Multi-modality anterior extraction site grafting. Increased predictability for aesthetics.

The extraction of teeth creates a documented loss of bone. In the anterior maxilla, the aesthetic loss of hard and soft tissue can be minimized through the inclusion of the latest grafting procedures and materials available. In this article, an aesthetically challenging grafting case is presented that includes the use of demineralized freeze-dried bone allografts (DFDBA), platelet-rich plasma (PRP), xenograft, and connective tissue grafting. A review of the principles, materials, and techniques is presented.