Introduction and Aim:
One of the most common problems around implants is the lack of keratinized mucosa and attached gingiva. Increasing the width or thickness of the keratinized tissue (KT) can be beneficial for both implant health and patient comfort. To achieve the desired results from the procedures, it is crucial to select and perform the surgical technique correctly. In this case series, the correct and incorrect practices during soft tissue management around implants will be demonstrated, and how healthy clinical conditions were created for patients will be explained.

Materials and Methods:
Patients referred to our department from the Implantology and Prosthodontics departments presented complaints of pain and plaque accumulation around their implants. The dimensions of keratinized gingiva, plaque index (PI), and bleeding index (BI) around all implants were evaluated. Autogenous free gingival graft surgery was planned for all patients. The plaque score (PI), bleeding score (BI), and keratinized tissue (KT) width around the implant were measured both before surgery and during post-operative follow-up sessions.

Results:
The lack of keratinized tissue was positively correlated with plaque accumulation. An increase in keratinized tissue was observed in all operated areas. A decrease in plaque and bleeding indices was also noted. Although full success regarding tissue stability was not achieved during the healing period, a significant improvement in patient comfort was observed. While keratinized tissue was created in all areas, the lack of attached gingiva on the tissue over the abutment caused continued mobility in the tissue