The discharge relapses.  It appears that the apex of the implant (5x16 mm bone-level) should be truncated for 3-5 threads (Fig.11 black line).  Soak a piece of 2x2 gauze in Metronidazole; it will be used to hold the implant outside the mouth for sectioning.  Prescribe Medrol dose pak to reduce postop edema.

While the implant is being truncated between the apical 3rd and 4th threads, a question is being asked whether the implant will be engaged to the osteotomy once the apical tapered portion is removed.  In fact there is no problem (Fig.12).  To prevent coronal thread exposure and subsequent periimplantitis, the implant is placed deeper (Fig.13).  Then it is placed more coronal (Fig.14).  No attempt is tried to bring out bone graft.

Clearance from RPD

Xin Wei, DDS, PhD, MS 1st edition 03/15/2016, last revision 03/23/2016