Exposed Bone After Implant Placement: best procedure?

I would handle it the same way a lingual spicule is managed after an extraction.

When the mucosa over a prominent area such as a torus or the retromylohyoid ridge gets damaged and exposes the bone, it does not get covered quickly. The prominent bone continues to be rubbed and interferes with epithelialization. The healing process involves many weeks and is similar to healing when a small bony fragment works its way out through the gums. The surface of the bone starts smooth, but eventually gets sharp and irritating to the tongue. The protruding bone can be smoothed to the level of the adjacent soft tissue to help in reepithelialization. Usually anesthesia is not required. Good luck!

Actually what happens is that if the mucosa is traumatized it will regenerate in a few days. Exposed bone lasting more than 10-14 days is indicative of necrotic bone, so what happens then is than it will be sequestered off , exfoliated, by a layer of granulation tissue developing underneath the sequestra. If it is filed off, often more spicules will form. So the management is keeping the area clean and allowing the sequestra to develop naturally and knowing when to remove it usually in a couple of weeks. Perhaps this process in the previous post takes several weeks since continually retraumatizing the area will extend the process by creating more spicules. This probably happened due to trauma to the area when placing the implant. It is not about re epithelialization but bone remodeling. That is the correct answer.

Give it one more week to heal. If it doesn´t then, It can develop an infection, so remodel the bone.

@Olalde- CHX can slow healing process? I was under the impression that CHX is an antibacterial. Helps keep the area clean and let healing proceed as normal. What do you recommend instead? Baking soda+warm water? Saline? I'd appreciate a chime-in from CRS or other OS guys.

CHx inhibits fibroplasts. Check out products from Periosciences.....anti oxidants