Around 4 months after implant placement, second-stage surgery is usually performed. The crestal soft tissue area is de-epithelialized, followed by a u-shaped incision. The cover screw is changed to a healing abutment folding this small flap towards the buccal side, allowing for slight augmentation of the buccal contour. In the case of the seldom occurrence of bone on top of the implant, this can be safely and easily removed using curettes, ultrasonic scalers, or specially designed trephine burs manufactured by the respective implant manufacturer.