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:
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.