What Is a Big, Complex, and Difficult Case in Dentistry?

First, the clearest definition is this: a patient who needs dentures but does not want to lose all their remaining teeth. Modern dentistry has advanced enough to save teeth that are close to extraction—but it is neither cheap nor easy.

Second, these cases require multiple dentists working together. If a patient needs a root canal specialist, orthodontist, periodontist, and oral surgeon at the same time, it qualifies as a big, complex, and difficult case.

Third, these cases take a long time. Any treatment lasting more than two years qualifies. Braces alone may take over a year. These cases often start with cleanings and fillings, move into braces, implants during orthodontic treatment, root canals, and finally crowns or veneers.

Fourth, complications often arise along the way. A patient may develop an abscess or gum infection mid-treatment, requiring a change from root canal therapy to implants.

Big cases are not for every patient—or every dentist. Even for dentists, these cases are challenging. Not all dentists want or should handle them. Some prefer simpler dentistry, and that is perfectly fine.