The standard abutment is connected to the implant at second stage surgery upon removal of the SC4 cover screw or TBE temporary abutment. Second stage surgery is commonly done by way of an incision over the implant, reflection of the skin, securing the abutment and then suturing the skin around the abutment. An alternative method is to punch a cylinder of skin out, above the implant. This is done using the handpiece driven tissue cutter, I-TC1. The standard abutment is secured using the abutment driver, I-AD. ATorque Wrench with a bit, I-WI-A, can also be used (tighten to 20 Ncm).