The patient was diagnosed with a fracture on element 26 . On clinical examination, it presented an abscess and a fissure line in the dental crown. The tomography complemented the clinical diagnosis. We chose immediate extraction and implantation with 4.3×5 Arcsys Short implant in the interradicular bone septum, Nanosynt graft in the root alveolus and installation of a custom Arcsys healing abutment with flow composite. After a period of 5 months, the healing abutment was removed and a 2mm Arcsys abutment was installed. The case was concluded with a ceramic crown with milled zirconia infrastructure (cad / cam) and esthetic feldspar coverage, after 30 days.