Figure 7: (a) A hopeless mandibular first molar required extraction and the patient wished to have it replaced with an IMI. (b) Following atraumatic extraction and implant placement into the inter-septal bone, a large gap remained distally. Surgery performed by Dr. Armin Khosravi, Periodontics Resident, Faculty of Dentistry, Islamic Azad University, Isfahan Branch, Iran. (c) The gap was left un-grafted and the soft tissues loosely repositioned with two sutures. (d) The healing happening by secondary intention at 10 days postop. (e) Soft-tissue healing of the site at 2.5 months. (f) The radiographic appearance at 2.5 months showing excellent bone fill of the large distal gap.