About Me

Prosthetic dentistry deals with replacing missing teeth and rebuilding those that are severely damaged. My aim is to restore your chewing, your speech and the appearance of your dental arches. The plan starts from the clinical examination, the radiographs and an analysis of the occlusion, that is, the way your teeth meet when you close your mouth. Then we choose together between a fixed and a removable solution, according to the clinical situation, the condition of the remaining teeth and the bone support. You feel the difference every day. A fixed restoration stays in place, but you clean under the pontic of a bridge (the part that replaces the missing tooth) with special floss or interdental brushes. You take a removable restoration out to clean it, and at first it calls for patience. As a rule, I do not cement the final restoration straight away. Before that, we go through try-in stages, in which we check the contacts between the teeth and how the restoration looks when you smile.

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

Dental aesthetics 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. Every aesthetic stage starts from a healthy tooth and a healthy gum. If there is decay, gum inflammation or tartar deposits, I treat these first, because an inflamed gum bleeds and changes its contour. And that contour is the frame in which the front teeth are seen. I choose the shade with shade guides, by comparison with the neighbouring natural teeth, usually in daylight. A living tooth does not have a single colour. Towards the gum it is more saturated, and towards the edge it becomes more translucent. So, before any procedure, we talk about what exactly you are unhappy with in your own smile.

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 comes after the implant has integrated into the bone. At this stage I make and fit the restoration that the implant supports. I first analyse the radiographic images, choose the abutment (the part that connects the implant to the crown) and the crown material, and then check the occlusion carefully, so that chewing forces are distributed evenly. This check matters more than it might seem. A natural tooth is attached to the bone by a ligament that cushions pressure and signals it. An implant, on the other hand, is in direct contact with the bone, so a contact that is too strong is not felt in time. I place the implant and I also carry out the prosthetic stage. When surgical stages are needed to prepare the bone and the gum, I plan them together with collaborating surgeons, and they are the ones who carry them out. I design the shape of the crown from the outset so that you can clean the area every day, at home.

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 rebuilds teeth affected by decay, fractures or wear. I explain to you why I choose a restoration made directly on the tooth or one made in the laboratory. The choice depends on how much tooth tissue has been lost, on the tooth's role in chewing and on the condition of the root. A direct restoration, in other words a filling, is usually done in a single appointment. An inlay (a piece that rebuilds only part of the tooth) or a crown requires an impression, a laboratory stage and a second appointment. The aim is to restore the anatomical shape of the tooth and the correct contacts with the neighbouring teeth and the opposing arch. The contact point is not a detail. If it is missing, food can get packed in there at every meal, and the gum can become inflamed.

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

In conservative dentistry I aim to preserve as much healthy tooth tissue as possible. I do so because, once lost, enamel does not grow back, and every later procedure starts from the tissue that remains. In practice, this means early diagnosis of decay, preparations limited to the affected area and adhesive materials, which bond to the tooth structure. Decay caught early can sometimes simply be monitored, without being drilled. This also includes endodontic treatment (root canal treatment), when the dental pulp is affected but the tooth can be kept in the arch. I remove the inflamed tissue from inside, and the tooth keeps its place. It does, however, become more fragile and often needs protecting afterwards.

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

The general consultation is the starting point of any treatment plan. It includes the clinical examination, a panoramic X-ray, other X-rays when they are needed, and an assessment of the gums and the occlusion. At the same appointment we talk about your medical history and the medicines you take. This conversation is not a formality. Some conditions, and some treatments you are on, can affect bleeding or healing, so it is good for me to know about them in advance. Based on the consultation, I propose a staged plan, with options, risks and an order of priorities, which we discuss together. And if you have not seen a dentist for a long time, the first appointment remains, in any case, an assessment and a conversation.

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