Creeping Attachment Involving Dental Implants: Two Case Reports with a Two-Year Follow-Up from an Ongoing Clinical Study
Identifieur interne : 002983 ( Pmc/Corpus ); précédent : 002982; suivant : 002984Creeping Attachment Involving Dental Implants: Two Case Reports with a Two-Year Follow-Up from an Ongoing Clinical Study
Auteurs : Armando R. Lopes Pereira Neto ; Bernardo Born Passoni ; José Moisés De Souza ; João Gustavo Oliveira De Souza ; César Augusto Magalhães Benfatti ; Ricardo De Souza Magini ; Marco Aurélio BianchiniSource :
- Case Reports in Dentistry [ 2090-6447 ] ; 2014.
Abstract
Url:
DOI: 10.1155/2014/756908
PubMed: 25276440
PubMed Central: 4168148
Links to Exploration step
PMC:4168148Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Creeping Attachment Involving Dental Implants: Two Case Reports with a Two-Year Follow-Up from an Ongoing Clinical Study</title><author><name sortKey="Pereira Neto, Armando R Lopes" sort="Pereira Neto, Armando R Lopes" uniqKey="Pereira Neto A" first="Armando R. Lopes" last="Pereira Neto">Armando R. Lopes Pereira Neto</name><affiliation><nlm:aff id="I1">Federal University of Santa Catarina, 88040-900 Florianópolis, SC, Brazil</nlm:aff></affiliation></author><author><name sortKey="Passoni, Bernardo Born" sort="Passoni, Bernardo Born" uniqKey="Passoni B" first="Bernardo Born" last="Passoni">Bernardo Born Passoni</name><affiliation><nlm:aff id="I1">Federal University of Santa Catarina, 88040-900 Florianópolis, SC, Brazil</nlm:aff></affiliation></author><author><name sortKey="De Souza, Jose Moises" sort="De Souza, Jose Moises" uniqKey="De Souza J" first="José Moisés" last="De Souza">José Moisés De Souza</name><affiliation><nlm:aff id="I1">Federal University of Santa Catarina, 88040-900 Florianópolis, SC, Brazil</nlm:aff></affiliation></author><author><name sortKey="De Souza, Joao Gustavo Oliveira" sort="De Souza, Joao Gustavo Oliveira" uniqKey="De Souza J" first="João Gustavo Oliveira" last="De Souza">João Gustavo Oliveira De Souza</name><affiliation><nlm:aff id="I1">Federal University of Santa Catarina, 88040-900 Florianópolis, SC, Brazil</nlm:aff></affiliation></author><author><name sortKey="Benfatti, Cesar Augusto Magalhaes" sort="Benfatti, Cesar Augusto Magalhaes" uniqKey="Benfatti C" first="César Augusto Magalhães" last="Benfatti">César Augusto Magalhães Benfatti</name><affiliation><nlm:aff id="I1">Federal University of Santa Catarina, 88040-900 Florianópolis, SC, Brazil</nlm:aff></affiliation></author><author><name sortKey="Magini, Ricardo De Souza" sort="Magini, Ricardo De Souza" uniqKey="Magini R" first="Ricardo De Souza" last="Magini">Ricardo De Souza Magini</name><affiliation><nlm:aff id="I1">Federal University of Santa Catarina, 88040-900 Florianópolis, SC, Brazil</nlm:aff></affiliation></author><author><name sortKey="Bianchini, Marco Aurelio" sort="Bianchini, Marco Aurelio" uniqKey="Bianchini M" first="Marco Aurélio" last="Bianchini">Marco Aurélio Bianchini</name><affiliation><nlm:aff id="I1">Federal University of Santa Catarina, 88040-900 Florianópolis, SC, Brazil</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25276440</idno><idno type="pmc">4168148</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4168148</idno><idno type="RBID">PMC:4168148</idno><idno type="doi">10.1155/2014/756908</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">002983</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002983</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Creeping Attachment Involving Dental Implants: Two Case Reports with a Two-Year Follow-Up from an Ongoing Clinical Study</title><author><name sortKey="Pereira Neto, Armando R Lopes" sort="Pereira Neto, Armando R Lopes" uniqKey="Pereira Neto A" first="Armando R. Lopes" last="Pereira Neto">Armando R. Lopes Pereira Neto</name><affiliation><nlm:aff id="I1">Federal University of Santa Catarina, 88040-900 Florianópolis, SC, Brazil</nlm:aff></affiliation></author><author><name sortKey="Passoni, Bernardo Born" sort="Passoni, Bernardo Born" uniqKey="Passoni B" first="Bernardo Born" last="Passoni">Bernardo Born Passoni</name><affiliation><nlm:aff id="I1">Federal University of Santa Catarina, 88040-900 Florianópolis, SC, Brazil</nlm:aff></affiliation></author><author><name sortKey="De Souza, Jose Moises" sort="De Souza, Jose Moises" uniqKey="De Souza J" first="José Moisés" last="De Souza">José Moisés De Souza</name><affiliation><nlm:aff id="I1">Federal University of Santa Catarina, 88040-900 Florianópolis, SC, Brazil</nlm:aff></affiliation></author><author><name sortKey="De Souza, Joao Gustavo Oliveira" sort="De Souza, Joao Gustavo Oliveira" uniqKey="De Souza J" first="João Gustavo Oliveira" last="De Souza">João Gustavo Oliveira De Souza</name><affiliation><nlm:aff id="I1">Federal University of Santa Catarina, 88040-900 Florianópolis, SC, Brazil</nlm:aff></affiliation></author><author><name sortKey="Benfatti, Cesar Augusto Magalhaes" sort="Benfatti, Cesar Augusto Magalhaes" uniqKey="Benfatti C" first="César Augusto Magalhães" last="Benfatti">César Augusto Magalhães Benfatti</name><affiliation><nlm:aff id="I1">Federal University of Santa Catarina, 88040-900 Florianópolis, SC, Brazil</nlm:aff></affiliation></author><author><name sortKey="Magini, Ricardo De Souza" sort="Magini, Ricardo De Souza" uniqKey="Magini R" first="Ricardo De Souza" last="Magini">Ricardo De Souza Magini</name><affiliation><nlm:aff id="I1">Federal University of Santa Catarina, 88040-900 Florianópolis, SC, Brazil</nlm:aff></affiliation></author><author><name sortKey="Bianchini, Marco Aurelio" sort="Bianchini, Marco Aurelio" uniqKey="Bianchini M" first="Marco Aurélio" last="Bianchini">Marco Aurélio Bianchini</name><affiliation><nlm:aff id="I1">Federal University of Santa Catarina, 88040-900 Florianópolis, SC, Brazil</nlm:aff></affiliation></author></analytic><series><title level="j">Case Reports in Dentistry</title><idno type="ISSN">2090-6447</idno><idno type="eISSN">2090-6455</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><italic>Introduction</italic>. 