Maxillary Central Incisors Research Articles

In Vitro Effect of Luting Cement on Fracture Resistance of Primary Maxillary Central Incisors with Fiber Posts.

Objectives: The use of fiber posts in endodontically treated primary maxillary central incisors improves the retention of composite resin restorations. The purpose of this study was to evaluate the effect of 4 different luting cements on fracture resistance of primary maxillary central incisors with fiber posts. Materials and Methods: In this in vitro study, 40 primary maxillary central incisors were endodontically treated and obturated with Metapex. They were then randomly divided into four groups (n=10) for cementation of fiber posts with GC Fuji I glass ionomer luting cement, Panavia F2.0 dual-cure luting cement, Panavia SA Luting Plus cement (self-adhesive), and TotalCem self-adhesive cement. After 1000 thermal cycles, the fracture resistance was measured. Data were statistically analyzed using ANOVA (alpha=0.05). Results: The mean fracture resistance was 267.07±130.01N in TotalCem, 257.27±102.56N in Panavia F2.0 dual-cure cement, 227.82±110.40N in Panavia SA Luting Plus self-adhesive cement, and 220.89±59.96N in GC Fuji I glass ionomer group. There was no statistically significant difference in fracture resistance among the four groups (P=0.714). Conclusion: Type of luting cement had no significant effect on fracture resistance of primary maxillary central incisors with fiber posts. Nonetheless, TotalCem yielded the highest fracture resistance. Considering its self-adhesive property and easy workability, it can be a good option for cementation of fiber posts in endodontically treated primary central incisors.

Fracture resistance of ultratranslucent multilayered zirconia veneers with different facial thicknesses.

To assess the fracture resistance of computer-aided design and computer-aided manufacturing (CAD/CAM) ultratranslucent multilayered zirconia (5Y-YZP) veneers with varying facial thickness. Sixty translucent zirconia veneers were designed and milled using a chairside CAD/CAM system for maxillary central incisors. The butt joint incisal veneer tooth preparations consisted of 1.00 mm incisal reduction, 0.40 mm chamfer margin, and three different facial reductions; 0.50, 0.75, and 1 mm, respectively. The ceramic veneers were cemented to printed resin dies and subjected to thermal cycling. Subsequently, the restorations were loaded with compressive loading force, and fracture occurrences were recorded. Scanning electron microscope (SEM) images of the fractured specimens were captured. The fracture resistance varied among the veneers with different facial thicknesses. Ultratranslucent zirconia veneers with a facial thickness of 1.00 mm exhibited the highest fracture resistance values (742.15 N), followed by those with 0.75 mm facial thickness (673 N). Minimally invasive veneers with 0.50 mm thickness displayed similar fracture resistance as thicker veneers with 0.75 mm. However, veneers with 1.00 mm thickness displayed the highest values. SEM fracture patterns for 0.50 and 0.75 mm display similar and fewer crack lines than 1.00 mm veneers. RESEARCH HIGHLIGHTS: Minimally invasive zirconia veneers exhibit similar fracture resistance to thicker veneers.

Quality of different obturation techniques to fill perforating internal root resorption: a micro-computed tomographic study

BackgroundThis study aimed to assess the quality of various obturation techniques to fill perforation caused by internal root resorption using Micro-computed Tomography.MethodsCone-beam computed tomography images of a maxillary central incisor tooth with perforating internal resorptive defect were used to create a 3D printed model of the affected tooth. The replicas were divided into four groups based on the obturation technique used. The techniques included Group 1: a polydimethylsiloxane-based sealer (GuttaFlow-2) with gutta-percha. Group 2: same as Group 1 except for using a pre-mixed Bioceramic-based sealer (NeoSEALER Flo). Group 3: the defect was filled entirely using the NeoSealer Flo Bioceramic-based sealer. Group 4: the samples were obturated using the warm vertical compaction technique with a resin-based sealer (ADSeal). The resin models were then scanned a micro-computed scanner to evaluate the percentage of voids in each group.ResultsThe results showed that NeoSEALER Flo groups had significantly the highest volume of voids while GuttaFlow-2 and warm vertical compaction groups had the lowest void volume.ConclusionsGuttaFlow-2 and warm vertical compaction techniques performed best in filling the internal resorptive defect.

Evaluation of stress distributions in endodontically treated anterior incisors under occlusal and trauma-induced forces following various restoration treatments: A finite element analysis.

