Clinical specialisations
Studio Calesini’s primary specialisation is the management of complex implant-prosthetic cases and retreatments. We also welcome patients who seek a rigorous approach, regardless of the complexity of the treatment required.
We manage cases at every level of complexity with the same methodological rigour.
Primary specialisations
Managing complex cases requires precise planning, specialised surgical expertise and an integrated clinical approach. We treat cases with reduced bone volume, unfavourable anatomies, adverse systemic conditions, retreatments of failed implants, and aesthetic and functional rehabilitations.
Dental development
Agenesis is the congenital absence of one or more teeth. The edentulous site often has a thin bony ridge, because the bone did not develop together with the tooth: this is the critical point of treatment. The choice between orthodontic space closure and space opening with prosthetic replacement comes from a clinical, radiological and instrumental assessment, never from a fixed scheme.
Distinctive expertise
Retreatments represent the most delicate clinical situations. They require careful causal analysis of the failure, precise management of already compromised tissues, and planning that accounts for all individual risk factors. This is one of our team’s most recognisable areas of specialisation.
Periodontology
Periodontitis is a chronic inflammatory disease of the tooth-supporting tissues, bacterial in origin, and one of the leading causes of tooth loss in adults. Treating it is the precondition for any rehabilitation: no implant or prosthesis is stable on a diseased periodontium. The approach starts from causal diagnosis and control of the infection, and continues with a maintenance programme over time, because periodontitis is controlled, not cured once and for all.
Distinctive objectives
The aesthetic model pursued by the practice is not the artificial, standardised aesthetic currently prevalent on social media, immediately recognisable as a prosthesis and disconnected from the patient’s face. The objective is bio-mimetic aesthetics: restorations that no one in the patient’s life would be able to distinguish from natural teeth. This requires sensitivity, experience and a high level of technical expertise.
Fixed prosthetics
Fixed prosthetics on natural teeth and on implants requires a precise integration between biological and manufacturing components. Dr. Calesini directly oversees the entire prosthetic design phase, from impression to the aesthetic and functional evaluation of the provisional restoration before the definitive prosthesis.
Adhesive restoration
Dental wear from bruxism, acid erosion, or abrasion requires a causal diagnosis before any restoration is planned. Treating the worn teeth without identifying and managing the cause exposes any restoration to the same dynamics that destroyed the natural structure. Where residual coronal structure permits, adhesive restoration with ceramic overlays recovers form, function, and aesthetics without the enamel sacrifice required by conventional crown preparation.
Frequently asked questions
Not always. It depends on the available bone, age (growth must be complete) and occlusion. In some cases orthodontic space closure is preferable: the clinical and radiological assessment decides.
No. In selected cases with predominantly horizontal atrophy, the MTM approach allows bone and muco-periosteal regeneration without grafts, membranes or heterologous materials. It is an elective procedure, indicated after clinical, radiological and instrumental assessment.
An implant is planned once skeletal growth is complete, because it does not follow bone development. Beforehand, the spaces and any retained deciduous tooth are managed.
Periodontitis is controlled, not eliminated once and for all. With causal therapy and a regular maintenance programme the disease is halted and the tissues stabilise; without maintenance it tends to recur.
Not before treating it. An implant placed in a diseased periodontium is exposed to the same bacteria and carries a high risk of peri-implantitis. The periodontium is treated and stabilised first, then the implant is assessed.
Bleeding is a sign of inflammation (gingivitis), which is reversible. If the inflammation progresses and involves the supporting bone it becomes periodontitis. An assessment with probing and radiographs distinguishes the two.
The very aim of bio-mimetic aesthetics is that it should not be noticeable: a restoration that reproduces the colour, shape and translucency of the natural tooth. The result depends on the residual tooth structure, the choice of materials and the direct coordination with the dental laboratory.
It depends on how much healthy tooth structure remains. When the residual enamel allows, the most conservative option is preferred, such as veneers or adhesive restorations; the crown is reserved for more compromised teeth. The choice comes from a clinical assessment, not a commercial preference.
Their longevity depends on hygiene, occlusion and the control of habits such as bruxism. A well-designed and maintained restoration has a favourable prognosis: this is why the initial diagnosis and periodic check-ups are part of the treatment.