Immediately loaded post-extraction implants are a valid therapeutic alternative to traditional implantology, if used in well-selected cases and following a specific surgical-prosthetic protocol. In this case, following a vertical fracture, an upper left lateral incisor was replaced with an immediately loaded post-extraction implant.3 months later, after osseointegration, it was decided to place an epithelial-connective tissue graft after epithelium removal, with envelope flap, in order to thicken the tissues and prevent the physiological contraction (about 1mm) that is found in the first year after loading.