A periodontal procedure demonstrating extraction of a tooth and its replacement with a dental implant. Please do not open if you are sensitive as the presentation depicts the procedure in graphic detail.

1. Immediate Approach-Clinical Appearance

2. Radiographic Appearance

3. External Resorption/Lack of Buccal Cortex

4. Extraction Site

5. Direction Finder

6. Radiographic

7. Immediate Placement

8. Lack of buccal cortex

9. Radiographic

10. Placement of GoreTex barrier over autogenous bone graft

11. Secured by tacks and cover screws

12. Primary Closure

13. Provisionalization

14. Moderate Lip Line

15. Provisionalization

16. Eight Months Healing Ready for Uncovery and Abutment Placement

18. Mill bone to reveal restorative platform

20. Definitive Restoration

22. Final Radiograph