Controversies exist when there is more than one accepted method available. Why not use evidenced-based dentistry, clinical success, and common sense to make the best decision? Sometimes a tooth “can” be saved, but “should” it be saved? In this course we will discuss various treatment considerations including screw retained implant restorations vs. cemented, abutment design and material selection, splinting implants together and to natural teeth, immediate loading, and cemented versus screw retained crown and bridge.