Rajeev Arunachalam, Vini Rajeev, Sivadas Ganapathy, Vaishnavi Vedam. Management of Compromised Esthetic Zone with Modifed Bio-Col Procedure. Int J Dentistry Oral Sci. 2021;8(10):4876- 4880. 4876 OPEN ACCESS https://scidoc.org/IJDOS.php Management of Compromised Esthetic Zone with Modifed Bio-Col Procedure Research Article International Journal of Dentistry and Oral Science (IJDOS) ISSN: 2377-8075 *Corresponding Author: Rajeev Arunachalam, Senior Lecturer, Faculty of Dentistry, Asian Institute of Medicine, Science and Technology (AIMST) University, Malaysia. Tel: + 60164055204 E-mail: rajeevarun80@gmail.com Received: October 05, 2021 Accepted: October 22, 2021 Published: October 30, 2021 Citation: Rajeev Arunachalam, Vini Rajeev, Sivadas Ganapathy, Vaishnavi Vedam. Management of Compromised Esthetic Zone with Modifed Bio-Col Procedure. Int J Dentistry Oral Sci. 2021;8(10):4876-4880. doi: http://dx.doi.org/10.19070/2377-8075-21000986 Copyright: Rajeev Arunachalam © 2021. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited. Rajeev Arunachalam * , Vini Rajeev, Sivadas Ganapathy, Vaishnavi Vedam Senior Lecturer, Faculty of Dentistry, Asian Institute of Medicine, Science and Technology (AIMST) University, Malaysia. Introduction Periodontally compromised tooth with hopeless prognosis may institute therapeutic extractions. The functional and esthetic replacement of the teeth being removed and their supporting tissues should be taken into prior notice, when extractions are planned. Fixed bridge options were the benchmark for esthetic replacements previously. Increased awareness and widespread use of dental implants have made preservation of both alveolar bone and essential gingival contours possible for esthetic restoration. Use of minimally invasive technique ensures an atraumatic extrac- tion which is the frst possible step ensuring a better esthetics and function. This holds true if an implant is planned for extraction site. Adopting an appropriate technique enables the treatment in a shorter time and with fewer surgical procedures thereby preserv- ing the alveolar ridge anatomy, aiding the prosthetic management. Ridge preservation should be considered in strategically essential sites to maintain the prospect of an implant preference for the patient in the future. The goal of the site-preservation technique is to minimize dam- age of alveolar ridge contours secondary to osseous remodeling, increase bone regeneration within the extraction socket, and pre- vent soft tissue collapse associated with tooth loss. The bio-col alveolar ridge preservation procedure takes the beneft of the synergistic effect of merging surgical and prosthetic site- conser- vation protocols. The surgical procedure makes sure the conserv- ancy of both hard and soft tissues at the period of tooth removal, and it reduces or eradicates the bone resorption that normally follows. The prosthetic protocol uses interim restorations to sup- port the soft tissues neighboring the extraction site, thereby avert- ing the ridge collapse during maturation. The usage of grafting material in any stoichiometric form is suggested as it clues to re- duced resorption of alveolar crest. The advantage using an array of regenerative materials like bone graft within a collagen scaffold will give more structured bone with no signs of in growth other Abstract Following extraction of tooth, a considerable change in alveolar ridge anatomy occurs pertaining to morphology and dimen- sion in a short span of time. These variations can signifcantly 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 effcient 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 fbrin, collagen scaffold and bone graft followed by rehabilitation with implant for esthetic replacement. Clinically and radiographi- cally effcacious restoration of the alveolar ridge, with the ability to receive functionally and esthetically acceptable implant site was demonstrated.The modifcation simplifes the technique without negotiating the esthetic outcome. This procedure is benefcial in maintaining alveolar bone and soft tissue architecture. Keywords: Atraumatic Extraction; Esthetics; Fixed Partial Denture; Implant; Osseointegration.