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.” <italic>Methods</italic>. 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. <italic>Results</italic>. 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. <italic>Conclusion</italic>. The creeping attachment phenomenon is possible over titanium surfaces and has not yet been reported in the relevant literature over this kind of structure.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Palacci, P" uniqKey="Palacci P">P Palacci</name></author><author><name sortKey="Nowzari, H" uniqKey="Nowzari H">H Nowzari</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cairo, F" uniqKey="Cairo F">F Cairo</name></author><author><name sortKey="Pagliaro, U" uniqKey="Pagliaro U">U Pagliaro</name></author><author><name sortKey="Nieri, M" uniqKey="Nieri M">M Nieri</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Studer, S" uniqKey="Studer S">S Studer</name></author><author><name sortKey="Naef, R" uniqKey="Naef R">R Naef</name></author><author><name sortKey="Sch Rer, P" uniqKey="Sch Rer P">P Schärer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Seibert, Js" uniqKey="Seibert J">JS Seibert</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Abrams, H" uniqKey="Abrams H">H Abrams</name></author><author><name sortKey="Kopczyk, Ra" uniqKey="Kopczyk R">RA Kopczyk</name></author><author><name sortKey="Kaplan, Al" uniqKey="Kaplan A">AL Kaplan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Seibert, Js" uniqKey="Seibert J">JS Seibert</name></author><author><name sortKey="Salama, H" uniqKey="Salama H">H Salama</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sullivan, Hc" uniqKey="Sullivan H">HC Sullivan</name></author><author><name sortKey="Atkins, Jh" uniqKey="Atkins J">JH Atkins</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Miller, Pd" uniqKey="Miller P">PD Miller</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Dorfman, Hs" uniqKey="Dorfman H">HS Dorfman</name></author><author><name sortKey="Kennedy, Je" uniqKey="Kennedy J">JE Kennedy</name></author><author><name sortKey="Bird, Wc" uniqKey="Bird W">WC Bird</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Goldman, Hm" uniqKey="Goldman H">HM Goldman</name></author><author><name sortKey="Cohen, Dw" uniqKey="Cohen D">DW Cohen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Langer, B" uniqKey="Langer B">B Langer</name></author><author><name sortKey="Langer, L" uniqKey="Langer L">L Langer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Harris, Rj" uniqKey="Harris R">RJ Harris</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Matter, J" uniqKey="Matter J">J Matter</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Matter, J" uniqKey="Matter J">J Matter</name></author><author><name sortKey="Cimasoni, G" uniqKey="Cimasoni G">G Cimasoni</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bell, La" uniqKey="Bell L">LA Bell</name></author><author><name sortKey="Valluzzo, Ta" uniqKey="Valluzzo T">TA Valluzzo</name></author><author><name sortKey="Garnick, Jj" uniqKey="Garnick J">JJ Garnick</name></author><author><name sortKey="Pennel, Bm" uniqKey="Pennel B">BM Pennel</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Otero Cagide, Fj" uniqKey="Otero Cagide F">FJ Otero-Cagide</name></author><author><name sortKey="Otero Cagide, Mf" uniqKey="Otero Cagide M">MF Otero-Cagide</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Oh, T J" uniqKey="Oh T">T-J Oh</name></author><author><name sortKey="Shotwell, Jl" uniqKey="Shotwell J">JL Shotwell</name></author><author><name sortKey="Billy, Ej" uniqKey="Billy E">EJ Billy</name></author><author><name sortKey="Wang, H L" uniqKey="Wang H">H-L Wang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Schierano, G" uniqKey="Schierano G">G Schierano</name></author><author><name sortKey="Ramieri, G" uniqKey="Ramieri G">G Ramieri</name></author><author><name sortKey="Cortese, M" uniqKey="Cortese M">M Cortese</name></author><author><name sortKey="Aimetti, M" uniqKey="Aimetti M">M Aimetti</name></author><author><name sortKey="Preti, G" uniqKey="Preti G">G Preti</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nevins, M" uniqKey="Nevins M">M Nevins</name></author><author><name sortKey="Nevins, Ml" uniqKey="Nevins M">ML Nevins</name></author><author><name sortKey="Camelo, M" uniqKey="Camelo M">M Camelo</name></author><author><name sortKey="Boyesen, Jl" uniqKey="Boyesen J">JL Boyesen</name></author><author><name sortKey="Kim, Dm" uniqKey="Kim D">DM Kim</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Trombelli, L" uniqKey="Trombelli L">L Trombelli</name></author><author><name sortKey="Schincaglia, Gp" uniqKey="Schincaglia G">GP Schincaglia</name></author><author><name sortKey="Zangari, F" uniqKey="Zangari F">F Zangari</name></author><author><name sortKey="Griselli, A" uniqKey="Griselli A">A Griselli</name></author><author><name sortKey="Scabbia, A" uniqKey="Scabbia A">A Scabbia</name></author><author><name sortKey="Calura, G" uniqKey="Calura G">G Calura</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Polson, Am" uniqKey="Polson A">AM Polson</name></author><author><name sortKey="Proye, Mp" uniqKey="Proye M">MP Proye</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ibbott, Cg" uniqKey="Ibbott C">CG Ibbott</name></author><author><name sortKey="Oles, Rd" uniqKey="Oles R">RD Oles</name></author><author><name sortKey="Laverty, Wh" uniqKey="Laverty W">WH Laverty</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Renvert, S" uniqKey="Renvert S">S Renvert</name></author><author><name sortKey="Roos Jans Ker, A M" uniqKey="Roos Jans Ker A">A-M Roos-Jansåker</name></author><author><name sortKey="Claffey, N" uniqKey="Claffey