Impact of Soft Tissue Grafts on Tissue Alterations After Immediate Tooth Replacement

Inclusion Criteria: * Presence of a failing maxillary incisor with neighbouring teeth and harmonic gingival contour; * Operated area with appropriate palatal/apical bone to install the implant; * A buccal wall defect confirmed by cone beam computed tomography; * Clinical attachment level \> 3 mm; * Good oral hygiene with visible plaque index \< 20%; * No bone loss in the neighbouring teeth; * Implant primary stability \> 32N Exclusion Criteria: * History of periodontal surgeries in the failing tooth; * Occlusal instability; * Systemic alterations that could compromise the surgical procedure, such ass smokers, bruxists; drug users; patients with diabetes or pregnants. * Active infection involving the gingival margin * Patients undergoing radiotherapy in the head and neck area. Patients presented history of bone associated diseases or medication affecting bone metabolism;