[doug]

The implant you can back out easily with the hand torque wrench at this point. If you want to replace it, it look like you have space for a longer implant. Remove the implant, currette and take the osteotomy deeper and place another implant, bury it this time. No need to wait and relay the case.

[doug]

I would leave it alone. The torque is now about half of the initial insertion. I would not disturb the implant by placing a driver and force on the healing abutment. The soft tissue will remodel around the healing abutment. Come back to it in 16 weeks and torque test the implant. If it fails, remove it then, currette the socket and graft. Start again in another four months. If good stability, then I would proceed with an abutment and PMMA crown out of occlusion to progressive load the implant over the next 4-6 months. We just can’t know at this point.