It is no longer acceptable to see patients that have been scheduled by an Oral Surgeon or a Maxillo-facial Surgeon, maybe under general anesthesia, for an apicectomy to remove a cystic wall which does not need any removal. Too many times these surgeons take care of the removal of the inflamed tissue, put a bone graft in the bony lesion and the don’t even put any retrofilling material at the apex of the infected root canal!