A note to the referring dentist sent after the case was rescued:
You will need to adjust the screw access hole of the crown to allow for straight line axis. The occlusal hole is angled to the mesial. Therefore, you can use a fine diamond bur and adjust the distal wall to allow the hex driver to connect flush to the screw head throughout the hand-tightening process.
Here’s my outline for you to follow:
1. Have a surgeon use a laser to uncover the top portion of the fixture. This prevents tissue entrapment
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