About a week ago I placed a 4.3x10mm NobelReplace CC implant utilizing surgical guided technique in the area #19 on an otherwise healthy, nonsmoking female patient. Upon placement of this implant final insertion torque was measured about 10-15Ncm. Since a surgical guided technique was utilized, the final drill of the surgical protocol had to be taken to depth with no additional drills to overprepare the site, and since tissue punch was part of drilling protocol, a healing abutment was used. Please see post-op x-ray as well as HU index that shows bone quality prior to insertion. I was wondering if you could comment on how important is it to remove the healing abutment only to insert a cover screw and cover the area either with a membrane or soft tissue graft in order to avoid pressure from food or tongue because of the low insertion torque. Please note that abutment is almost at the tissue height and receives no pressure from any prosthesis. Thank you and your help in this matter, it is as always greatly appreciated.

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