Clinical case description:

Female patient, 35 years old shows a necrosis site caused by an iatrogenic frenectomy. GBR surgery was performed and the necrotic tissue removed. It was used Geistlich Bio-Oss^® particulate bone and Geistlich Bio-Gide^® membrane stabilized with the help of a fixation pin. Primary wound closure was achieved. After 6 months of healing period, orthodontic extrusion for tissue enhancement was performed. Finally ceramic crowns were placed to achieve a satisfactory aesthetic outcome. The last picture is a 7 year follow up.