Due to a subgingival fracture, tooth 21 was removed using the Benex-Extraction System to ensure an atraumatic and tissue preserving extraction procedure. The consequently intact extraction socket is filled with a replacement material (heterograft) as protection against resorption. This heterograft is resorbable and supposed to be gradually replaced by autologous bone. Finally, the wound is closed with a soft-tissue punch.

Due to this careful tissue treatment, two months later only minimal resorption has occurred and soft tissue conditions are ideal for implant planning. Planning involves three dimensional imaging and simulation of the implant using an implant simulation software. It becomes obvious that no additional augmentation is necessary as a consequence of the preserving preparation of the implant area, and the implantation can be conducted.