Background
The loss of anterior tooth leads to a volumetric deficit of soft and hard tissues, which causes an altered topography. This localized alveolar ridge defect in turn complicates the prosthetic rehabilitation and un-esthetic result might lead to patient’s social stigma. Such defects can be corrected by either soft or hard tissue augmentation, along with esthetic prosthesis.
Case presentation
This case report describes the augmentation of the sub-epithelial soft tissue graft to rebuild the lost gingival contour for prosthetic rehabilitation missing tooth in esthetic region. The surgical “trap door” approach is explained in detail along with procedure to introduce innovative E pontic design in prosthesis.
Conclusion
The ultimate goal of any prosthetic treatment is to enhance esthetics of patient thus aiding in his/her psychological health along with functional stabilization of the compromised arch. The periodontal surgery with gingival friendly prosthetic design increases esthetic outcome of the treatment.

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Posted 18 Sep, 2020
Posted 18 Sep, 2020
Background
The loss of anterior tooth leads to a volumetric deficit of soft and hard tissues, which causes an altered topography. This localized alveolar ridge defect in turn complicates the prosthetic rehabilitation and un-esthetic result might lead to patient’s social stigma. Such defects can be corrected by either soft or hard tissue augmentation, along with esthetic prosthesis.
Case presentation
This case report describes the augmentation of the sub-epithelial soft tissue graft to rebuild the lost gingival contour for prosthetic rehabilitation missing tooth in esthetic region. The surgical “trap door” approach is explained in detail along with procedure to introduce innovative E pontic design in prosthesis.
Conclusion
The ultimate goal of any prosthetic treatment is to enhance esthetics of patient thus aiding in his/her psychological health along with functional stabilization of the compromised arch. The periodontal surgery with gingival friendly prosthetic design increases esthetic outcome of the treatment.

Figure 1

Figure 2

Figure 3

Figure 4

Figure 5

Figure 6

Figure 7
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