N">N Claffey</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Case Rep Dent</journal-id><journal-id journal-id-type="iso-abbrev">Case Rep Dent</journal-id><journal-id journal-id-type="publisher-id">CRID</journal-id><journal-title-group><journal-title>Case Reports in Dentistry</journal-title></journal-title-group><issn pub-type="ppub">2090-6447</issn><issn pub-type="epub">2090-6455</issn><publisher><publisher-name>Hindawi Publishing Corporation</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25276440</article-id><article-id pub-id-type="pmc">4168148</article-id><article-id pub-id-type="doi">10.1155/2014/756908</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Creeping Attachment Involving Dental Implants: Two Case Reports with a Two-Year Follow-Up from an Ongoing Clinical Study</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Pereira Neto</surname><given-names>Armando R. Lopes</given-names></name><xref ref-type="aff" rid="I1"></xref></contrib><contrib contrib-type="author"><name><surname>Passoni</surname><given-names>Bernardo Born</given-names></name><xref ref-type="aff" rid="I1"></xref><xref ref-type="corresp" rid="cor1">*</xref></contrib><contrib contrib-type="author"><name><surname>de Souza</surname><given-names>José Moisés</given-names><suffix>Jr.</suffix></name><xref ref-type="aff" rid="I1"></xref></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0001-6102-6456</contrib-id><name><surname>de Souza</surname><given-names>João Gustavo Oliveira</given-names></name><xref ref-type="aff" rid="I1"></xref></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0002-4209-0054</contrib-id><name><surname>Benfatti</surname><given-names>César Augusto Magalhães</given-names></name><xref ref-type="aff" rid="I1"></xref></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0002-6380-8870</contrib-id><name><surname>Magini</surname><given-names>Ricardo de Souza</given-names></name><xref ref-type="aff" rid="I1"></xref></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0001-6135-701X</contrib-id><name><surname>Bianchini</surname><given-names>Marco Aurélio</given-names></name><xref ref-type="aff" rid="I1"></xref></contrib></contrib-group><aff id="I1">Federal University of Santa Catarina, 88040-900 Florianópolis, SC, Brazil</aff><author-notes><corresp id="cor1">*Bernardo Born Passoni: <email>bpassoni@hotmail.com</email></corresp><fn fn-type="other"><p>Academic Editor: Jamil A Shibli</p></fn></author-notes><pub-date pub-type="ppub"><year>2014</year></pub-date><pub-date pub-type="epub"><day>3</day><month>9</month><year>2014</year></pub-date><volume>2014</volume><elocation-id>756908</elocation-id><history><date date-type="received"><day>23</day><month>5</month><year>2014</year></date><date date-type="rev-recd"><day>16</day><month>8</month><year>2014</year></date><date date-type="accepted"><day>16</day><month>8</month><year>2014</year></date></history><permissions><copyright-statement>Copyright © 2014 Armando R. Lopes Pereira Neto et al.</copyright-statement><copyright-year>2014</copyright-year><license xlink:href="https://creativecommons.org/licenses/by/3.0/"><license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><p><italic>Introduction</italic>. 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.” <italic>Methods</italic>. 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. <italic>Results</italic>. 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. <italic>Conclusion</italic>. The creeping attachment phenomenon is possible over titanium surfaces and has not yet been reported in the relevant literature over this kind of structure.</p></abstract></article-meta></front><body><sec id="sec1"><title>1. Introduction</title><p>The use of soft tissue grafts in implantology has been widely explored in the literature [<xref rid="B1" ref-type="bibr">1</xref>, <xref rid="B2" ref-type="bibr">2</xref>]. Increased width of keratinized mucosa, volume augmentation around the implant and pontic areas, and sealing of extraction sites are some of the indications for surgical procedures of this type [<xref rid="B3" ref-type="bibr">3</xref>–<xref rid="B6" ref-type="bibr">6</xref>]. Among the techniques used, the free gingival graft of keratinized tissue can be highlighted [<xref rid="B1" ref-type="bibr">1</xref>]. Some of these mentioned techniques are intended to improve the esthetics, while others seek to restore health to the peri-implant tissue [<xref rid="B2" ref-type="bibr">2</xref>].</p><p>In order to prevent the increase of recession, keratinized mucosal grafts described in the end of the 60s can be applied for teeth and around implants [<xref rid="B7" ref-type="bibr">7</xref>]. In this type of procedure, the goal is not intended to cover threads or exposed roots, although some authors had described a technique using donor material with thickness of 2 mm for this purpose [<xref rid="B8" ref-type="bibr">8</xref>]. This technique has the main goal to create a thick mucosa with superior quality, increasing the resistance to mechanical trauma from tooth brushing and enabling marginal homeostasis [<xref rid="B9" ref-type="bibr">9</xref>].</p><p>However, a coronal margin growth of soft tissue on the exposed roots in the postoperative recovery of soft tissue grafts was observed. This phenomenon was called “creeping attachment” [<xref rid="B10" ref-type="bibr">10</xref>]. Some authors observed this phenomenon especially in the anterior mandible region [<xref rid="B11" ref-type="bibr">11</xref>–<xref rid="B14" ref-type="bibr">14</xref>] and also a single case in the anterior maxilla [<xref rid="B15" ref-type="bibr">15</xref>]. Thus, this paper presents two clinical cases in which the “creeping attachment” was observed around implants where characteristics of the metal tend to preclude such phenomenon.