When osseointegration was first introduced by Brånemark as a therapy for the replacement of the natural dentition, it was accepted as an appropriate and predictable solution for young and middle-aged edentulous patients. No one anticipated the positive results and high level of acceptability that this therapy would bring about. The decision regarding whether to save a tooth or insert an implant is one that the implant clinician makes based on previous experience, recently approved therapeutics, and the best interests of the patient. This high-quality and timely publication will serve to enhance the armamentarium of implant clinicians in this regard. The editors have engaged leading thinkers in surgery and prosthetics to share their methods, ranging from prevention to regeneration. The text provides contemporary information for achieving constructive endpoint goals and for managing solutions to peri-implantitis and should have a place in every dental library.