The aim of this study was to calculate the stress distribution of fiberglass post associated with resin composite crown restoration and fiberglass posts with zirconia restorations in mature and immature endodontically treated central maxillary incisor under various loading conditions. The study created six different study models in a virtual environment: healthy mature maxillary central teeth, intact immature maxillary central teeth, mature maxillary central teeth with fiberglass post associated with resin composite crown restoration, immature maxillary central teeth with fiberglass post associated with resin composite crown restoration, mature maxillary central teeth with fiberglass posts and zirconia restoration, and immature maxillary central teeth with fiberglass posts and zirconia restoration. Loading conditions simulating mastication, trauma, and bruxism were applied to each of the models at different angles and amounts. The von Mises and the maximum and minimum principal stress values in tooth structures (dentin) and support structures (bone, PDL) and materials were observed using finite element stress analysis. The highest stress values in the tissue and the restoration structure were observed for masticating force and crowns rehabilitated with zirconia restorations. None of the compared loading conditions and restorations showed destructive stress values on periodontal ligament or bone. The mature and immature endodontically treated central maxillary incisors can be better rehabilitated using fiberglass post associated with resin composite crown restoration and may be preferred to zirconia restorations in order to reduce the stresses on the surrounding tissues and teeth. However, further clinical studies are needed to fully explore this topic.

Treatment For Type II Dens Invaginatus in a Mandibular Lateral Incisor: A Report of Rare Case

Dens invaginatus is one of the developmental abnormities of the tooth which occurs with an invagination of the enamel organ into the dental papilla during tooth development. This abnormity presents a wide spectrum of morphological variations. According to Oehlers classification, in dens invaginatus type II the invagination invades above the cemento-enamel junction, connecting to the pulp; however, there is no connection with the periodontal ligament. This abnormity presents significant challenge when root canal treatment is necessary. The most frequently affected teeth are permanent maxillary lateral incisors, followed by permanent maxillary central incisors. There are limited case reports of mandibulary central incisors; however, there is no publication of mandibular lateral incisors with dens invaginatus type II. This case report aimed to present cone-beam computed tomography aided diagnosis and treatment for type II dens invaginatus in a mandibular lateral incisor with a talon cusp and a large periapical lesion.

Cone-Beam Computed Tomography Study of Incisive Canal and Maxillary Central Incisors in Dravidian Population.

En-masse maxillary anterior retraction is necessary to attain an esthetic profile in Angle's class I bimaxillary dentoalveolar protrusion and Angle's class II division 1 malocclusion. The objective of this study was to evaluate configurational relationships between maxillary incisors and incisive canal in Angle's class I bialveolar protrusion and Angle's class II division 1 malocclusionby cone-beam computed tomography (CBCT). A total of 108 adult CBCT scans of 54-skeletal class I bialveolar protrusion and 54-skeletal class II division 1 malocclusions were retrospectively analyzed. Angles between palatal plane and axis of maxillary alveolar border (θ1),incisive canal (θ2), and maxillary right central incisor (θ3) were measured in relation to the midsagittal plane. Linear measurements such as incisive canal width (IC-IC), medial inter-root distance (Rm-Rm), posterior inter-root distance (Rp-Rp), anteroposterior distance from Rm to tangent of right central incisor (11 Rm-Cat), and left central incisor (21 Rm-Cat)corresponding to three vertical levels (L1, L2, and L3) were assessed in axial cross-sectional plane. Association among angular measurements was examined by Spearman correlation coefficient analysis. Mann-Whitney U test compared variables of linear measurements at three vertical levels. Estimated distance from incisor root to incisive canal was 5-6 mm in both groups slightly influenced by skeletal class and vertical levels but not gender. Mann-Whitney test demonstrated significant differences between groups at three vertical levels (p<0.05). Only θ2 revealed a significant difference (p<0.05) between malocclusions compared to θ1 and θ3. The angular measurements for both malocclusions were positively correlated (p<0.05). Sagittal root-canal cortical plate distance varied significantly in both malocclusions (5-6 mm). Inter-root distance (Rp-Rp) was greater than incisive canal width (IC-IC) at all three vertical levels indicating a reduced possibility of canal invasion after maximum retraction at posterior levels.

