Incompletely Seated Implants: What Should I Do?


Dr. CP, a general dentist asks:
I am a beginner in implant dentistry and today I put my first implants in sites # 29 and 30 [mandibular right second premolar and first molar; 45, 46. When I attempted to torque the implants down to their final working length, neither implant went all the way. The implant platforms project a few millimeters above the bone level. These implants are designed to be installed to the bone level. I was not sure if I should untorque and remove them and drill wider and deeper osteotomies. I left them in place. What should I do next?