An increasingly common dilemma in restorative dentistry is the question of whether a damaged tooth can be preserved and restored or whether it can be removed and possibly replaced.
Given the inherent ethical difficulties associated with answering this question, it is unlikely that we will ever see a properly designed clinical trial that provides a reliable answer. One of the most debated components of this question is whether endodontic treatment and recovery can compete with implant-prosthetic prosthesis in terms of longevity and success.
To decide whether to extract a tooth or restore it endodontically, the clinician must consider the quality of support the tooth will provide for planned restorations, expected longevity, and the role of the tooth in general rehabilitation plans.
In this conference I will try to give practitioners guidance that could be applied in daily practice.