Six days postop, the distobuccal margin of the immediate provisional appears to be overbuilt (Fig.6 *).  The overhang was made to cover the distobuccal opening of the socket (Fig.4).  In addition to daily use of water pik, cleaning with .25% Sodium Hypochlorite contributes to the shiny surface of the provisional.  From now on, use cotton pellets soaked with the diluted bleach to clean the provisional and abutment (if exposed) every visit.  For this case, the overhang will be trimmed when the patient returns in 2 weeks so that the distal papilla may grow downward. The mesial contact should be re-established (^).

Implant Placed Deep Last Next Xin Wei, DDS, PhD, MS 1st edition 09/26/2016, last revision 12/12/2018