A residual granuloma in association with a dental implant

Michael S. McCracken, Ramakiran V. Chavali, Nasser Said Al-Naief, Paul D. Eleazer

Research output: Contribution to journalArticlepeer-review

9 Scopus citations


At times, dental implants are placed into sites with a history of periapical pathology. Sometimes the infection is active, and other times the tooth may have been extracted years before implant placement. In either case, the possibility exists for long-term residual cysts or infections that can negatively impact the prognosis of the implant. In this case report, an implant is placed into a healed mandibular ridge several months after extraction of the tooth. A radiolucency was noted on routine radiographic examination 2 years later. Surgical inspection and histology revealed a periapical granuloma with acute and chronic inflammatory cells. After surgical curettage of the site, the patient healed without complication. Implants may develop apical pathology as a result of a preexisting long-term residual infection.

Original languageEnglish (US)
Pages (from-to)87-90
Number of pages4
JournalImplant Dentistry
Issue number2
StatePublished - Apr 2012
Externally publishedYes


  • granuloma
  • implant
  • infection
  • radiolucency

ASJC Scopus subject areas

  • Oral Surgery


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