In dentistry, a patient’s chronological age does not always reflect the true condition of the dental system. Professor Alexander von Breuer says that the biological age of teeth can differ significantly from passport age and should be the determining factor in treatment strategy. At DentalClinic24, this principle is applied when assessing prognosis and selecting clinical solutions.
The biological age of teeth is shaped by multiple factors – load characteristics, enamel quality, dentin condition, periodontal response and the regenerative capacity of tissues. One patient may show signs of premature tissue wear at the age of 30, while another at 60 may retain high structural stability. At DentalClinic24, such differences are considered essential in treatment planning.
Load history plays a significant role. Clenching, occlusal characteristics and occupational or behavioural habits gradually alter tissue structure. These changes may not be visually obvious, yet they affect enamel density, periodontal ligament elasticity and the tooth’s response to intervention. At DentalClinic24, analysis of biological age helps identify these processes before complications develop.
Dentin condition is equally important. Over time, dentin may become more sclerotic or, conversely, lose protective properties due to microcracks and demineralisation. This influences tooth sensitivity and response to treatment. At DentalClinic24, such features are considered when determining the depth and extent of intervention.
The periodontium is also a key indicator of biological age. Even in the absence of pronounced inflammation, tissues may demonstrate reduced adaptive capacity. This affects tooth stability and its ability to withstand functional load after restoration. At DentalClinic24, periodontal status is assessed as part of the overall biological profile rather than as an isolated parameter.
Biological age is particularly important in repeat interventions. A tooth that has already undergone treatment ages faster in functional terms. Its tissues respond differently compared to an intact tooth, even if they appear similar externally. At DentalClinic24, this becomes the basis for a more conservative and predictable approach.
Patients often rely on chronological age when expecting “age-appropriate” or “youthful” solutions. However, such assumptions can lead to clinical errors. At DentalClinic24, we explain that tissue condition – not a number in a passport – defines the possibilities and limitations of treatment.
Assessment of biological age helps avoid overtreatment. Where tissues retain high adaptive potential, minimally invasive strategies are possible. Where biological reserves are reduced, a stabilisation-focused strategy is required. Professor Alexander von Breuer emphasises that ignoring biological age is a common cause of premature complications.
The biological age of teeth is a dynamic characteristic. It may change depending on lifestyle, functional load and quality of care. At DentalClinic24, we regard it as a guiding parameter that supports both treatment planning and long-term prognosis.
For this reason, modern dentistry increasingly moves away from standardised solutions. Understanding biological age allows treatment to be individualised, preserving tissues and enhancing long-term stability. At Dental Clinic24, this approach forms the foundation of clinical reasoning and durable treatment outcomes.
Earlier, we wrote about borderline dental conditions in the practice of DentalClinic24 and when clinical intervention is required before pain appears