The largest osteotome is 4.8 mm.  When a 5x13 mm implant is placed, it has low torque (Fig.8,9).   It is also deeper than necessary.  It will be backup 2-3 months postop when the bone starts to heal.  Without anesthesia, try to turn the abutment screw.  If there is no pain when the abutment is removed, try to counterclockwisely turn the implant gently.  Administer local anesthetic if deemed necessary.  Take PA to confirm implant level.

Overprep

Xin Wei, DDS, PhD, MS 1st edition 08/28/2016, last revision 08/28/2016