This live operation starts with the extraction of tooth 12, which was loosened and damaged by trauma. Pin fixation was not possible, and a significant loss of distal papillary substance was observed. We therefore elected for placement a 4.5 mm conical Astra implant. After completion of the implant site drilling and the implant placement, a T-Adapt was inserted to shape and support the mucosa. A temporary crown was inserted chairside and left in place for 3 months.