If you’ve had years of dental work and things are beginning to fail—or your teeth have reached a point of significant decline—you may be facing a difficult question:
Should you keep trying to save your natural teeth, remove them and replace them with dental implants, or save some teeth and replace others?
There is no single answer that is right for everyone.
In this video, Dr. David McFadden, Board Certified Prosthodontist with over 35 years in practice, discusses how to evaluate this important “tipping point” and the factors that should be considered before deciding whether to continue repairing failing teeth or move toward dental implant treatment.
We discuss considerations such as:
• The condition and long-term prognosis of the remaining teeth
• How much dentistry has already been performed
• Whether existing crowns, bridges, root canals, or other restorations are beginning to fail
• Bone, gum, and periodontal health
• Whether strategically saving certain teeth may still make sense
• When continued repair may become less predictable
• When a full-mouth implant solution may be worth considering
The goal should not simply be to “save every tooth at all costs” or to remove teeth unnecessarily. The goal is to develop a treatment plan that offers the best combination of health, function, predictability, and long-term value for the individual patient.
At The Dental Implant Center, complex cases are evaluated from both the surgical and prosthetic perspective so patients can better understand their options before making a major treatment decision.
If you are trying to decide whether your teeth can still be predictably saved—or whether it may be time to consider dental implants—this video will help you understand the questions that should be asked.






