Clinical decision support

Managing fractured ceramic restorations

An evidence- and substrate-driven algorithm: from the first decision (polish, repair or replace) to the exact adhesive sequence for the substrate combination in front of you.

Open the guide → Free · works on any phone · no login

How it works

Decide.The app walks the decision tree with you: significant impairment? → identify the cause → repair or replace.

Identify the substrates.Select everything exposed on the fracture surface. Every combination resolves to its own validated sequence. Enamel Dentin / cement Composite Glass ceramic Metal oxide

Follow the sequence.One guided step at a time, with etching times, concentrations, rinse and air-dry cues, and which substrate to protect before each acid step.

The evidence behind it

Published
Almeida G, Marques JA, Blatz MB, Falacho RI. Managing Fractured Ceramic Restorations: Current Evidence and Best Practices - A Scoping Review. J Esthet Restor Dent. 2026;38(5):1032–1071. doi:10.1111/jerd.70055

Under publication
Clinical algorithm paper: the decision tree and treatment-sequence framework this app is built on. Full reference will be added here once published.

Who made it

Rui Falacho, DDS, MSc, PhD Associate Professor, ADEMA-UIB / University of Mallorca · Adjunct Assistant Professor, University of Pennsylvania School of Dental Medicine · Section Editor for Digital Dentistry, Journal of Esthetic and Restorative Dentistry.

Keep it chairside

📲

Add it to your home screen. Open the guide, then tap Share → “Add to Home Screen” (iPhone) or the install icon (Android). It then opens like an app and works fully offline: no signal needed at the chair.