Implantodontology has been through a process of evolution, and, nowadays there are many ways to reestablish aesthetic and function to edentulous patient. But one of the aspects that stand as an obstacle is bone defect. Usually, creating favorable condition in terms of bone dimensions is not the main difficulty, but reestablishing satisfactory aesthetic that pleases the patient. Many grafts have been described in literature, mainly using bone from mandible ramous, chin (DINATO E POLIDO, 2001) and maxilla tuber (RIBAUDI, 2007). This report presents clinical case of patient JS, female, 35 years old, who had facial trauma involving tooth 21, 20 years ago, and it’s mobility, was treated by intraosseous steel wire stabilization. Nowadays tooth was in infra-occlusion, showing purulent secretion in cervical aspect due to internal reabsorption. Tooth extraction and removal of steel wire was preceded, avoiding alveolar bone trauma to prevent excessive bone loss, but vestibular bone was already lost. Then, tooth socket was decontaminated and immediate implant placed (NIITP 6515 BIOMET 3I). Correction of bone defect was obtained by soft and hard tissue graft from the maxilla tuber, maintaining connective tissue adhered to the bone. The graft was adapted to the defect with soft tissue aspect turned to keratinized portion of the retail, giving adequate volume and contour. So the immediate loading crown was adapted and adjusted just as literature recommends (BECKER, 2006). Patient’s showing improvement of aesthetic, function, harmonic gum contour, without signs of inflammation, pain or mobility.

Conflict of interest: None declared.