</p></sec><sec id="sec2"><title>2. Case Reports</title><sec id="sec2.1"><title>2.1. Case 1</title><p>During a clinical examination, a female presented with recession of the buccal mucosa of implants located in the region teeth numbers 22, 23 and 24. Also, the lack of keratinized tissue in this region and some degree of inflammation of the soft tissues were observed that combined with radiographic images featured a diagnosis of peri-implantitis (Figures <xref ref-type="fig" rid="fig1">1</xref>, <xref ref-type="fig" rid="fig2">2</xref>, and <xref ref-type="fig" rid="fig3">3</xref>). In order to stop the retraction of soft tissues, a procedure using keratinized mucosa and connective tissue grafting was indicated that is already established in the literature [<xref rid="B7" ref-type="bibr">7</xref>].</p><p>The surgical procedure was carried out following the classical technique with the region of the tuberosity as the donor area, which had a surplus of sufficient tissue to perform this procedure. After complete stabilization of the graft on the receptor site, keratinized mucosa and adjacent periosteum (<xref ref-type="fig" rid="fig4">Figure 4</xref>), the patient was released and was prescribed a nonsteroidal anti-inflammatory, every 12 hours for 3 days.</p><p>Seven, 21, and 90 days, postoperatively, the patient returned to the clinic with a satisfactory status regarding the success of the technique of grafting but without the covering of exposed threads (Figures <xref ref-type="fig" rid="fig5">5</xref>, <xref ref-type="fig" rid="fig6">6</xref>, and <xref ref-type="fig" rid="fig7">7</xref>). Three months later, this patient underwent a new procedure for soft tissue graft, with the intention of covering the threads that were still exposed in the implant located in the area of tooth number 23. At this stage, only a connective tissue graft with a coronally advanced flap was planned. This procedure was performed following the classic technique described to cover exposed roots [<xref rid="B11" ref-type="bibr">11</xref>]. During this procedure, the donor site was the palatal region, extending from the distal of canine to mesial of the upper left first molar. In both of the surgical techniques, citric acid and tetracycline were used on the exposed surface of the implant (Figures <xref ref-type="fig" rid="fig8">8</xref> and <xref ref-type="fig" rid="fig9">9</xref>).</p><p>In the controls after 7 and 21 days, the latter procedure, despite creating a volume of soft tissue, failed to cover the threads of the implant (Figures <xref ref-type="fig" rid="fig10">10</xref> and <xref ref-type="fig" rid="fig11">11</xref>). Because of this, this patient was kept on peri-implant maintenance therapy. Ninety days after the second surgery, there was coronal migration of peri-implant mucosa, which then covered 2 of the 3 exposed threads (<xref ref-type="fig" rid="fig12">Figure 12</xref>). Until then, this phenomenon, called “creeping attachment,” had only been described in roots. Periodical recall appointments were performed and a survey of peri-implant sulcus depths was completed noting the absence of pockets 6 months after the surgery (<xref ref-type="fig" rid="fig13">Figure 13</xref>). The cervical tissue migration still occurred after 1 year (<xref ref-type="fig" rid="fig14">Figure 14</xref>) until it stabilized during the postoperative period of 2 years (<xref ref-type="fig" rid="fig15">Figure 15</xref>), where we observed a complete coverage of the threads and the implant platform in the region of tooth number 23, leaving only the vestibular portion of the metallic collar inherent to the angled abutment.</p></sec><sec id="sec2.2"><title>2.2. Case 2</title><p>The patient reported difficulty in brushing due to painful stimuli. Clinical examination showed absence of keratinized tissue on the buccal surface of the implant in the area of tooth number 35 (<xref ref-type="fig" rid="fig16">Figure 16</xref>). To solve this problem, the technique of free gingival keratinized and connective tissue grafting was proposed, as previously described (<xref ref-type="fig" rid="fig17">Figure 17</xref>). After the postoperative controls of 7, 10, and 21 days, the graft did not achieve a satisfactory outcome for increasing the width of keratinized mucosa, but only slight augmentation of the soft tissue (Figures <xref ref-type="fig" rid="fig18">18</xref>, <xref ref-type="fig" rid="fig19">19</xref>, and <xref ref-type="fig" rid="fig20">20</xref>) was noticed. A two-year follow-up postoperative visit showed the growth of coronary soft tissue, with almost total coverage of the threads of the implant, characterizing the phenomenon of “creeping attachment” (<xref ref-type="fig" rid="fig21">Figure 21</xref>).</p></sec></sec><sec id="sec3"><title>3. Discussion</title><p>The literature contains few reports on “creeping attachment” and all have been reported surrounding teeth [<xref rid="B12" ref-type="bibr">12</xref>–<xref rid="B16" ref-type="bibr">16</xref>]. The vast majority of these were reported in areas of the mandibular incisors and only one was reported in a maxillary posterior tooth restored with a metal crown. The literature shows no case reports of “creeping attachment” around implants. When we used the key words to search in PubMed: creeping attachment dental implants, only one article was related [<xref rid="B17" ref-type="bibr">17</xref>] to our research, which showed how rare this phenomenon is around implants. It is known that the soft tissue behaves differently on implant surfaces. Histological studies show a parallel behavior of fibers on the surface of the implant or prosthetic abutment [<xref rid="B18" ref-type="bibr">18</xref>]. Several studies have been proposed to test different surfaces of the implant that would stimulate the straight insertion of the soft tissue fibers of which only one was able to be proven convincingly [<xref rid="B19" ref-type="bibr">19</xref>].