Apical periodontitis (AP) is a chronic inflammatory disease of the tissues surrounding the tooth root apex, caused by persistent infection within the root canal system. Our previous studies have characterised the microbiome of primary and secondary endodontic infections using targeted gene sequencing, identifying key cultivable pathogens associated with treatment failure. When conventional root canal therapy is unsuccessful, apical microsurgery provides a minimally invasive surgical option to remove infected tissue and promote healing. Platelet-rich fibrin (PRF), an autologous biomaterial rich in platelets, growth factors, and stem cells, has shown promise in enhancing tissue regeneration. This PhD project will evaluate whether PRF use in apical microsurgery improves healing, bone regeneration, and clinical outcomes. A randomised controlled design will integrate clinical, microbiological, and inflammatory analyses to inform evidence-based regenerative strategies.