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So often, patients present with fractured teeth due to large restorations that have undermined the tooth structure. There can also be cases involving trauma where the coronal portion of the tooth has fractured. In addition, pre-existing endo teeth that have not been restored adequately can fracture significantly due to weakened tooth structure. On these occasions, we are left with a clinical situation in which there is inadequate residual tooth structure to place a definitive crown. What shall we do? Extract the root and place a dental implant, or construct a fixed bridge? Implant Supported Bridge keep natural teeth at their places and replace teeth without support.Both of those options are more invasive, more time consuming, and more prone to long-term maintenance issues. We cannot replace osseous support and the beautiful soft-tissue architecture as the crown emerges from the sulcus. However, there is a better method—one that is more predictable and with good long-term prognosis, that also provides the optimal physiologic and aesthetic outcome. Preserve the root, build up a foundation, and place a definitive restoration.