</p><p>Such characteristics make the presence of the growth of coronary soft tissue more difficult. This paper presents two clinical cases in which soft tissue surgeries were used to stabilize a process of peri-implant disease and increase the quality of peri-implant mucosa. After a postoperative follow-up of 2 years, the phenomenon of “creeping attachment” was noted in which threads were covered with machined implants placed slightly in the buccal direction. Although the literature does not present consensus on the need for keratinized mucosa around implants [<xref rid="B2" ref-type="bibr">2</xref>], this group believes that the presence of this tissue allows greater comfort for hygiene by the patient and higher mechanical strength of the mucosa for brushing forces as well as providing marginal tissue homeostasis.</p><p>It was previously reported that root etching enhances the coronal growth [<xref rid="B20" ref-type="bibr">20</xref>–<xref rid="B22" ref-type="bibr">22</xref>]. In these cases, a chemical treatment of exposed threads was performed, where the graft would lie. Unlike teeth, this procedure relates only to the chemical decontamination of the thread, where the graft would rest, as implant surfaces have a high degree of difficulty of decontamination, where mechanical disinfection can be accomplished only with Teflon curettes. A series of studies confirms this type of procedure during surgery involving surfaces contaminated due to oral exposure or by peri-implant disease [<xref rid="B22" ref-type="bibr">22</xref>]. Various substances have been used for this purpose including citric acid (used in these cases) which showed good results [<xref rid="B23" ref-type="bibr">23</xref>].</p><p>This phenomenon of “creeping attachment” is present 1–12 months after surgery. However, as in other articles, an increase in peri-implant mucosa after that period was also observed. This amount of gingival and mucosal growth still not be expected and to achieve the inclusion of fibers in both roots and implant abutments, further clinical studies are needed. The peculiarity of this case is the presence of “creeping attachment” around implants surfaces and angled abutments, decreasing the exposure of the metal collar which is the principal limitation of using this kind of abutment.</p><p>Although the phenomenon of “creeping attachment” around implants was observed, it is not yet possible to quantify its growth. This paper shows that this coronal migration is possible over decontaminated surfaces.</p></sec></body><back><sec sec-type="conflict"><title>Conflict of Interests</title><p>The authors declare that there is no conflict of interests regarding the publication of this paper.</p></sec><ref-list><ref id="B1"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Palacci</surname><given-names>P</given-names></name><name><surname>Nowzari</surname><given-names>H</given-names></name></person-group><article-title>Soft tissue enhancement around dental implants</article-title><source><italic>Periodontology 2000</italic></source><year>2008</year><volume>47</volume><issue>1</issue><fpage>113</fpage><lpage>132</lpage><pub-id pub-id-type="other">2-s2.0-42149118367</pub-id><pub-id pub-id-type="pmid">18412577</pub-id></element-citation></ref><ref id="B2"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Cairo</surname><given-names>F</given-names></name><name><surname>Pagliaro</surname><given-names>U</given-names></name><name><surname>Nieri</surname><given-names>M</given-names></name></person-group><article-title>Soft tissue management at implant sites</article-title><source><italic>Journal of Clinical Periodontology</italic></source><year>2008</year><volume>35</volume><issue>supplement 8</issue><fpage>163</fpage><lpage>167</lpage><pub-id pub-id-type="other">2-s2.0-50249083948</pub-id><pub-id pub-id-type="pmid">18724848</pub-id></element-citation></ref><ref id="B3"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Studer</surname><given-names>S</given-names></name><name><surname>Naef</surname><given-names>R</given-names></name><name><surname>Schärer</surname><given-names>P</given-names></name></person-group><article-title>Adjustment of localized alveolar ridge defects by soft tissue transplantation to improve mucogingival esthetics: a proposal for clinical classification and an evaluation of procedures</article-title><source><italic>Quintessence International</italic></source><year>1997</year><volume>28</volume><issue>12</issue><fpage>785</fpage><lpage>805</lpage><pub-id pub-id-type="other">2-s2.0-0031310857</pub-id><pub-id pub-id-type="pmid">9477870</pub-id></element-citation></ref><ref id="B4"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Seibert</surname><given-names>JS</given-names></name></person-group><article-title>Reconstruction of deformed, partially edentulous ridges, using full thickness onlay grafts. Part I. Technique and wound healing</article-title><source><italic>The Compendium of Continuing Education in Dentistry</italic></source><year>1983</year><volume>4</volume><issue>5</issue><fpage>437</fpage><lpage>453</lpage><pub-id pub-id-type="other">2-s2.0-0020826994</pub-id><pub-id pub-id-type="pmid">6578906</pub-id></element-citation></ref><ref id="B5"><label>5</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Abrams</surname><given-names>H</given-names></name><name><surname>Kopczyk</surname><given-names>RA</given-names></name><name><surname>Kaplan</surname><given-names>AL</given-names></name></person-group><article-title>Incidence of anterior ridge deformities in partially edentulous patients</article-title><source><italic>The Journal of Prosthetic Dentistry</italic></source><year>1987</year><volume>57</volume><issue>2</issue><fpage>191</fpage><lpage>194</lpage><pub-id pub-id-type="other">2-s2.0-0023285358</pub-id><pub-id