FIRST VISIT • ENDODONTICS • COSMETIC DENTISTRY • OSSEOINTEGRATED IMPLANTOLOGY • ORAL CARE AND PREVENTION • PEDODONTICS • ORAL SURGERY • FIXED PROSTHESIS • RESTORATIVE DENTISTRY • ORTHODONTICS • PERIODONTOLOGY • PROSTHETICS
FIRST VISIT
Has an essential role to evaluate the problems of our patients and arrive at a correct diagnosis, to allow the team and the patient to take, when necessary, a course of treatment (treatment plan).
The first visit consists of an oral history (which complements the written previously compiled by the patients) a careful clinical examination, intraoral X-rays (bite-wings and radiographic status), photographs and periodontal probing.
In the proposed treatment plan, priority is given to emergency treatment and then dwell on the causal therapy (removal of plaque and training for proper maintenance). After this first phase, we are going to deal with specific problems.
ENDODONTICS
It is the medical specialty that deals with the dental pulp (endodontium).
This body, being sprayed and innervated may experience, for various reasons (bacterial and/or traumatic), to inflammation, degeneration and necrosis). Endodontic disease are divided mainly in acute pulpitis, pulp necrosis and chronic pulpitis, and may be exacerbated with pain, abscesses and granulomas.
Root canal treatment is to eliminate the “diseased pulp”, clean the root canal system (whether they are inflamed, necrotic or already previously treated so incongruous) and prepare properly to be sealed with a suitable material. As for the procedures even restorative, endodontics must be done with a rubber dam. Where it is not possible to proceed with treatment by orthograde (through the crown of the tooth) you can ‘surgically removing the lesion and the root apex and then sealed in a retrograde (apicoectomy).
COSMETIC DENTISTRY
It includes all the therapies to improve the aesthetics of the smile. Often consists of multidisciplinary interventions (orthodontic, conservative, prosthetic). Today, there are less invasive techniques that allow the modification of the morphology of anterior teeth with minimal or sometimes no sacrifice of biological tissue.
These therapies use porcelain veneers, that after a careful study of the case are adhesively cemented. The patient is an integral part of the decision-making process, in which they are actively involved Dr. Carlo Piana and his technicians to fully understand and meet the aesthetic demands of patients.
In aesthetic procedures also includes teeth whitening, when necessary and possible, is carried out using procedures to the chair (power bleaching) in one or more sessions or templates delivered to the patient’s home (home bleaching).
In addition to aesthetic reasons, whitening procedure may be necessary for discoloration due to trauma, endodontic treatments incongruous, pigmentation drugs (tetracycline) or to improve and harmonize conservative therapy / prosthetic aesthetic.
The bleaching are performed dental hygienist and Dr. Carlo Piana.
OSSEOINTEGRATED IMPLANTOL
It is a surgical technique that replaces lost tooth roots or no longer recoverable, replacing them with titanium screws inserted into the bone of the patient and that bind to it through a process called osseointegration.
The implants can be used to replace one or more teeth, with the advantage of not involving the neighboring teeth when there is single edentulia (lack of a single tooth), choice biologically more conservative than the prosthetic bridge, especially when the elements contiguous are healthy. Dental implants can also be used as a valid anchor for partial dentures or total removable.
ORAL CARE AND PREVENTION
It is the pivot of oral health. A good control of bacteria and the correct method of brushing are essential to stop a lot of oral disease and are essential for the success of treatment (fillings, crowns, implants, periodontal surgery, etc..), which are made by us.
The control of oral hygiene practice and constant monitoring of patients are implemented by dental hygienist (Dr. Francesca Lorusso) with periodic inspections and tartar removal sessions on a scheduled each case, in addition to ‘teach a proper home maintenance.
PEDODONTICS
It is the branch of dentistry devoted to the care of children (pediatric dentistry).
Consists primarily in preventing and teaching the young patients a good oral hygiene technique. It can also be used to intercept orthodontic problems, malfunctions and bad habits.
