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The decision to treat or extract a tooth is one of the more complex decisions that a practitioner must make. It is a test of the team's knowledge and ability to reach the ultimate goal of an esthetic and functional restoration that will last for years to come. All this must be done with the patient's emotional and financial status taken into account. This session will focus on the latest aspects of what we should or should not do with periodontally compromised teeth and how best to treat this area with a multidisciplinary approach.