Implants Showing Thru Gingival Tissue

Dr. Mena asks:

I recently did a few immediate loading cases with root-formed
dental implants and composite resin temporization on titanium or zirconia
abutments.

All of the cases had some kind of chronic infection prior to
the extraction, which was the reason for the extractions. All cases
were treated with antibiotics after the extractions and dental implant
placement. The dental implant fixtures had primary stability and I torqued them to
about 40 Ncm. No bone grafting was performed between the alveolar wall
and the dental implant.

Until now, the dental implants have been working well, but some of the
implants are showing thru thin gingival tissue. Is this going to
become a problem? Any thoughts?

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