A patient of record presented with an unrestored #4 (premolar) implant. The dental implant was fully integrated and was ready for restorative treatment. Clinically, I noted that #3 (molar) had an isolated 8 mm probing depth on the palatal root. An x-ray was taken of the area with a gutta percha tip, and a radiolucent area was noted. Surgical examination revealed a vertical root fracture and the tooth was extracted with a bone graft preservation. Approximately 4 months post operatively, a Straumann 4.8mm WN was placed in parallel with #4 implant. The patient was referred to her general dentist for zirconia porcelain implant restorations.