What should be the clinician's next step if cover screws of a two-stage implant are exposed?

In the scenario where cover screws of a two-stage implant are exposed, instructing the patient to clean the cover screws is a reasonable next step. This approach acknowledges that the exposure can lead to contamination and increases the risk of infection. By having the patient clean the area, it helps reduce the bacterial load around the surgical site, which is crucial for maintaining good healing conditions.

This step also emphasizes patient involvement in their own care, and is particularly important since the cover screws are typically designed to remain in place until the time for abutment placement is appropriate. Depending on the extent of exposure and the clinical situation, cleaning may be a sufficient measure to ensure the area remains healthy until further treatment can be performed. Hence, advising the patient to maintain cleanliness around the exposed area until a more permanent solution can be implemented is both practical and essential for optimal healing.