Request a first appointment

The first appointment in complex cases is a structured clinical process that requires time and attention. It is not a routine check-up. The objective is not to start “doing something”: it is to lay the foundations of a treatment pathway grounded firmly in diagnostic and prognostic terms, before any operative phase begins.

01
First phase

Data collection and causal analysis

Complete medical and dental history. Clinical examination of the oral cavity. Standardised photographic documentation. Assessment of available radiographic records. Analysis of the causes that have produced the current clinical situation.

Duration: approximately 60-90 minutes.

  • Complete medical and dental history
  • Clinical examination of teeth, periodontium, occlusion and mucosa
  • Initial causal diagnosis of the clinical situation
  • Photographic documentation
  • Intraoral and/or CBCT radiographic examinations
  • Intraoral scan
  • Facial scan
  • Mandibular kinematics recordings
02
Second phase

Multidisciplinary clinical session

Between the two appointments, the practice’s specialist team meets to analyse the data. The session includes a systematic review of all clinical, medical history, radiographic and instrumental data, and an open discussion of diagnostic hypotheses, differential prognosis and viable therapeutic options.

The contribution of each team member, with their respective disciplinary expertise, is the prerequisite for building a plan that accounts for all relevant clinical variables. This phase, not visible to the patient but determinant for the outcome of the treatment, is the reason why the first appointment requires two sessions.

  • Multidisciplinary review of all clinical, radiographic and instrumental data
  • Discussion of diagnostic hypotheses and differential prognosis
  • Comparison and evaluation of therapeutic options
  • Formulation of the sequential phase plan
  • Definition of the position and number of interim clinical reassessments
03
Third phase

Presentation of therapeutic options

Dr. Calesini personally presents to the patient a summary of the clinical analysis developed by the team: diagnosis, prognosis and therapeutic options with their respective timelines and costs. At the end of the meeting, the patient receives a written document containing what has been presented.

This appointment is reserved exclusively for communication and patient questions. No treatment is started.

  • Presentation of therapeutic options
  • Discussion of timelines, prognosis, sequential treatment plan and costs
  • Answers to all patient questions
  • Written document with the options presented

Preparation

What to bring to the first appointment

Recent radiographs (panoramic, cone-beam CT if available), reports from previous visits, a list of current medications, documentation of previous dental treatments if available.

If needed, any missing or insufficient clinical, radiographic or instrumental documentation will be completed during the first appointment.

Discretion

On request, private access

For patients who, for privacy or security reasons, require the utmost discretion, the entire practice can be made available exclusively, with appointments in dedicated time slots and no other patients on site. Exclusive access is requested at first contact and is managed with the same care given to every aspect of the treatment journey.

Request a consultation

Request a first assessment

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Who we treat

We treat complex cases and patients who choose to do it right from the start. The best way to avoid becoming a difficult case is correct treatment from the beginning.

  • Patients seeking quality who do not know where to turn
  • Second opinion on a treatment plan received elsewhere
  • Failed or failing implants
  • Previous treatment to be reviewed or redone
  • Full mouth rehabilitation
  • Ceramic veneers and biomimetic aesthetics
  • Cases treated in Italy or abroad with an unsatisfactory result

If you have any doubts, describe your situation and we will work out together whether we can help.