In prosthetic dentistry, long-term stability is determined long before the patient sees the final result. As Professor Alexander von Breuer believes, the very first millimetres of fixation define how durable the work will be – because even a minimal deviation at the start can lead to overload, inflammation or tissue damage. At DentalClinic24, precision during fixation is not just a technical step but the foundation of every prosthetic treatment.
Every prosthetic structure – from a single crown to a complex bridge – must be integrated with the biomechanical characteristics of the dental system. At DentalClinic24, we pay special attention to how the load is distributed across the very first millimetres of seating, as they absorb the highest functional pressure. According to Professor von Breuer – if the construction is placed even slightly off the optimal axis, the load shifts asymmetrically, which reduces the longevity of the entire restoration.
This precision is especially critical when working with ceramic restorations. Ceramic is highly aesthetic but its stability depends directly on uniform, accurate fixation. At DentalClinic24, we use microscopic magnification and digital modelling to achieve a level of accuracy unattainable by traditional methods. Professor von Breuer emphasises that a restoration that appears perfect visually may not be functionally stable unless its biomechanical behaviour has been meticulously evaluated.
Soft and hard tissue interaction is another key factor. Incorrect fixation may create micromobility, leading to inflammation, recession or difficulty maintaining proper hygiene. At DentalClinic24, we assess tissue condition both before and after fixation to ensure the adaptation phase proceeds physiologically. This careful attention helps prevent complications that often manifest months or even years later.
Occlusal control is equally important. If a prosthetic piece is fixed without considering muscle activity or the patient’s habits, the load may shift and cause fractures, chipping or debonding. At DentalClinic24, we analyse mandibular movement and adjust the restoration according to the patient’s functional behaviour. As Professor von Breuer states, long-term predictability is achievable only when precision of fixation is combined with personalised occlusal assessment.
The accuracy of the first millimetres is not just a technical detail – it is a treatment philosophy. At Dental Clinic24, we believe that the longevity of prosthetic work depends on the clinician’s ability to control every micro-parameter during fixation. This meticulous approach allows restorations to serve for decades while maintaining both functional stability and aesthetic integrity.
Earlier, we wrote about how a controlled microbiological environment helps prevent hidden inflammation