pub-id-type="pmid">3470510</pub-id></element-citation></ref><ref id="B6"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Seibert</surname><given-names>JS</given-names></name><name><surname>Salama</surname><given-names>H</given-names></name></person-group><article-title>Alveolar ridge preservation and reconstruction</article-title><source><italic>Periodontology 2000</italic></source><year>1996</year><volume>11</volume><issue>1</issue><fpage>69</fpage><lpage>84</lpage><pub-id pub-id-type="other">2-s2.0-0030154049</pub-id><pub-id pub-id-type="pmid">9567959</pub-id></element-citation></ref><ref id="B7"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sullivan</surname><given-names>HC</given-names></name><name><surname>Atkins</surname><given-names>JH</given-names></name></person-group><article-title>The role of free gingival grafts in periodontal therapy</article-title><source><italic>Dental Clinics of North America</italic></source><year>1969</year><volume>13</volume><issue>1</issue><fpage>133</fpage><lpage>148</lpage><pub-id pub-id-type="other">2-s2.0-0014444771</pub-id><pub-id pub-id-type="pmid">5249426</pub-id></element-citation></ref><ref id="B8"><label>8</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Miller</surname><given-names>PD</given-names><suffix>Jr.</suffix></name></person-group><article-title>Root coverage using a free soft tissue autograft following citric acid application. Part 1: technique</article-title><source><italic>The International Journal of Periodontics & Restorative Dentistry</italic></source><year>1982</year><volume>2</volume><issue>1</issue><fpage>65</fpage><lpage>70</lpage><pub-id pub-id-type="other">2-s2.0-0020391734</pub-id><pub-id pub-id-type="pmid">6959974</pub-id></element-citation></ref><ref id="B9"><label>9</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Dorfman</surname><given-names>HS</given-names></name><name><surname>Kennedy</surname><given-names>JE</given-names></name><name><surname>Bird</surname><given-names>WC</given-names></name></person-group><article-title>Longitudinal evaluation of free autogenous gingival grafts: a four year report</article-title><source><italic>Journal of Periodontology</italic></source><year>1982</year><volume>53</volume><issue>6</issue><fpage>349</fpage><lpage>352</lpage><pub-id pub-id-type="other">2-s2.0-0020145575</pub-id><pub-id pub-id-type="pmid">7050339</pub-id></element-citation></ref><ref id="B10"><label>10</label><element-citation publication-type="book"><person-group person-group-type="author"><name><surname>Goldman</surname><given-names>HM</given-names></name><name><surname>Cohen</surname><given-names>DW</given-names></name></person-group><source><italic>Periodontal Therapy</italic></source><year>1973</year><edition>5th edition</edition><publisher-loc>St. Louis, Mo, USA</publisher-loc><publisher-name>Mosby</publisher-name></element-citation></ref><ref id="B11"><label>11</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Langer</surname><given-names>B</given-names></name><name><surname>Langer</surname><given-names>L</given-names></name></person-group><article-title>Subepithelial connective tissue graft technique for root coverage</article-title><source><italic>Journal of Periodontology</italic></source><year>1985</year><volume>56</volume><issue>12</issue><fpage>715</fpage><lpage>720</lpage><pub-id pub-id-type="other">2-s2.0-0022326922</pub-id><pub-id pub-id-type="pmid">3866056</pub-id></element-citation></ref><ref id="B12"><label>12</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Harris</surname><given-names>RJ</given-names></name></person-group><article-title>Creeping attachment associated with the connective tissue with partial-thickness double pedicle graft</article-title><source><italic>Journal of Periodontology</italic></source><year>1997</year><volume>68</volume><issue>9</issue><fpage>890</fpage><lpage>899</lpage><pub-id pub-id-type="other">2-s2.0-0031230492</pub-id><pub-id pub-id-type="pmid">9379335</pub-id></element-citation></ref><ref id="B13"><label>13</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Matter</surname><given-names>J</given-names></name></person-group><article-title>Creeping attachment of free gingival grafts. A five-year follow-up study</article-title><source><italic>Journal of Periodontology</italic></source><year>1980</year><volume>51</volume><issue>12</issue><fpage>681</fpage><lpage>685</lpage><pub-id pub-id-type="other">2-s2.0-0019126488</pub-id><pub-id pub-id-type="pmid">6937639</pub-id></element-citation></ref><ref id="B14"><label>14</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Matter</surname><given-names>J</given-names></name><name><surname>Cimasoni</surname><given-names>G</given-names></name></person-group><article-title>Creeping attachment after free gingival grafts</article-title><source><italic>Journal of Periodontology</italic></source><year>1976</year><volume>47</volume><issue>10</issue><fpage>574</fpage><lpage>579</lpage><pub-id pub-id-type="other">2-s2.0-0017130453</pub-id><pub-id pub-id-type="pmid">1067400</pub-id></element-citation></ref><ref id="B15"><label>15</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bell</surname><given-names>LA</given-names></name><name><surname>Valluzzo</surname><given-names>TA</given-names></name><name><surname>Garnick</surname><given-names>JJ</given-names></name><name><surname>Pennel</surname><given-names>BM</given-names></name></person-group><article-title>The presence of ”creeping attachment“ in human gingiva</article-title><source><italic>Journal of Periodontology</italic></source><year>1978</year><volume>49</volume><issue>10</issue><fpage>513</fpage><lpage>517</lpage><pub-id pub-id-type="other">2-s2.0-0018068252</pub-id><pub-id pub-id-type="pmid">282425</pub-id></element-citation></ref><ref