Figure 1

a) Full thickness flap was raised 3 mm beyond the mucogingival junction without releasing incisions with adequate mesial and distal extension to form a pocket. This pocket will later cover the graft ending. Buccal bone had adequate height and width hence no need for buccal overbuilding and membrane placement. b) clinical situation immediately after root extraction. c) The socket was filled with DFDBA. A partial thickness pedicle flap was raised. The flap was placed in position and the de-epithelialized ending was placed into the buccal pocket and- d) Sutured. Dressing was placed on the graft and the denuded donor site. e) Same patient three months post-operatively. Notice the vestibular height and the esthetics of the graft site