60 year old lady, referred for implant placement in the maxillary right lateral incisor region. Favourable IHB, horizontal bone & soft tissue defect Seibert’s Class 1. Ridge width at the crest 2.5mm, with a concave profile apically, thereby precluding ridge expansion and splitting. Implant placed against the palatal plate after tapping to prevent the push of the plate, and the resultant dehiscence was about 7-8 mm. Grafted using Autogenous chips as the first layer on the implant, followed by an Alloplast putty, and a pericardium membrane before achieving tension free primary closure. The last pictures are of 1 year follow up ( which was almost a year ago)
