Loss of supporting bone structure caused by periodontal disease is a factor that not only exacerbates problems related to tooth mobility it can lead to include tooth extraction as part of the treatment. Added to this fact, presence of systemic diseases such as diabetes mellitus significantly increases  the shape of  bone defects. This is turn causes that  support and its characteristics   to lack  functionality and the favorable esthetics  required to attain prosthetic rehabilitation. A case report is presented of a male, 50 year old patient, presenting  in the upper central left incisor  Miller class III recession as well as grade III mobility. The situation warranted extraction. After extraction, treatment consisted on  placement of three autologous grafts: two grafts were made of connective tissue, the third was made of  free gingival tissue. To complete treatment, months after last graft recovery, a gingivoplasty of the area was performed enabling thus recovery of function and improving aesthetics for later prosthetic rehabilitation.