Torque moments and stress analysis in two passive self-ligating brackets across different incisor inclinations: A 3-dimensional finite element study

ObjectiveTo compare torque expression characteristics between rectangular slot (0.022″ x 0.028″) Damon Q passive self-ligating brackets (Ormco, Glendora, Calif) and square slot (0.021″ x 0.021″) Pitts 21 brackets (OC Orthodontics) using 0.019″ x 0.025″ Stainless Steel and 0.020″ x 0.020” Titanium Molybdenum alloy wires at various incisal inclinations using finite element analysis. The null hypothesis was that there were no differences in torque expression in both tested groups. MethodsReporting guidelines for in-silico studies using finite element analysis in medicine (RIFEM) were used. Damon Q and Pitts 21 brackets were scanned and 3D models generated. Brackets were placed on a 3-D model of a maxillary central incisor with its long axis inclined at 0⁰,5⁰,10⁰,15⁰ and 20⁰ to the occlusal plane. Final 0.019″ x 0.025″ SS and 0.020″ x 0.020” TMA archwires were inserted into slots of both tested brackets. Geometric models were converted into finite element models. Material properties were assigned for involved structures with automatic meshing performed by software. Torque movements were simulated with the FE program Ansys Space claim R 22. ResultsTorque moment values, torque expression and Von - Mises stress was higher in Pitts 21 than Damon Q at all inclination angles. There was a gradual increase in the magnitude of values with decrease in incisal inclination. ConclusionSquare slot passive self-ligating brackets show superior torque expression characteristics as compared to rectangular wire-rectangular slot combinations. The FEM results should be validated with in-vivo studies in order to confirm the findings.

Efficacy of planned moderate to severe torque changes in maxillary central incisors with the Invisalign appliance: A retrospective investigation

This study aimed to investigate whether there was a difference between the planned and achieved lingual root torque of the maxillary central incisors in patients treated with an initial series of Invisalign (Align Technology, Santa Clara, Calif) aligners in which>10° change in the inclination of these teeth was prescribed via the ClinCheck facility. The pretreatment, planned, and the digital models after wear of the initial series of aligners regarding adult patients who satisfied selection criteria and were treated using the Invisalign appliance were measured using the Geomagic Control X software (version 2017.0.3; 3D systems, Rock Hill, SC). A sample of 63 patients with 126 maxillary central incisors satisfied the inclusion criteria. The mean accuracy of the planned torque change of the maxillary central incisors that was achieved was 41.9%. A clinically significant shortfall (≥5°) was detected in 78.6% of the incisors, with the majority showing an underexpression between 10°-15°. Linear regression analyses indicated that weekly or biweekly wear protocols or the presence or absence of power ridges did not influence the accuracy of planned torque expression (P>0.05). The changes in torque expression with an initial series of Invisalign aligners were less than half of what was planned in patients in which at least a 10° change in lingual root torque of these teeth was prescribed. The presence of power ridges and the aligner change protocol did not appear to significantly affect the accuracy of maxillary central incisor torque expression.

The Effectiveness of Zirconia Crowns Versus Metal Crowns in Anterior Teeth: In vitro Study.

The selection between Zirconia crowns and metal crowns for anterior teeth restorations is pivotal in prosthodontics due to their distinct properties. However, a comprehensive investigation into their effectiveness in anterior tooth restorations is warranted. This in vitro study aimed to compare the effectiveness of Zirconia crowns and metal crowns in anterior teeth restorations. A total of thirty extracted human maxillary central incisors were prepared to receive crowns and randomly allocated into two groups: group A, zirconia crowns; and group B, metal crowns. The crowns were fabricated following standardized protocols and cemented onto the prepared teeth. Various tests, including fracture resistance, marginal adaptation, and color-matching assessment, were conducted on the samples. The mean fracture resistance of Zirconia crowns (Group A) was determined to be 320 N (SD ± 25), whereas it was 280 N (SD ± 30) for metal crowns (Group B). Marginal adaptation assessment revealed a mean gap width of 50 microns (SD ± 10) for Zirconia crowns and 70 microns (SD ± 15) for metal crowns. Evaluation of color matching showed a higher percentage of acceptable matches for Zirconia crowns compared to metal crowns. Zirconia crowns exhibited superior fracture resistance, marginal adaptation, and color matching in comparison to metal crowns for anterior teeth restorations. These findings advocate for Zirconia crowns as a more effective choice for restoring anterior teeth, offering both strength and esthetic appeal.

Impact of calcium hydroxide and 2-hydroxyisocaproic acid on the microhardness of root dentine: an in vitro study.

