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At 2-week follow-up, the patient reports "pain a few days earlier, took a pill of antibiotic, pain gone. UR metal is sharp". She does not take antibiotic regularly. Exam reveals that there is heavy plaque around #2,3 healing abutments. The buccal edge of #2 abutment is trimmed for comfort. Nearly 1 month postop, #3 healing abutment dislodges with buccal gingival erythema and edema with purulent discharge (Fig.3). Healing screw is placed at #3 with Amoxicillin and Chlorhexidine prescribed.
Xin Wei, DDS, PhD, MS 1st edition 04/25/2018, last revision 08/26/2018