Management of Compromised Esthetic Zone with Modified Bio-Col Procedure

Following extraction of tooth, a considerable change in alveolar ridge anatomy occurs pertaining to morphology and dimension in a short span of time. These variations can significantly affect future rehabilitation process if not planned. An implant placement may become more complicated if bone resorption is more. Tissue engineering aims to reestablish functional, healthy tissues and structures in order to supplant unhealthy, dying, or deceased tissues. Diverse tissue regenerative techniques have been established for rectifying bone defects with the intention of creating an efficient and appealingly agreeable pontic or implant restoration situates. A simple minimally invasive procedure immediately following tooth extraction known as Bio-Col alveolar ridge preservation technique decreases the necessity for reestablishing challenging ridge defects. This case represents a revised technique of preserving socket in periodontally compromised situation using a combination of platelet rich fibrin, collagen scaffold and bone graft followed by rehabilitation with implant for esthetic replacement. Clinically and radiographically efficacious restoration of the alveolar ridge, with the ability to receive functionally and esthetically acceptable implant site was demonstrated.The modification simplifies the technique without negotiating the esthetic outcome. This procedure is beneficial in maintaining alveolar bone and soft tissue architecture.