When a 5x13 mm implant is placed with >50 Ncm (Fig.2), the implant is subcrestal clinically except palatal (osteotomy not buccal enough), which is consistent with bitewing view (Fig.3).   A 5.5x5(5) mm cemented abutment is tried with minimal occlusal clearance.  It appears that a 5.5x4(5) one is more appropriate.

Tissue Punch Last Next Xin Wei, DDS, PhD, MS 1st edition 04/19/2018, last revision 09/21/2018