The Engel protocol taught in M1 is strictly followed insuring that the implants are placed to the crest of the ridge. Because the implants are torqued to 35Ncm, taller healing abutments can be placed, eliminating the need for anesthesia upon uncovering for the final impression.
When ready to seat the implant retained crowns, the healing abutments are removed showing healthy, pink gingival cuffs and an adequate band of attached gingiva.
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