Fig. 4

Laterally rotated flap from the distopalatal area. a, b Pre-surgical situation. Peri-implant mucositis. Lack of keratinized tissue and marginal soft tissue mobility. c X-ray showing no peri-implantitis. d Firm attached bleeding recipient area. e Pediculated flap from the distopalatal adjacent area. f Pedicle sutured to the recipient bed. Collagen sponge device protecting the donor area. g, h Nine months follow-up showing a keratinized and increased peri-implant healthy soft tissue. Frontal and occlusal view