The decision between retention of endodontic ally involved teeth as opposed to extraction and implant treatment is a clinical decision that requires a careful evaluation of the pre, intra and postoperative factors that may influence the outcome of the proposed treatment. A careful and extensive consideration of indications, contraindications, risks, and benefits of both single-tooth implants and the natural restored tooth is of critical importance if an accurate evaluation of treatment options is to be presented to the patient for their informed consent. From a prosthetic point of view an implant retained prosthetic solution is possible for any kind of edentulous situation. While the selection of cases for endodontic therapy should take into consideration the prognosis of the endodontic, restorative and periodontal procedures. The dentist should consider the strategic value of the tooth to be endodontically treated in relation to the overall function of the dentition. This review aims to highlight different aspects and points that every dentist should keep in mind during arranging treatment plan for their patients: Post-operative pain and discomfort, Duration of the treatment, masticatory forces, cosmetics, success and survival rate of the treatment, costs , quality of life, the need for complementary treatment, specific cases, predicting factors , patients tendency, experience of the practitioner.
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