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Is it OK that dental implant screw is still exposed on inner side after permanent cap has been placed? -Tooth #19? (Photos)

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Is it OK that dental implant screw is still exposed on inner side after permanent cap has been placed? -Tooth #19 had permanent cap placed May 2017. It felt like food was stuck under it. Days later, asked dentist to check it. Per dentist, exposed implant is fine and that I just need to keep it clean. Is it OK? He mentioned 'not a lot of bone', so I asked why did he do it if not enough bone, after all it cost $2,000-not covered by ins. I didn't get much of a response.

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