To evaluate and compare the effect of calcium hydroxide [Ca(OH)2] and 2-hydroxyisocaproic acid (HICA) on the microhardness of root dentine. Fifty-one matured maxillary central incisors with straight root and type I canal configuration were decoronated to a standardized length of 16mm. The root canals were cleaned and shaped using rotary instruments up to size F5. The tooth samples were then randomly assigned into three groups (n = 17) based on the intracanal medicament placed. Group A: control group with no intracanal medicament, Group B: root canals placed with Ca(OH)2, and Group C: root canals placed with HICA. After 1week, the intracanal medicaments placed within the root canals were removed and the canals were dried. Subsequently, the specimens were split longitudinally into two halves and subjected to the Vickers microhardness test with indentations made at the coronal, middle, and apical-third root regions. The data were analyzed using one-way ANOVA and Tukey's post hoc tests. The control group showed significantly highest microhardness value (P < 0.001), followed by HICA and finally, Ca(OH)2 at the coronal, middle, and apical-third root regions, respectively. Nonetheless, there were no statistically significant differences in microhardness values across different root regions within each group. HICA was found to have a significantly lesser reduction in root dentine microhardness which could be a potential alternative to Ca(OH)2. Nevertheless, future studies are warranted to verify the present outcomes in the clinical setting.

Management of avulsion-induced external root resorption of permanent maxillary left central and lateral incisors - a one-year follow-up case report

The presented case elicits the successful management of external root resorption in an avulsed permanent central and lateral incisor due to failure to initiate root canal treatment (RCT) at the right time and prolonged splinting. A 13-year-old female child reported a complaint of pain in her upper anterior teeth region. The child gave a history of avulsed 21 and 22, which was replanted. External inflammatory root resorption in (21 and 22) and peri apical abscess (11) was noted in the radiograph. External inflammatory root resorption was treated endodontically with corticosteroid-antibiotic medicaments and obturated with mineral trioxide aggregate (MTA). Obturation was done only after restoring tooth stability and symptom resolution. Replacement resorption was noted radiographically during the follow-up visit. This case underscores the importance of meticulous endodontic care and adherence to treatment timelines, providing valuable insights for clinicians managing similar challenging cases.

Safety and Effectiveness of a Novel Color Corrector Serum for Causing Temporary Changes to Tooth Shade: A Randomized Controlled Clinical Study.

Tooth color is a major driver of facial esthetics. While permanent changes in tooth shade can be achieved by bleaching and restorations, there is a need for cosmetic products that can cause reversible color changes. This randomized controlled clinical study assessed the effectiveness and safety of a novel color-correcting product (Hismile™ V34 Color Corrector Serum™) versus a placebo (vehicle control lacking the color-change dyes). A single-center, randomized, controlled, examiner-blind, two-group, parallel design, single-use study design was followed. The test products were applied on a cotton bud for 30 s, and then, rinsed off. Tooth shade for maxillary central incisors was measured at baseline, immediately, and at 30 and 60 min, using the Vita Bleachedguide 3D-Master® Shade Guide and the EasyShade Advanced 4.0 spectrophotometer (for determining values of L*a*b*). The subjects (N = 60) had a baseline shade of 1M2 (rank 9) or darker. A single application of the test product resulted in an immediate and significant (p < 0.001) three shade improvement (26.2%) according to the shade guide, and the same significant benefits extended to 30 and 60 min. The placebo product did not alter tooth shade (p = 0.326). These changes were accompanied by significant improvements in the L value (whiteness) up to 30 min, and a reduction in b* (yellowness) for up to 60 min. Two-thirds of subjects using the test product stated in a survey that their teeth appeared both whiter and brighter. No safety issues arose from the use of the test product or vehicle control. These results indicate that using a color corrector can achieve worthwhile changes to tooth shade for up to 60 min.

Facial measurements as predictors of the length of the maxillary central incisor in a cross-section of the Jeddah population- An anthropometric study

Facial measurements as predictors of the length of the maxillary central incisor in a cross-section of the Jeddah population- An anthropometric study

A Stereo-Microscopic Study: In-Built Torque Comparison using MBT Prescription Brackets of Different Companies

Torsion in an "archwire" that forms a pair when it interacts with a "bracket slot" produces torque. The archwire moves the tooth through the torsional tension created in the activated state, depending on the degree of torsion, the size and quality of the wire, and the deformability of the bracket. The dimensions of the bracket hole may unintentionally vary when brackets are made. Therefore, the purpose of this study was to evaluate the accuracy of built-in torque from various manufacturers.  Objective:- To measure and analyse the built-in torque of the maxillary right canine brackets, maxillary right lateral canines, and maxillary right central incisors from commercially available bracket systems (JJ Orthodontics, American Orthodontics, Koden Orthodontics, Desires - Ozone series). The brackets will be measured in 0.022 inches.  Material and Method:- The sample was made up of three brackets from each company (maxillary central incisor, lateral incisor, and canine), the torque of which was measured in a dimension of 0.022 inches. Using a stereomicroscope, images were captured, measurements were made following operator calibration with IMAGE PROPLUS, and a digital readout was generated.  Results:- In practically every bracket, the built-in torque mean values were lower. The built-in torque levels were most similar to the American Orthodontics standard values.

