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 |