Do I go for a second apicoectomy or implant? (photo)

Hi According to your x-ray the tooth seems to be in such good conditions that is worth trying to preserve it in mouth even though an implant is nowadays the best option to replace a missing tooth it will never replace in full a natural tooth, the best road to take in trying to preserve it would be with a retreatment if after one week the discomfort or pain does not show any progress the second step would be an apicoectomy if this does not work then your third and last option should be an extraction and implant placement.
Regards

Hi
This is an easy question with one answer. Take the tooth out, graft the whole area and after adequate healing place a good stablemate implant that will serve you for years.

You are young and if the prognosis of the apicoectomy is at least 50%, I would advise on trying the apicoectomy first.

If the the tooth has been root canaled and apico, it seems like it has failed.  Another apico most likely would not increase chance of survival.  The implant is your best choice now.

That's a choice for you to make. Do you want to attempt another apicoectomy knowing that it may fail again and ultimately need an implant in the future? Unfortunately, you won't know the outcome until you try it.

When a tooth such as yours has had root canal treatment and that has failed then an apicectomy is the preferred choice. Your root is long and healthy so I would opt for a second and final apicectomy before opting for tooth removal and implant.