Seyssens L, et al. - In this prospective case series, researchers examined the bone and external soft tissue profile alterations in the anterior maxilla following alveolar ridge preservation using collagen-enriched deproteinized bovine bone mineral (C-DBBM) and saddle connective tissue graft (S-CTG). Participants in the study were patients in need of a single or multiple unit fixed reconstruction in the premaxilla. Sockets were grafted with C-DBBM and sealed with a S-CTG after tooth extraction. For this investigation, they extracted 19 teeth in 14 patients (mean age was 34). Data reported that the maximum horizontal resorption of the bone was 1.27 mm and the maximum horizontal shrinkage of the soft tissue profile was 0.87 mm, both in the most cervical aspect. Findings suggested that preservation of the alveolar ridge could not prevent relevant tissue changes. Implants could, however, be installed as planned. While the application of an S-CTG partially offset the buccal bone loss, the need for additional soft tissue grafting was still moderate in intact sockets and high in nonintact sockets. There were 17 and 94, respectively, pain intensity and patient satisfaction.