Will Apicoectomy save the tooth? Or should I remove it and go for an implant?

 From your description, it sounds like this tooth is fairly compromised and and  will require “heroics” to be saved. In situations like this, I fully explain both options to my patient, but will often guide them towards the more predictable solution. In this case, that would be removing  this compromised tooth, performing a bone graft, and then replacing the tooth with a dental implant.I hope you found the information to be helpful,Dr. Champagne 

Everything does to save your tooth is and good option for you… An implant is a good option but just in case the tooth can be save. 

Hello,
An apicoectomy is always an option. However an implant may be a better choice due to the fact that it is more predictable in my opinion.

It is difficult to advise without seeing an Xray but generally, if a root canal treatment is not successful the prognosis for the tooth is not great.
An apicoectomy may resolve the problem but you may go through this surgical procedure, have a period of healing of several months and the problem may recur.
The advice that I give to my patients is that the success of an apicoectomy is not guaranteed and it may ultimately require an implant. If the patient wishes to go ahead on that basis as a last resort it is worth doing.
Otherwise, just accept that the tooth is troublesome and needs to be removed and go ahead with an implant which should be a successful long-term solution.
Best wishes
Dr. Ian Hallam MBE