SDF · Framework Logic
Tissue & bone stabilitywhen the foundation sets the ceiling.
Tissue and bone stability set the ceiling for what dentistry can reliably hold. Within the Structural Decision Framework (SDF), the foundation is evaluated before irreversible work. Thin bone, recession causes, and graft timing change the long-term outcome more than most people realize.
How SDF evaluates tissue & bone stability
Structure
Thin bone, thin tissue, and limited envelope reduce tolerance. The plan must fit the foundation.
Force
If force keeps landing on the same boundary, recession and resorption become repeatable.
Timing
Early preservation often keeps options open. Delay can narrow outcomes and raise complexity.
Long-term stability
Stability depends on the real force system and maintenance reality, not just one procedure.
Why foundation sets the ceiling
You can place perfect dentistry on an unstable foundation and still lose the outcome. In SDF, we stabilize biology, position, and force first. Then we commit to irreversible steps.
Framework logic first. Applied scenarios next. Deep guides after that.
Applied scenarios
These scenarios apply the domain logic to real decisions.
Thin buccal plate: when it changes the plan
When thin bone becomes the limiting factor for stability and aesthetics.
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Bone graft timing after extraction: now or later?
A timing decision that changes future options and predictability.
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Localized recession: why it happens
Force, position, and biology. How to find the cause before you graft.
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Tooth position and envelope limits
When a tooth sits outside the envelope and tissue breakdown becomes predictable.
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Framework logic first. Applied scenarios next. Deep guides after that.
Explore the SDF hubs
Use hubs to stay oriented. Use scenarios to learn the decision logic in real cases.
Replacement decisions
Implant vs bridge. Teeth vs implants. When replacement becomes unstable.
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Restoration thresholds
Large filling vs crown. Crown vs root canal. Monitor vs treat.
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Force & stability
Grinding, overload, bite drift, and why stability matters.
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Aging patterns
What changes over decades. Option narrowing. Timing pressure.
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Failure patterns
How dentistry fails over time and why redos compound.
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System-wide planning
Staged dentistry, full-mouth risk, and stability planning across the whole system.
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