Today’s arsenal of therapeutics makes the choice of best treatment strategy for the individual patient very sophisticated. As dental implants have become more predictable, the clinician is often confronted with the dilemma whether to use implants or other modalities. The survival and success rates reported by many implant investigators often exceed the success rates of some forms traditional dental treatment. In particular, it could be argued that implant – borne prosthesis have a better outcome than apical surgery, conventional endodontic re – treatment and conventional dentures. The natural tooth must not be considered as an obstacle but a possibility, whether or not the treatment is to include implant installation. “Many roads lead to Rome” and that the dental team has a delicate palette of treatment options to consider, not least regarding the use of natural teeth vs implants in various prosthetic treatment plans.
