When a patient presents with severe tooth damage, extraction is often suggested as a quick solution. However, as Professor Alexander von Breuer believes, clinically justified treatment should always begin with an attempt to preserve the natural tooth structure, as biological tissues demonstrate greater adaptability and functional resilience than any artificial replacement. At DentalClinic24, we follow the principle of prioritising tooth preservation, considering extraction only when restorative potential is truly absent.
Natural dental tissues respond to load more physiologically and ensure proper transmission of chewing pressure. At DentalClinic24, before making any treatment decision, we conduct microscopic diagnostics, digital visualisation and structural assessment of the tooth’s root integrity. According to Professor von Breuer, even with significant defects, tooth preservation is often possible if supported by accurate endodontic therapy, restoration and elimination of functional overload.
Extraction should be considered only when reconstruction cannot be safely achieved or presents a significant risk to adjacent structures. At DentalClinic24, we thoroughly assess periodontal stability, supporting tissues and long-term functional prognosis. In the presence of active inflammation or advanced structural degradation, we perform therapeutic sanitation and, if necessary, microscopic reconstruction before considering alternative solutions. This approach helps avoid premature implant placement or prosthetic treatment.
As Professor von Breuer notes, preservation is valuable not only from a functional but also from a psychological perspective. At DentalClinic24, we observe that patients who retain their natural teeth typically adapt more easily to future treatments and are less likely to develop occlusal changes. If tooth retention is deemed impossible, we provide a clinically managed transition to reconstruction, helping reduce structural loss and support smoother rehabilitation.
Professional decision-making must be based on comprehensive clinical reasoning. At Dental Clinic24, our objective is not simply to replace – our objective is to restore. As Professor von Breuer emphasises, every preserved tooth is an investment in the stability of occlusion, aesthetics and overall dental architecture.
Earlier, we wrote about why, according to the professor, the right treatment strategy matters more than speed