Treatment of a single hopeless tooth is a routine challenge in dentistry. Causes for this condition commonly include traumatic injury, advanced caries and/or periodontal disease, and failed endodontic procedures. When adequate bone exists at a hopeless tooth site, the current standard of care is surgical extraction of the tooth, followed by placement of a dental implant and eventual restoration with a single crown. This article reviews the evolution of this treatment modality and its alternatives. A case report describing restoration of a hopeless maxillary first molar site using state-of-the-art techniques for preserving both hard and soft tissue is also presented.
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