Comparative assessment of external apical root resorption between subjects treated with clear aligners and fixed orthodontic appliances: A systematic review and meta-analysis.

This review aims to collate and analyze the existing evidence on the comparison of external apical root resorption (EARR) in subjects treated with clear aligners (CAs) and fixed appliances (FA). An electronic search was conducted in six databases for articles published in all languages until July 2023. Studies that evaluated EARR in subjects treated with CAs and FAs were included. The RoB 2 tool for RCTs and the ROBINS-I tool for non-randomized studies were used to analyze the risk of bias (ROB). A random effects meta-analysis was performed to assess EARR extent in maxillary and mandibular anterior teeth for subjects treated with CAs and FAs. Ten studies (eight retrospective, one RCT, and one CCT) were included in this review, out of which six studies reported a moderate ROB, one reported a serious ROB, and three reported a low ROB on qualitative analysis. The quantitative analysis of six studies revealed a significant intergroup difference (P<0.05) in the mean EARR for maxillary central (SMD=-0.62, P<0.00001) and lateral incisors (SMD=-0.47, P=0.01) with a moderate heterogeneity (I2=56%), as well as the mandibular central incisors (SMD=-0.27, P=0.04) with high heterogeneity (I2=79%). EARR was lower in subjects treated with CAs than FAs. A moderate quality of the available evidence suggests that EARR was less evident in subjects treated with CAs when compared with FAs.

Tooth movement analysis of maxillary dentition distalization using clear aligners with buccal and palatal mini-screw anchorages: A finite element study.

To assess the tooth movement trends during the three stages of maxillary dentition distalization with clear aligners (CA) and to compare the efficacy of different mini-screw anchorage systems. Three-dimensional (3D) finite element models of three anchorage systems (A, control group; B, buccal mini-screw anchorage group; C, palatal mini-screw anchorage group) were established. Three stages of simulating maxillary dentition distalization with CA included maxillary molar distalization (stage 1), maxillary premolar distalization (stage 2) and maxillary anterior teeth retraction (stage 3). Therefore, a total of nine models were constructed to analyse the 3D displacement of maxillary teeth during the distalization process. The displacement pattern of maxillary dentition during distalization was similar across the three groups, but with varying magnitudes. During stage 1, groups B and C exhibited greater amounts of molar distalization compared to group A. Group C also demonstrated the least amount of labial movement of the maxillary central incisor compared to the other two groups. During stage 2, the mesial displacement of the maxillary first molar was less significant in groups B and C than in group A. In the final stage, group C exhibited a greater amount of maxillary anterior retraction compared to groups A and B. The palatal mini-screw anchorage system was effective in reducing anchorage loss and improving the efficacy of maxillary dentition distalization with CA.

Dens in dente: A review of literature with a rare case report

Dens invaginatus (DI) (dens in dente) is a developmental anomaly resulting from an invagination in part of variable depth of the enamel organ into the dental papilla in the surface of the crown before calcification of the dental tissues. They are a target for caries leading to pulp necrosis and apical pathosis, so the diagnosis and early prevention measures are important. When treatment is necessary, conservative, endodontic, and periodontal possibilities are very effective. Surgical interventions are only rarely indicated. This article presents a unique case report of unilateral DI of Type III (Ohlers) involving the maxillary left central incisor as well as a comprehensive review of literature on history, aetiology and classification. Early detection and management are recommended before the development of pulpal and periodontal pathosis that further complicates the prognosis. Postoperative follow-up subsequent to treatment is essential for effective long-term clinical management.

Effect of different instrumental techniques and clinical experience on shade matching.

