The Roll Flap Approach: Enhancing Esthetics and Soft Tissue Architecture in Anterior Maxillary Tooth Replacement -A Case Report

Esthetic rehabilitation in the maxillary anterior region is often challenged by ridge deformities following tooth loss, which compromise both function and appearance. This case report describes the use of the roll flap technique for soft tissue augmentation in a 48-year-old male patient with a Siebert Class II ridge defect in the anterior maxilla. The patient presented with deficient soft tissue following extraction of the right central incisor. A buccal roll flap procedure was performed to enhance the apico-coronal soft tissue height and restore natural gingival contours prior to prosthetic rehabilitation. Postoperative healing was uneventful, with significant improvement in ridge form and soft tissue volume, resulting in an esthetically pleasing outcome. Long-term follow-up confirmed stable tissue integration and harmonious blending with adjacent gingiva. The roll flap approach proved to be a simple, reliable, and minimally invasive method to enhance esthetics and soft tissue architecture, eliminating the need for a secondary donor site and ensuring favorable restorative outcomes in the anterior maxillary region.