large amount of bone loss at time of exo 36/37 done 2 months ago. Good healing of bone except for small socket area at 36 region. buccal bone lower than palatal about 1mm, decided to place tissue level implants opposed to grafting, gaining back height is unlikely, difficult access case with large tongue. Implants placed with 36 about 1.5mm buccal exposed, 37, .5mm mesial exposed, healing abutments palced grafted all sites with sticky bone followed by collagen membrane soaked in prf fluid, 2 holes cut for implants. additonal fibrin membrance placed on buccal prior to suturing.