Reports of the occurrence of late complications following implant placement associated with a natural tooth are limited. The infective etiology may be bacteria from periapical lesions around adjacent teeth. This case report demonstrates successful management of a late complication using regenerative surgery with bone graft material and tetracycline at the same time as root canal therapy of the adjacent tooth. The detoxification procedure was performed with tetracycline, and the defect area was grafted with a 4:1 volume ratio combination of deproteinized bovine bone mixed with tetracycline. Soft tissue healing was uneventful, and the treatment yielded improved clinical results with bony gain.
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