MANAGING LARGE LESIONS: Here we present a 23 YO healthy Asian female with a necrotic #10 secondary to a shovel shaped coronal anatomy. We chose to to treat this tooth non-surgically in 2 stages. After 8 months not only did the lesion not heal, but she failed to have the permanent restoration of the endodontic access completed. We had then chosen to manage this case surgically via apicoectomy and also hooked her up with a local restorative dentist who could restore the access for her. 4.5 years later, this patient remains asymptomatic and we see evidence of complete bony healing of what started as an very large bony defect in the maxilla. SUCCESS!!