Clinical Case Report: Immediate Implant Placement with Soft Tissue Augmentation

A 52-year-old female patient presented with a darkly discolored crown on tooth 21. Radiographic examination revealed a previous root canal treatment with a periapical lesion. Treatment involved the placement of an immediate ceramic SDS implant (SDS1.2_4614). A de-epithelialized free gingival graft (DFGG) from the palate, combined with platelet-rich fibrin (A-PRF), supported healing and regeneration of the keratinized tissue.

After 6 months, alveolar architecture was stable, and gingival contours were optimized. At 12 months, further improvements were observed in bone regeneration, tissue thickness, and color integration. The patient was highly satisfied both aesthetically and functionally.

Clinical Relevance:
The combination of immediate implantation and DFGG ensures stability of both bone and soft tissue, while the tulip-shaped SDS implant provides mechanical support to the crestal bone—making it ideal for aesthetic anterior restorations.