I installed a TL Stand Plus Straumann WN 4.8 x 10mm implant in #31 site [mandibular right second molar; 47] and 0.5mm healing cap for a 2 stage surgery. I achieved primary stability over 30Ncm. I chose a two stage plan, as the patient’s oral hygiene is not so great. One week post surgery, the patient came in for a review and small bit of healing cap is exposed, as shown in the photograph. My initial plan is to review in 1 more week to confirm the exposure and replace the healing cap with a wider and taller transmucosal healing abutment. Meanwhile, the patient was asked to keep the area clean with Chlorohexidine rinse x3 daily. However, I am a little concerned about jeopardizing the osseointegration by removing the healing cap 2 weeks post surgery. At the same time, I am also worried about the bone loss if I do not replace with wider healing abutment now. What do you recommend?

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