Honorato, L.Alves, N.Trillos, V.2019-11-272019-11-272018Biomedical Research (India), 29(12), pp. 2504-2508.0970-938XDOI: 10.4066/biomedicalresearch.29-18-211http://repositorio.unab.cl/xmlui/handle/ria/10837Indexación: Scopus.Chemicals and CAS Registry Numbers: azithromycin, 83905-01-5, 117772-70-0, 121470-24-4; chlorhexidine, 3697-42-5, 55-56-1; erythromycin, 114-07-8, 70536-18-4The present study reports a case of a periapical lesion in an implant placed in an alveolar ridge which presented a residual root fragment of a deciduous tooth. Patient attended a dental clinic because she wanted to replace the missing tooth with an implant. She reported having lost the temporary tooth for one year. The initial Cone-beam Computerised Tomography image showed an edentulous area in the #13 zone, and the presence of a fragment of the deciduous tooth. The small root fragment was removed and an implant 4.0 × 13 mm amplified was installed. Patient presented acute pain and inflammation at the implant site 20 d after the surgery when the implant was originally installed; the first periapical surgery was carried out. Four months after the first periapical surgery, in periapical x-ray a radiolucent lesion was observed surrounding the apical region of the implant with a dry sound under percussion. The second periapical surgery was carried out. Five months after the second periapical surgery, the presence of a fistula was observed clinically, while in X-ray a radiolucent lesion was observed in the apex of the implant. Implant-plasty was carried out, removing approximately 5 mm of the apical portion of the implant. This treatment was successful after 27 months' monitoring. © 2018, Scientific Publishers of India. All rights reserved.enApicoectomyDental implantsImplant periapical lesionArtículo