Currently, our patients come to our consultations with knowledge of oral implantology requesting immediate resolution protocols, having us as clinics to apply more advanced technologies where diagnosis plays a determining role. The appearance of periapical lesions until some time ago meant an inconvenience in the development of these treatment plans, having to delay for 3-6 months the completion of the case. The study, development and benign behavior of this type of search is quite clear in the literature, demonstrating over time the importance of a timely diagnosis and an effective surgical technique for its resolution. There are many consensuses described in the literature on immediate implementation, but it is necessary to make case reports with clinical and radiographic follow-up where the management and application of minimally invasive surgical techniques that allow extraction, cyst enucleation, bone curettage, can be shown. guided bone regeneration and finally immediate implantation, definitively shortening the treatment time and increasing the regenerative potential of our jaws and therefore the satisfaction of our patients.