id="B16"><label>16</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Otero-Cagide</surname><given-names>FJ</given-names></name><name><surname>Otero-Cagide</surname><given-names>MF</given-names></name></person-group><article-title>Unique creeping attachment after autogenous gingival grafting: case report</article-title><source><italic>Journal (Canadian Dental Association)</italic></source><year>2003</year><volume>69</volume><issue>7</issue><fpage>432</fpage><lpage>435</lpage><pub-id pub-id-type="other">2-s2.0-0042306596</pub-id><pub-id pub-id-type="pmid">12880554</pub-id></element-citation></ref><ref id="B17"><label>17</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Oh</surname><given-names>T-J</given-names></name><name><surname>Shotwell</surname><given-names>JL</given-names></name><name><surname>Billy</surname><given-names>EJ</given-names></name><name><surname>Wang</surname><given-names>H-L</given-names></name></person-group><article-title>Effect of flapless implant surgery on soft tissue profile: a randomized controlled clinical trial</article-title><source><italic>Journal of Periodontology</italic></source><year>2006</year><volume>77</volume><issue>5</issue><fpage>874</fpage><lpage>882</lpage><pub-id pub-id-type="other">2-s2.0-33745972063</pub-id><pub-id pub-id-type="pmid">16671881</pub-id></element-citation></ref><ref id="B18"><label>18</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Schierano</surname><given-names>G</given-names></name><name><surname>Ramieri</surname><given-names>G</given-names></name><name><surname>Cortese</surname><given-names>M</given-names></name><name><surname>Aimetti</surname><given-names>M</given-names></name><name><surname>Preti</surname><given-names>G</given-names></name></person-group><article-title>Organization of the connective tissue barrier around long-term loaded implant abutments in man</article-title><source><italic>Clinical Oral Implants Research</italic></source><year>2002</year><volume>13</volume><issue>5</issue><fpage>460</fpage><lpage>464</lpage><pub-id pub-id-type="other">2-s2.0-0036779583</pub-id><pub-id pub-id-type="pmid">12453121</pub-id></element-citation></ref><ref id="B19"><label>19</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nevins</surname><given-names>M</given-names></name><name><surname>Nevins</surname><given-names>ML</given-names></name><name><surname>Camelo</surname><given-names>M</given-names></name><name><surname>Boyesen</surname><given-names>JL</given-names></name><name><surname>Kim</surname><given-names>DM</given-names></name></person-group><article-title>Human histologic evidence of a connective tissue attachment to a dental implant</article-title><source><italic>International Journal of Periodontics and Restorative Dentistry</italic></source><year>2008</year><volume>28</volume><issue>2</issue><fpage>111</fpage><lpage>121</lpage><pub-id pub-id-type="other">2-s2.0-42249087318</pub-id><pub-id pub-id-type="pmid">18546807</pub-id></element-citation></ref><ref id="B20"><label>20</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Trombelli</surname><given-names>L</given-names></name><name><surname>Schincaglia</surname><given-names>GP</given-names></name><name><surname>Zangari</surname><given-names>F</given-names></name><name><surname>Griselli</surname><given-names>A</given-names></name><name><surname>Scabbia</surname><given-names>A</given-names></name><name><surname>Calura</surname><given-names>G</given-names></name></person-group><article-title>Effects of tetracycline HCl conditioning and fibrin-fibronectin system application in the treatment of buccal gingival recession with guided tissue regeneration</article-title><source><italic>Journal of Periodontology</italic></source><year>1995</year><volume>66</volume><issue>5</issue><fpage>313</fpage><lpage>320</lpage><pub-id pub-id-type="other">2-s2.0-0029111989</pub-id><pub-id pub-id-type="pmid">7623249</pub-id></element-citation></ref><ref id="B21"><label>21</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Polson</surname><given-names>AM</given-names></name><name><surname>Proye</surname><given-names>MP</given-names></name></person-group><article-title>Effect of root surface alterations on periodontal healing. II. Citric acid treatment of the denuded root.</article-title><source><italic>Journal of Clinical Periodontology</italic></source><year>1982</year><volume>9</volume><issue>6</issue><fpage>441</fpage><lpage>454</lpage><pub-id pub-id-type="other">2-s2.0-0020212453</pub-id><pub-id pub-id-type="pmid">6960020</pub-id></element-citation></ref><ref id="B22"><label>22</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ibbott</surname><given-names>CG</given-names></name><name><surname>Oles</surname><given-names>RD</given-names></name><name><surname>Laverty</surname><given-names>WH</given-names></name></person-group><article-title>Effects of citric acid treatment on autogenous free graft coverage of localized recession</article-title><source><italic>Journal of Periodontology</italic></source><year>1985</year><volume>56</volume><issue>11</issue><fpage>662</fpage><lpage>665</lpage><pub-id pub-id-type="other">2-s2.0-0022220356</pub-id><pub-id pub-id-type="pmid">3863915</pub-id></element-citation></ref><ref id="B23"><label>23</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Renvert</surname><given-names>S</given-names></name><name><surname>Roos-Jansåker</surname><given-names>A-M</given-names></name><name><surname>Claffey</surname><given-names>N</given-names></name></person-group><article-title>Non-surgical treatment of peri-implant mucositis and peri-implantitis: a literature review</article-title><source><italic>Journal of Clinical Periodontology</italic></source><year>2008</year><volume>35</volume><issue>8</issue><fpage>305</fpage><lpage>315</lpage><pub-id pub-id-type="other">2-s2.0-50249141867</pub-id></element-citation></ref></ref-list></back><floats-group><fig id="fig1" orientation="portrait" position="float"><label>Figure 1</label><caption><p>Initial appearance. Note exposure of threads and the absence of keratinized mucosa.