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. This paper describes case reports where coronal growth of soft tissue on implant threads was observed after surgery for soft tissue graft. This phenomenon is known as “creeping attachment.”  Methods . Two patients were submitted to gingival graft procedure including subepithelial connective tissue graft and masticatory mucosal graft. A two-year follow-up appointment was performed.  Results . After a two-year follow-up gingival growth over titanium surfaces characterizing the “creeping attachment” phenomenon was observed. This gingival growth happened over abutment and threads surfaces.  Conclusion . The creeping attachment phenomenon is possible over titanium surfaces and has not yet been reported in the relevant literature over this kind of structure.

Creeping Attachment Involving Dental Implants: Two Case Reports with a Two-Year Follow-Up from an Ongoing Clinical Study