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17 Fig. 5 and 6: Photograph of the implant region. Using the Luer bone rongeur, a plateau was prepared in the correct vertical position. Incision with no vertical relief incision. Fig. 4: From the incisal approach there appears to be a soft tissue and bone defect. After explaining the available treatment options in detail, the patient opted for an implant-supported prosthetic restoration. The implantation was done eight weeks after tooth extraction as a delayed imme- diate implant placement. The iSy implant was positioned so that it sits below the dental tubercle and the restoration can be screwed in from the palatal direction (Fig. 5 to 7) . Transgingival healing Even though subgingival healing is also possible with the iSy Implant System, we almost always prefer transgingival healing. This is very easily implemented with iSy using the premounted implant base, which also acts as an insertion post, and the PEEK gingiva former that can be attached to the implant base (Fig. 8 to 11) . We know from the literature that a transgingival approach in the esthetic zone has no drawbacks, even with moderate bone augmentation [1]. During the healing period, no prosthet- ic restoration was inserted at the patient’s request. Simple prosthetic transfer The prosthetic restoration was completed after three months’ healing. The healing proceeded without any complications and the soft tissue was very nicely con- toured (Fig. 12 and 13) . The prosthetic concept behind the iSy Im- plant System enables subsequent steps to be carried out very easily on the implant base: impression taking, bite registration, and the temporary restoration. Fig. 10: The soft tissue lies close to the iSy gingiva former (PEEK). Fig. 13: View of the iSy implant base after removal of the iSy gingiva former. The soft tissue appears nicely thickened and robust. Fig. 11: Control radiograph after implant placement (iSy im- plant diameter 3.8 mm, length 11 mm). Fig. 9: Suturing around the iSy gingiva former mount- ed on the implant base (suture material Glycolon ® , Resorba, 5.0 absorbable). Fig. 12: Situation after three months’ healing. CASE STUDY