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.
9.5 year recall. Tooth is fully functional, asymptomatic with radiographic healing. Apicoectomy has preserved the tooth and the periodontium for an extended period of time.