It is axiomatic that there is an economic cost implication in provision of any treatment, whether this cost is met by individual patients or is state funded. There are financial implications in treatment of failed restorations and also in preventing failure, and this should be transparent at the outset of treatment to both operator and patient. The relationship between initial cost and longevity is not always obvious, and in some cases a more costly initial treatment option may prove to be more cost effective in the long term4.
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When over eighty years of age, the poet Bryant said that he had added more than ten years to his life by taking a simple exercise while dressing in the morning. Those who knew Bryant and the facts of his life never doubted the truth of this statement.