CLINICAL CASE Implant placement planned for site #3 and #5 with soft-tissue treatment utilizing a CTG and for sites #10, #12 and #13 with soft-tissue augmentation using Geistlich Fibro-Gide® 2 – Uncovering of site #10 shows a narrow ridge width and an insufficient amount of soft-tissue thickness. 3 – Tooth #10 was extracted and immediately replaced by an implant. 4 – Fill the gap procedure with Geistlich Bio-Oss Collagen® to achieve contour augmentation and preserve horizontal ridge dimensions. 5 – Geistlich Fibro-Gide® was trimmed to half of the thickness to fit the defect and placed into sites #10, 11, 12 and 13. 6 – The entire site was closed tension-free to facilitate uneventful wound healing. 7 – The 3 month follow-up shows uneventful soft-tissue healing and an increase of soft-tissue thickness at the desired sites. 8 – The 6 month follow-up with the final reconstruction shows that the soft-tissue thickness at the desired site is maintained over time. This contributes to an esthetic and pleasing outcome. (Restorative work by Dr. Chao-Chieh Yang, IUSD) 9 – The 2 month follow-up showing a comparison of the treated sites, one with CTG (left) and one with Geistlich Fibro-Gide® (right) in the same patient. Comparable results have been achieved with both treatments, but without the need for a donor site.