Aim: In this case report a male patient is presented with a congenitally missing right upper central incisor. Different treatment methods have been combined, including ridge-split technique and flapless surgery.
Methods: The internal tri-lobed impalnt was placed during the bone splitting procedure. Presurgical orthodontic treatment and post-surgical soft-tissue manipulation is described.
Results: The high esthetic outcome, achieved with the screw-retained crown, evaluated with the PES and PI are presented. Results are documented right after final restortion and after one year.
Conclusion: The use of screw-retained temporary composite crowns for soft-tissue contouring is affirmed. One year after rehabilitation the screw-retained press-ceramic crown is still in function without any esthetic compromise. The surgical method described and used in this case report still needs long-term evidence-based evaluation and verification.