Skip to main content
. 2022 Jul 26;26(12):6925–6939. doi: 10.1007/s00784-022-04647-y

Table 2.

Modified FDI criteria [15] used for evaluating the restorations

Esthetic properties Functional properties Biological properties
Surface luster Staining Color match and translucency Esthetic anatomical form Fracture of material and retention Marginal adaptation Incisal contour and wear Recurrence of erosive tooth wear/caries Tooth integrity
1. Clinically excellent/ very good Luster comparable to enamel No staining Good color match, no difference in shade and/or translucency Form is ideal No fractures/cracks Harmonious outline, no gaps, no white or discolored lines Physiological wear, no visible wear facets

No erosive tooth wear

No secondary or primary caries

Complete integrity
2. Clinically good Slightly dull, not noticeable from speaking distance; Some isolated pores Minor staining, easily removable by polishing Minor deviations in shade and/or translucency Form is only slightly deviated from the normal Small hairline crack Marginal gap (< 150 μm), white lines; Small marginal fracture removable by polishing; Slight ditching, slight step/flashes, minor irregularities Normal wear, presence of small facets Small and localized erosive tooth wear, demineralization Small marginal enamel fracture (< 150 μm)
3. Clinically sufficient/ satisfactory Dull surface but acceptable if covered with film of saliva; Multiple pores on more than one third of the surface Moderate staining that may also present on other teeth, not esthetically unacceptable Distinct deviation but acceptable. Does not affect esthetics Form deviates from the normal but is esthetically acceptable Two or more large hairline cracks and/or material chip fracture not affecting the marginal integrity or approximal contact Gap < 250 μm not removable; Several small marginal fractures; Major irregularities, ditching or flash, steps Significant wear, larger facets

Larger areas of erosive tooth wear, demineralization

Dentin not exposed

Hairline crack in enamel (< 150 μm)
4. Clinically unsatisfactory (but repairable) Rough surface cannot be masked by saliva film, simple polishing is not sufficient; Further intervention necessary; Voids Unacceptable staining on the restoration and major intervention necessary for improvement Localized clinically deviation that can be corrected by repair Form is affected and unacceptable esthetically. Intervention/correction is necessary

Material chip fractures which damage marginal quality or approximal contacts

Bulk fractures with partial loss (< 1/2 of the restoration)

Gap > 250 μm or dentine/base exposed; Severe ditching or marginal fractures; Larger irregularities or steps (repair necessary) Considerable wear, restoration partially lost (up to 1/3). The underlying dental surface is visible but intact Erosive tooth wear in dentin. Caries with cavitation and suspected undermining caries

Marginal enamel defect < 250 μm

Crack < 250 μm

Enamel chipping. Multiple cracks

5. Clinically poor (replacement necessary) Very rough, unacceptable plaque retentive surface Severe staining, generalized or localized, not accessible for intervention Unacceptable. Replacement necessary Form is unsatisfactory and/or lost. Repair not feasible / reasonable, Replacement needed Partial or complete loss of restoration or multiple fractures Restoration (complete or partial) is loose but in situ; Generalized major gaps or irregularities Wear is excessive, restoration completely lost. Wear of the underlying dental surface Excessive erosive tooth wear in dentin (> 2 mm width). Deep caries or exposed dentine that is not accessible for repair of restoration Cusp or tooth fracture