Replacement decisions
Replacement decisions are never just about replacing a tooth. They permanently change how force is distributed, how bone adapts, how adjacent teeth are loaded, and how maintenance compounds over time. Within the Structural Decision Framework (SDF), replacement is evaluated by its long-term structural consequences — not just short-term success.
Within the Structural Decision Framework (SDF), replacement is evaluated through structure, force, timing, and long-term stability before recommending an irreversible path.
Replacement is not static. Bone remodels, bite patterns shift, materials wear, and adjacent teeth fatigue. What looks stable at 35 may behave very differently at 75. Replacement decisions are time-dependent structural events.
These pages apply SDF to real decisions. Each scenario weighs structure, force, timing, long-term stability, and how aging and failure patterns change the risk over time.