This an 82-year old patient who presented for a comprehensive exam. She has an FUD and had implants placed at 6 and 11 many years ago. Implant 6 exfoliated several years ago. Patient gave me the Locator abutment thinking the entire implant came out. This is the radiogragh. I have a couple of questions. Does it appear that something is broken at the crestal end of the implant or is that just the shape of this implant? If the patient wanted to leave this alone for financial reasons, is it ok to not have a cover screw and let the tissue fully enclose it? Right now there is still a small opening and I offered to do a gingivectomy and re-insert the abutment . She understands that one implant is not a good situation.