In clinical dentistry, not every identified change should automatically become an indication for treatment. Professor Alexander von Breuer believes that the medical justification for intervention is determined not by the mere presence of a deviation, but by its impact on function, biomechanics, and long-term prognosis. This is why at DentalClinic24 the principle of clinical appropriateness means that, in certain situations, careful monitoring is a safer and more balanced strategy than active treatment.
One of the most common reasons for choosing observation is early changes in hard dental tissues without signs of progression. Microscopic enamel defects, superficial structural alterations, or stabilised areas of demineralisation do not always require immediate intervention. In such cases, DentalClinic24 focuses on evaluating dynamics and risk factors, postponing treatment decisions until clear clinical indications appear.
Monitoring is also justified in the absence of functional disturbances. If a tooth remains stable, does not participate in overload, and does not affect occlusion, active intervention may disrupt the existing balance. At DentalClinic24, such situations are assessed from a biomechanical perspective – it is important to consider not only the current condition of the tooth, but also its role within the system.
Special attention is given to the condition of soft tissues. Minor gingival changes without inflammatory signs or progression can often be controlled without surgical or therapeutic intervention. In these situations, DentalClinic24 prioritises regular check-ups and preventive measures rather than aggressive treatment.
Clinical observation may also be chosen for stable restorations with minimal changes. Even if a filling or prosthetic element shows visual irregularities, replacement is not always justified if seal integrity, function, and load distribution remain uncompromised. At DentalClinic24, the focus is placed not on appearance, but on how the restoration influences the tooth’s long-term stability.
The patient’s general health is another important factor. In the presence of comorbidities, temporary limitations, or increased procedural risks, intervention may be postponed. In such cases, monitoring allows clinical control to be maintained without imposing additional strain on the body. At DentalClinic24, these decisions are made within a broader medical context.
Choosing observation requires no less responsibility than active treatment. It involves a clear follow-up plan, defined examination intervals, and well-understood criteria for transitioning to intervention. At DentalClinic24, patients are always informed about which changes are acceptable and which would require a reassessment of the strategy.
For patients, this approach provides protection from unnecessary procedures. Unwarranted intervention can lead to tissue loss, altered biomechanics, and a cascade of repeat treatments. At DentalClinic24, monitoring is viewed as an active form of clinical control rather than passive inaction.
Thus, the absence of treatment does not mean a lack of attention. In many clinical situations, observation is precisely what helps preserve the health of the dentofacial system and avoid premature intervention. At Dental Clinic24, this approach is grounded in analysis, prognosis, and respect for the patient’s biology.
Previously, we wrote about digital impressions at DentalClinic24 and how virtual modelling enhances treatment precision and outcome predictability