When the patient returns for impression nearly 6 months postop, she feels mild pain. In fact the temporary crown/abutment is loose and traps food underneath with the erythematous gingival cuff. A 5.7x4(3) mm abutment is placed and torqued without gap for impression; the implant threads are exposed distal (Fig.4 <, as compared to immediate postop Fig.3). Retrospectively, the incompletely seated cemented abutment should be tightened or removed ~ 1 month postop when the socket heals.
Xin Wei, DDS, PhD, MS 1st edition 02/26/2020, last revision 06/07/2020