In modern dentistry, clinical complexity is determined not solely by the severity of symptoms – far more important is understanding how multiple factors interact and influence treatment prognosis. As Professor Alexander von Breuer believes, a complex case is not necessarily the one with extensive damage, but the one where even a single intervention can affect the entire dental system. At DentalClinic24, assessment always begins with multi-level diagnostics – we analyse tissue condition, occlusion dynamics, anatomical features and previous treatment history to exclude risks before any procedure begins.
One of the key determinants is the stability of supporting structures. If the bone shows reduced density, atrophy or active inflammation, both surgical and prosthetic interventions become more susceptible to stress. At DentalClinic24, we use 3D tomography and digital modelling to identify risk areas and refine treatment strategy accordingly. Professor von Breuer emphasises that in such cases the priority is not the speed of execution but the biological safety of the approach.
Functional load is equally important. When occlusion is imbalanced, bruxism is present or chewing forces are unevenly distributed, any dental restoration may operate under pressure – reducing its lifespan and increasing the risk of complications. At DentalClinic24, we analyse mandibular movement, force vectors and contact dynamics to determine whether planned intervention will remain stable over time. As Professor von Breuer notes, even a technically ideal restoration may fail prematurely if functional balance is not clinically restored.
Previous treatment history also contributes to case complexity. Multiple restorations, prior endodontic therapy, implant treatment or enamel erosion reduce the adaptive capacity of tissues. At DentalClinic24, we consider current biomechanical conditions and tissue response to ensure that upcoming treatment does not amplify existing imbalance. When required, we involve specialists across disciplines – prosthodontists, surgeons, orthodontists and gnathologists.
Another important parameter is psychological adaptability. At Dental Clinic24, we observe that patients with high dental anxiety often exhibit increased muscle tension, which can influence occlusal stability and overall treatment tolerance. According to Professor von Breuer, comprehensive assessment must incorporate not only clinical risk but also the patient’s ability to adapt to therapy, since this directly affects long-term treatment success.
Earlier, we wrote about bone tissue atrophy and why it is important not to delay implant placement after tooth loss