The decision between preserving a compromised tooth and replacing it with an implant, especially in the esthetic zone, remains one of the most complex clinical dilemmas. Borderline situations require careful assessment, integrating both restorative and surgical criteria, within an objective and multidisciplinary framework.
Equally important are the patient’s expectations and the quality of doctor–patient communication, which play a central role in shaping the treatment plan. Medium- and long-term prognosis must be evaluated in both scenarios, taking into account biological, biomechanical, and esthetic factors, while certain clinical conditions may inevitably influence the direction of the decision.
This presentation will integrate personal clinical experience with current scientific evidence to provide participants with a comprehensive overview of the controversy and a practical decision tree to guide treatment choices in challenging cases.
In 2004, Dr. Bogdan Bâldea graduated from the Faculty of Dentistry, “Victor Babeș” University of Medicine and Pharmacy, Timișoara (UMFT). Following his graduation, he combined academic and clinical practice, serving as an Assistant Professor in the Department of Prosthetic Dentistry at UMFT (until 2013), while focusing his clinical work on prosthetic dentistry and implant-supported restorations.
His professional qualifications include recognition as a specialist in Oral Surgery (2008), certification as a specialist in Prosthetic Dentistry (2012), and completion of his PhD in Dental Sciences (Summa cum Laude, 2013). In 2017, he was appointed Associate Professor at the State University of Medicine and Pharmacy “Nicolae Testemițanu” in the Republic of Moldova.
Dr. Bâldea has actively contributed to interdisciplinary fundamental research programs and holds a patent for glass fiber–reinforced dental composites. He is co-author of 3 books and 16 scientific papers, including 9 articles in international ISI-indexed journals, and has delivered presentations at more than 200 national and international conferences in the fields of biomaterials, prosthetic dentistry, and implantology.
In 2014, he founded the Learning by Doing Educational Platform, which now trains more than 150 clinicians annually through its structured programs.
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