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The 2023 FDI Restoration Criteria – Functional Perspective
This presentation introduces the 2023 FDI Functional Criteria as the modern gold standard for evaluating restorations—not by appearance, but by function, biomechanics, biological impact, and long-term structural integrity.
In the R4 step of the 4ROD protocol (Restorative & Tooth Structure Assessment), restorations are no longer judged cosmetically. They are analyzed as biological and mechanical systems that directly influence pulp health, tooth structure, and periapical outcomes.
Clinicians must evaluate restorations with the same precision used in endodontic diagnosis. The FDI functional criteria provide a structured method to detect early failure patterns that lead to coronal leakage, structural fatigue, pulp degeneration, and ultimately apical periodontitis.
This presentation transforms the FDI criteria from an academic framework into a practical clinical decision-making tool for everyday dentistry.
Key Topics Covered:
• Why FDI Criteria matter in endodontic diagnosis
• Occlusion and functional integrity
• Contact points and food impaction
• Marginal adaptation and microleakage
• Fracture, chipping, and structural weakness
• Wear, material loss, and surface roughness
• Plaque retention and biological consequences
• Assessing endodontic risk through functional failure
• Interpreting radiographs through the FDI lens
• Integrating FDI Criteria with R4 structural assessment
• The FDI system as a universal clinical language
This is where restorative dentistry meets endodontic reality—and where diagnosis becomes complete.
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