We try to make the visit to the dentist less traumatic as possible, taking much attention to psychology and playful approach. Before we get to treat a child may need more meetings, designed to explain what you will do, what are the tools you use and why. Only when the child will trust us you will implement the therapy without causing unnecessary stress for the baby and for the operators.
ORAL SURGERY
In our study we perform minor surgery (lengthening of the clinical crown, biopsies, simple extractions, pre-orthodontic extractions, endodontic surgery, pre-prosthetic surgery) and major surgery (complex extractions, extractions of teeth including bone, avulsions of cysts, GBR-bone regeneration, large increases in the maxillary sinus). All major surgery involving both Dr. Rodolfo Piana Dr. Carlo Piana. We turn to all the major surgery (also to the periodontal and implant) great care in the preparation of the operating room, making it the most sterile and can usually dedicated to this type of work the day on Thursday.
We use advanced surgical techniques such as piezo-surgery and we perform, if necessary, x-rays targeted (tc cone beam 3D) pre-operatively.
FIXED PROSTHESIS
It is the branch clinic that aims to “hold” one or more teeth (crowns / bridges) when this is necessitated by the impossibility of less invasive restorations (fillings, veneers, inlays) for massive loss of tooth substance, mechanical reasons, gnathologic, parafunctional or when it falls into a more complicated procedure, on natural teeth or implants.
The materials used are different (gold-ceramic, glass ceramic, zirconia ceramic, composite, etc..) And are carefully selected for each case, considering the advantages and disadvantages of each, and according to the aesthetic, mechanical and functional of them.
RESTORATIVE DENTISTRY
It is the branch of dentistry that restores the hard tissues of teeth lost due to illness caries, fractures, infiltration of previous restorations (fillings) and allows minimally invasive cosmetic changes such as correcting discoloration and diastema.
The end of this therapy is to preserve as much as possible the natural tooth material using a resin-based composite that utilizes its adhesive capacity on hard tissues.
The restoration of the tooth can be done with the direct technique (fillings) or, when necessary, with the indirect technique (inlay composite or ceramics). The latter method requires the packaging by the dental laboratory of “part of missing tooth” which will then be adhesively cemented to restore the correct morphology.
In the study all conservative procedures are strictly performed with the use of rubber dam.
ORTHODONTICS
In our study, we deal exclusively with interceptive orthodontics.
It is the branch of orthodontics which, with the use of removable devices, associated with the natural development of the facial, accompanies the young patient (takes place in deciduous dentition and mixed dentition, from child to pre-adolescence) to improve the size craniomandibular, correcting some problems orthodontic/orthopedic swallowing such childish, narrow palate, open bite, classes molars incongruous.
With regard to the fixed orthodontics and its various applications, the team uses external collaborators in the study.
PERIODONTOLOGY
It is the medical specialty that is aimed at the care and maintenance of tissues supporting the teeth and is divided into two different therapies: the non-surgical therapy (removal of tartar and root planing) and a surgical procedure is done on soft tissue (gums ) and supporting bone, through specific interventions to restore the health of tissues and keep their teeth for as long as possible, arresting or slowing the periodontal disease which involved them.
The periodontal diagnosis (taking place on the first visit, through the survey, and a second time after the causal therapy) allows you to intercept patients with this kind of problems and instruct them immediately to a rigorous oral hygiene, both at home and professionally, they have already undergone surgery (maintenance phase) or are being monitored. In periodontology more than in any other branch of dentistry is essential that the patient is cooperative and motivated to achieve mutual satisfaction.
PROSTHETICS
We resort to this type of prosthesis (dentures, partial dentures) when we have to rehabilitate patients with total edentulism (missing all teeth) or very extensive and for personal reasons (very elderly), anatomical and/or economic there is the possibility of undertaking interventions (often long, difficult and very expensive) to arrive at a fixed prosthetic rehabilitation.
With current techniques in implant can be made by creating a stable, removable dentures much more comfortable and retentive, allowing a very satisfactory functional and aesthetic result.
