This report presents a timely topic relating to placement of dental implants in proximity to retained root tips. Cases are presented in which late complications occurred due to implants placed near retained root fragments. Clinical, radiographic, and histologic evidence are reported in this case series. Given the limited evidence available, this important topic requires further investigation following recent reports proposing to place implants in combination with retained root fragments for ridge preservation. This report presents potential complications of implants placed near retained root fragments.