Vol. 10, Issue 4, Part A (2024)

In the present clinical case, the gain of keratinized mucosa by means of creeping is observed, even with the loss of the graft at the surgical site. The patient was asymptomatic at the time of consultation, but upon clinical observation, he would be more prone to developing peri-implantitis due to the difficulty in maintaining good hygiene at the site. The main diagnosis was the absence of peri-implant keratinized mucosa in area 4.6, giving the treatment plan the placement of a free gingival graft with the aim of modifying the peri-implant phenotype. The results were the gain of keratinized mucosa by means of creeping/cellular induction, having lost the graft. It is concluded that there may be a gain of keratinized tissue by means of cellular induction, although if the graft had been integrated, the gain would have been significantly greater, covering even more dental organs.