This course will describe the indications and contraindications, for performing or referring a patient for Apical Surgery. With the correct history, radiographic and clinical evaluation, the decision to perform an Apicoectomy, will be weighed against further evaluation, a retreatment option, or extraction. Then a decision is more accurately made as to whether an Implant or a Fixed Bridge (Fixed Partial Prosthesis), a Removable Prosthesis (Fixed or Transitional Tempoary Prosthesis), or doing nothing would be the final treatment plan offered to the patient. This specific workup (check list) is frequently overlooked, leading to a less than ideal outcome. This course discusses and reviews all the options when a tooth is ailing or failing.