Many factors can affect the aesthetics of dental restorations, including the instrumental techniques used in shade matching, and can lead to clinical failure. The aim of this study was to investigate the effectiveness of using the cross-polarization digital photograph technique and intraoral scanners for shade matching, and also evaluate the effect of the level of clinical experience on shade matching success. Color analysis was performed on the maxillary right central incisors of 10 subject models with Vita Easyshade. Intraoral scanning was performed 10 times on each model using TRIOS 3 and color analysis was performed from the same spot. Then cross-polarized and non-polarized photographs of the models were taken with standard settings using a gray reference card. Each shade tab of the Vita System 3D-Master scale was also photographed with two different polarization techniques. Four groups (n = 12), including prosthodontics faculty staff, postgraduate students in prosthodontics, undergraduate students, and dental technicians matched the shade tabs and the model photographs obtained with both techniques on a standardized computer screen. Finally, the color differences between the shade tabs and maxillary central incisors matched by observers from four different groups were recorded using a colorimeter, Classic Color Meter, in accordance with the CIELAB system and CIEDE2000 (ΔE00) values were calculated. The data were compared with the acceptability threshold of 1.80 for ΔE00. The data obtained from the observers were analyzed with IBM SPSS Statistics 26.0 Release Notes program. Independent Samples t-test was used to compare normally distributed data according to binary groups. The level of significance was 0.05. A statistically significant difference was found in the shade matching on photographs taken with different techniques in postgraduate students (p = 0.02). Also, there was a statistically significant difference in success between the groups that made shade matching based on photographs obtained with the non-polarization technique (p = 0.00). The undergraduate students achieved statistically significantly lower results than all other groups (ΔE00 = 5.57±1.07). The kappa value between the intraoral scanner and spectrophotometer results was 0.10, and this value was not statistically significant (p = 0.32). The cross-polarization technique used especially for shade matching is not superior to the non-polarization technique. Academic and clinical experience might be correlated with shade-matching success with the non-polarization technique. The clinical acceptability threshold could not be achieved in the shade matchings made on digital photographs taken with both techniques. Shade matching performed with an intraoral scanner did not yield reliable results.

Evaluation of thickness of 3D printed versus thermoformed aligners: A prospective invivo ageing experiment.

To compare and investigate the effects of intraoral ageing on the thickness of one group of directly printed and two groups of thermoformed aligners on the labial surface of maxillary central incisors. Six groups (12 samples per group) were included in this prospective invivo experiment. Groups DP-Clin, INV-Clin and CA-Clin consisted of directly printed (Tera Harz TC-85 DAC resin), thermoformed (Invisalign, PU based polymer) and in house thermoformed (CA-Pro, PET-G based polymer) aligners, retrieved after 1 week of intraoral service. Groups DP-Ctr, INV-Ctr and CA-Ctr included unused aligners samples. Thickness measurements were conducted using confocal laser scanning microscopy (CLSM). Data that underwent log-10 transformation was analysed by multiple linear regression analysis (p < .05). Statistically significant differences were found between the materials in both Clin and Ctr categories (p < .001). Group DP had the highest thickness among the groups and the least thickness was observed in the CA group (p < .001). However, intraoral ageing did not significantly affect the aligner thickness of any groups. Both thermoforming and direct printing of clear aligners led to thickness deviations in terms of increase for printed aligners and decrease for thermoformed aligners. Intraoral ageing did not affect the aligner thickness in any of the groups.

The distally anchored connective tissue graft platform for papilla enhancement: A case report

AbstractBackgroundAs the need for using dental implants to replace single missing teeth grows, so does the demand for greater esthetic results. However, achieving complete interproximal papillae fill in single‐tooth implant restorations remains a challenge. The distally anchored connective tissue platform is a novel soft tissue augmentation technique that consists of harvesting an autogenous connective tissue graft from the palate, folding it, and positioning it at the level of the distal occlusal and buccal surfaces with the help of a distal sling suture to the adjacent distal tooth.MethodsThis case report describes how a maxillary central incisor with compromised hard and soft tissues were replaced using a comprehensive treatment plan.ResultsThe clinical outcomes showed stable mucosal margin levels and complete papillae fill. The patient expressed satisfaction with the achieved results.ConclusionsThe distally anchored connective tissue graft platform performed at the time of implant placement emerges as a viable and effective soft tissue augmentation technique that yields highly esthetic results.Key pointsWhy is this case new information? To the best of our knowledge, this is the first case report in the literature using the distally anchored connective tissue platform. What are the keys to successful management of this case? Adequate diagnosis and decision‐making, resulting in a treatment plan focused on reconstructing both soft and hard tissues in a single‐tooth implant within the esthetic area, yield favorable clinical, radiological, and patient‐reported outcomes. What are the primary limitations to success in this case? The primary limitation of this study is its reliance on a single case report.