Threshold based clinical decision making in dentistry.
The formal doctrine of the Keep Your Teeth Framework. Each chapter builds toward one decision architecture: Structure, Force, Time, and Long-Term Stability.
§ 00 · Start here
The book is a doctrine, but every chapter answers a real question. Pick the one closest to yours.
§ 02 · Table of contents
Twenty-three chapters. One decision architecture.
Why dentistry over-treats early, misreads risk, and confuses diagnosis with decision.
What is owed when a tooth cannot be un-treated: preservation, projection, and long-term pathways.
The four variables that define every irreversible decision: Structure, Force, Time, and Long-term Stability.
When to act, when to wait, and how the four variables converge into a single decision point.
The framework applied to the six most common irreversible decisions in dentistry.
§ 04 · Case models
The decisions clinicians see most often, resolved by the framework.
A structurally compromised molar at the edge of restorability.
How pulp status changes the decision, not the other way around.
When a crack is early enough that acting too soon becomes its own risk.
When repeated single-tooth failures point to a bite that is loading the wrong parts.
Why replacement decisions destabilize over decades and how the cycle breaks.
§ 05 · Appendices
Definitions, worksheets, and author notes.
