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A case report about Severe Tissue Defect in Esthetic Zone In the anterior maxilla,dental implant-supported prostheses need to replicate the hard and soft tissue in order to achieve acceptable esthetic result. While this 28 years-old man hesitated to see dentist for several years, then showed us very poor oral hygiene, severe tissue defects(hard and soft tissue). What is scenario for this case? I had come up a protocol free from complex bone augmentation by adding effective intervention into each step. A micro titanium mesh was used as the labial wall of the socket in two surgical steps. After three main steps of treatment, the final CBCT analysis showed good bone integration around implant. The Conclusions may come up as: 1. Micro titanium plate can be flexibly applied in different steps. 2. Add effective intervention into every traumatic procedure. 3. Successful tissue regeneration needs predictable space maintaining by proper devices. For more information please visit us on our website https://www.geistlich-pharma.com/en/d...