</p></caption><graphic xlink:href="CRID2014-756908.001"></graphic></fig><fig id="fig2" orientation="portrait" position="float"><label>Figure 2</label><caption><p>Radiographic initial appearance.</p></caption><graphic xlink:href="CRID2014-756908.002"></graphic></fig><fig id="fig3" orientation="portrait" position="float"><label>Figure 3</label><caption><p>Recipient site prepared to receive the free gingival graft.</p></caption><graphic xlink:href="CRID2014-756908.003"></graphic></fig><fig id="fig4" orientation="portrait" position="float"><label>Figure 4</label><caption><p>Graft sutured into the recipient site only in keratinized mucosa and periosteum.</p></caption><graphic xlink:href="CRID2014-756908.004"></graphic></fig><fig id="fig5" orientation="portrait" position="float"><label>Figure 5</label><caption><p>Postoperative aspect 7 days after surgery.</p></caption><graphic xlink:href="CRID2014-756908.005"></graphic></fig><fig id="fig6" orientation="portrait" position="float"><label>Figure 6</label><caption><p>Postoperative aspect 21 days after surgery: the exposure of threads in the element 23 still exists.</p></caption><graphic xlink:href="CRID2014-756908.006"></graphic></fig><fig id="fig7" orientation="portrait" position="float"><label>Figure 7</label><caption><p>Postoperative aspect 90 days after surgery: indication for subepithelial connective tissue graft.</p></caption><graphic xlink:href="CRID2014-756908.007"></graphic></fig><fig id="fig8" orientation="portrait" position="float"><label>Figure 8</label><caption><p>Connective tissue graft sutured to the recipient site.</p></caption><graphic xlink:href="CRID2014-756908.008"></graphic></fig><fig id="fig9" orientation="portrait" position="float"><label>Figure 9</label><caption><p>Immediate postoperative aspect after subepithelial connective tissue graft.</p></caption><graphic xlink:href="CRID2014-756908.009"></graphic></fig><fig id="fig10" orientation="portrait" position="float"><label>Figure 10</label><caption><p>Postoperative aspect 7 days after surgery.</p></caption><graphic xlink:href="CRID2014-756908.010"></graphic></fig><fig id="fig11" orientation="portrait" position="float"><label>Figure 11</label><caption><p>Postoperative aspect 21 days after surgery: note that the connective tissue graft failed to cover exposed threads.</p></caption><graphic xlink:href="CRID2014-756908.011"></graphic></fig><fig id="fig12" orientation="portrait" position="float"><label>Figure 12</label><caption><p>Postoperative aspect 90 days after the second surgery: presence of the phenomenon of “creeping attachment” with partial coverage of the implant's threads.</p></caption><graphic xlink:href="CRID2014-756908.012"></graphic></fig><fig id="fig13" orientation="portrait" position="float"><label>Figure 13</label><caption><p>Postoperative absence of peri-implant pocket in 6 months.</p></caption><graphic xlink:href="CRID2014-756908.013"></graphic></fig><fig id="fig14" orientation="portrait" position="float"><label>Figure 14</label><caption><p>One year after the surgery. Note the almost total coverage of the implant platform.</p></caption><graphic xlink:href="CRID2014-756908.014"></graphic></fig><fig id="fig15" orientation="portrait" position="float"><label>Figure 15</label><caption><p>Two years after the surgery. Covering all of the threads of the implant and the platform due to the phenomenon of “creeping attachment.”</p></caption><graphic xlink:href="CRID2014-756908.015"></graphic></fig><fig id="fig16" orientation="portrait" position="float"><label>Figure 16</label><caption><p>Initial appearance. Note exposure of threads and the absence of keratinized mucosa.</p></caption><graphic xlink:href="CRID2014-756908.016"></graphic></fig><fig id="fig17" orientation="portrait" position="float"><label>Figure 17</label><caption><p>Graft sutured into the recipient site only in keratinized mucosa and periosteum.</p></caption><graphic xlink:href="CRID2014-756908.017"></graphic></fig><fig id="fig18" orientation="portrait" position="float"><label>Figure 18</label><caption><p>Postoperative aspect 7 days after surgery.</p></caption><graphic xlink:href="CRID2014-756908.018"></graphic></fig><fig id="fig19" orientation="portrait" position="float"><label>Figure 19</label><caption><p>Postoperative aspect 14 days after surgery.</p></caption><graphic xlink:href="CRID2014-756908.019"></graphic></fig><fig id="fig20" orientation="portrait" position="float"><label>Figure 20</label><caption><p>Postoperative aspect 21 days after surgery: note that the masticatory mucosal tissue graft failed to cover exposed threads but gained soft tissue volume.</p></caption><graphic xlink:href="CRID2014-756908.020"></graphic></fig><fig id="fig21" orientation="portrait" position="float"><label>Figure 21</label><caption><p>Two years after the surgery. Covering almost all of the threads of the implant due to the phenomenon of “creeping attachment”.</p></caption><graphic xlink:href="CRID2014-756908.021"></graphic></fig></floats-group></pmc></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Santé/explor/EdenteV2/Data/Pmc/Corpus
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 002983 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Pmc/Corpus/biblio.hfd -nk 002983 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Santé
|area= EdenteV2
|flux= Pmc
|étape= Corpus
|type= RBID
|clé= PMC:4168148
|texte= Creeping Attachment Involving Dental Implants: Two Case Reports with a Two-Year Follow-Up from an Ongoing Clinical Study
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Pmc/Corpus/RBID.i -Sk "pubmed:25276440" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Pmc/Corpus/biblio.hfd \
| NlmPubMed2Wicri -a EdenteV2
| This area was generated with Dilib version V0.6.32. |  |