Buccal infection develops 2 weeks post cementation (Fig.9).  When the crown/abutment is removed, there is no residual cement.  The implant threads can be felt through the fistula.  After soft tissue debridement and copious irrigation, Arestin is placed in the fistula.  It appears that early periimplantitis develops because of the preexisting buccal furca lesion and failure to place the implant deep.  The implant will be removed, truncated at the apex and placed lower than the buccal crest.

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Xin Wei, DDS, PhD, MS 1st edition 06/30/2017, last revision 02/25/2018