations, augment the buccal ridge contour, and improve esthetic outcomes.In this study, we report two cases of single IIP in the maxillary anterior incisor, combined with simultaneous bone grafting of the horizontal gap and buccal soft tissue augmentation using connective tissue harvested from the maxillary palate.Both patients showed favorable buccal ridge profiles without specific complications and were satisfied with the esthetic outcomes.Within the limitations of a short-term follow-up period, simultaneous bone grafting and soft tissue augmentation using a connective tissue graft in the IIP of a single tooth in the anterior maxilla is considered a reliable treatment option for maintaining the buccal ridge contour and soft tissue stability.