About Me

Prosthetic dentistry deals with replacing missing teeth and rebuilding severely damaged ones, with the aim of restoring chewing, speech and the appearance of the dental arches. The plan starts from the clinical examination, X-rays and an analysis of the bite; a fixed or a removable solution is decided together with the patient, according to the clinical situation, the condition of the remaining teeth and the available bone support.

What it includes

• Crowns and bridges on natural teeth
• Partial or complete removable dentures, including cast-framework designs
• Chairside try-in stages and successive adjustments before the work is finalised
• Work with the dental laboratory on the shape, shade and occlusion of the restoration
• Periodic check-ups to verify the fit and the hygiene around the restoration

Aesthetic dentistry covers restorations in the front of the mouth, where the shape, texture and shade of the tooth matter as much as the strength of the material. Any aesthetic stage starts from the health of the tooth and the gum: decay, gum inflammation or tartar deposits are treated first. The shade is selected with shade guides, by comparison with the adjacent natural teeth.

What it includes

• Ceramic veneers and direct restorations in the anterior area
• Shade selection by comparison with the adjacent natural teeth
• Adjusting the shape, the texture and the proportions of the front teeth
• Professional cleaning and treatment of gum conditions before the aesthetic stage
• Maintenance advice — aesthetic materials keep their appearance only with careful hygiene

The implant-prosthetic stage follows the integration of the implant into the bone and consists of making and fitting the restoration it supports. It involves imaging assessment, choosing the abutment and the crown material, and then careful checking of the bite, so that chewing forces are distributed evenly. The surgical and the prosthetic stages are planned together, as a team.

What it includes

• Imaging assessment and planning of the implant-supported restoration
• Fixed crowns and bridges supported by implants
• Removable solutions stabilised on implants, in cases with extensive tooth loss
• Checking the bite and the access needed to clean around the implant
• Periodic clinical and radiographic check-ups, to monitor bone levels

Restorative dentistry deals with rebuilding teeth affected by decay, fractures or wear. The choice between a restoration made directly at the chair and one produced in the laboratory depends on how much tooth structure has been lost, on the tooth's role in chewing and on the condition of the root. The aim is to restore the anatomical shape and the correct contacts with the neighbouring teeth and the opposing arch.

What it includes

• Tooth-coloured composite fillings
• Inlays, onlays and laboratory-made crowns
• Build-ups for endodontically treated teeth, when little structure remains
• Restoring the contact points and checking the bite after every restoration
• Re-assessment at periodic check-ups, to detect wear or marginal leakage

A conservative approach aims to preserve as much healthy tooth structure as possible. It involves early diagnosis of decay, preparations limited to the affected area and adhesive materials that bond to the tooth structure. It also covers root canal treatment, when the dental pulp is affected and the tooth can be kept in the arch.

What it includes

• Early clinical and radiographic diagnosis of decay
• Minimally invasive preparations, limited to the affected tissue
• Adhesive materials, with little healthy enamel removed
• Root canal treatment when the dental pulp is affected
• Monitoring early lesions over time, together with prevention advice

A general consultation is the starting point of any treatment plan: clinical examination, X-rays where they are needed, assessment of the gums and the bite, and a discussion of medical history and current medication. From it comes a staged plan, with options, risks and a clear order of priorities, discussed together with the patient.

What it includes

• Consultation, clinical examination and interpretation of X-rays
• A staged treatment plan, with clear options and priorities
• Scaling, professional polishing and guidance on daily hygiene technique
• Re-assessment of older restorations and of the supporting tissues
• Periodic check-ups, at the interval agreed with the dentist