In this case report, the reconstruction of a missing central incisor combined with severe bone loss is presented. After dental trauma in the childhood of the patient, the tooth #11 was root canal filled and replanted. At the age of 21, tooth #11 presented a root fracture, witch led to massive bone loss and loss of the tooth. A four-stage surgical protocol using an autologeous bone graft and connective tissue graft, followed by an implant with all-ceramic crown, was planned. Although the case took a considerable amount of time, and several procedures to bring to conclusion, a stable and aesthetic result was provided. Schlagwörter: aesthetic zone, bone loss, implant, autologeous bone graft, connective tissue graft