The healing screw is removed with difficulty, while a 6x3 mm healing abutment is placed with resistance, probably related to interference from the distal crest (Fig.9 *).  It is much easier with  removal of the crest bone using surgical bur, because of clearance (Fig.10 *).  It is the best to have a particular drill to remove the excess bone.  There is no interference to insert and torque a 5x4(2) mm pair abutment 2 weeks post uncover (Fig.11).

Secure Landmark for Osteotomy   Last  Next, 1st Year

Xin Wei, DDS, PhD, MS 1st edition 01/16/2019, last revision 02/02/2020