Last post, talked about how apicoectomies can be used to save teeth and the periodontium - tissues whose form and function are never truly replaced by dental implants. As a follow up to that post, here's a 9.5 year recall on an apicoectomy.
This patient has crowns on #6-#11. Tooth #6 is causing a localized ache, affected by pressure and chewing. #6 is sensitive to percussion with normal probings. DX: Prior RCT with Symptomatic Apical Periodontitis (SAP). The margins are suspicious, but apical surgery was chosen to address the infection without disturbing the existing crown.