Gingival creep on implants

Gingival creep is a well-known and highly desirable effect of gingival augmentation procedures. Matter and Bell as early as the late seventies demonstrated this concept in what could be described as case series. At present, we do not definitely know what the predictive variables for this phenomenon are. It is strongly associated with:

  1. Tooth position in the arch
  2. Thickness of the soft tissues
  3. Level of plaque control

The remaining question in the 21st century is whether this phenomenon is exclusive to teeth or does it affect implants as well.  The answer is a surprising yes!! The oral epithelium has unique adhesive properties that allow it to adhere to dentine, cementum but also plaque free titanium. This is irrespective of the smooth or roughened nature of the titanium.
The case demonstrated is of a severe peri-implantitis lesion with a 2 walled defect in a palatally positioned implant. Therefore, the position of the implant favours guided bone regeneration as well as gingival creep.  There is a distinction between gingival creep and relapse of pocketing (ie oedema). The pictures demonstrate consistent pocketing with decreasing recession which basically means gain in attachment.


Share on facebook
Share on twitter
Share on linkedin

More Posts

Apicectomy for GBR using Symbios

Rushing to label a tooth hopeless and proceeding to extract it can be a very costly affair for patients.  Teeth with large apical pathosis should

To link or not to link??

There are numerous clinical, logistic and financial advantages from linking teeth to implant restorations.  Tarnow et al 2009  presented a literature review to on the subject of

Worsening recession!!

Gum recession so what and who cares?? Relax and keep cleaning it and it will be fine! NOT TRUE ANY MORE!!!!These statements will soon be a