Should complex dental cases be delivered by a single highly-trained doctor or a coordinated team approach? Both approaches work, and the choice between them is operational rather than clinical. A single highly-trained doctor, whether positioned as a super-generalist with extensive post-graduate training, a surgical prosthodontist, or a restoring periodontist, can deliver the complete complex case under one roof with continuous oversight. A coordinated team approach distributes the work across specialists: oral surgeon for placements and grafts, periodontist for tissue stabilization, prosthodontist for final restorations, with general practice oversight tying the sequence together. Each path has tradeoffs. The single-doctor approach offers continuity, [...]