Giulio Pavolucci

I was born in Siena in 1984 and I live in Montepulciano, a beautiful small town in Tuscany. After graduation magna cum laude in Dentistry, I started focusing my daily work on adhesive direct and indirect restorations, with a particular love for direct anterior ones. I’ work with prof. Simone Grandini, and I’m also a Visiting Professor at his II level Master in Restorative Dentistry and Endodontics, in the University of Siena. I work in private practice in Cortona in dr. Andrea Fabianelli’s office focusing on restorative and endodontics. I am an active member of the Italian Society of Restorative Dentistry (SIDOC), and I was a contributor to the books “La Protesi fissa con margini di chiusura verticali” and “La Protesi Implantare : vantaggi, problemi e soluzioni pratiche” by Ezio Bruna and Andrea Fabianelli, ed.Elsevier. I love my job, but I also like enjoying my life; I’m a sommelier FISAR and I love good wines. I also have a deep passion for the traditions of my town and my land.
I was born in Siena in 1984 and I live in Montepulciano, a beautiful small town in Tuscany. After graduation magna cum laude in Dentistry, I started focusing my daily work on adhesive direct and indirect restorations, with a particular love for direct anterior ones. I’ work with prof. Simone Grandini, and I’m also a Visiting Professor at his II level Master in Restorative Dentistry and Endodontics, in the University of Siena. I work in private practice in Cortona in dr. Andrea Fabianelli’s office focusing on restorative and endodontics. I am an active member of the Italian Society of Restorative Dentistry (SIDOC), and I was a contributor to the books “La Protesi fissa con margini di chiusura verticali” and “La Protesi Implantare : vantaggi, problemi e soluzioni pratiche” by Ezio Bruna and Andrea Fabianelli, ed.Elsevier. I love my job, but I also like enjoying my life; I’m a sommelier FISAR and I love good wines. I also have a deep passion for the traditions of my town and my land.

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Aesthetic demand from our patients is getting higher everyday; it’s our duty to educate them and to focus on biological and functional problems at first, but we also must pay a lot of attention to aesthetics.

Sometimes for aesthetic reasons we have to remove sound dental structure, always thinking about the correct balance between costs and benefits. On the other hand, we must be as conservative as we can, trying to avoid any healthy tissue removal.

A lot of patients have some white or brown blur on the buccal surface of their teeth; covering and masking them with composite resin might be difficult, and require healthy structure sacrifice to obtain enough space for the restorative material. Ceramic veneers are an highly aesthetic solution, but they are invasive and often require tooth preparation.

As you already saw on our website (http://www.styleitaliano.org/removing-white-spots-with-deep-infiltration-technique) we can remove this kind of spot without using burs, thanks to the infiltration technique (Icon - DMG).

In this case report we want to show how easy and efficient this technique is.

Treating dark teeth in anterior region can be easy if the approach is planned accordingly to the type of dyschromia suffered by the patient. The patient is a 20 years old girl complaining about a fractured dyschromic central incisor; she reports the tooth was endodontically treated about 7 years ago, without using the rubber dam, and it soon became darker. It was also restored with a direct composite that was lost after a couple of years. This type of teeth problems are often related to a filtration phenomena or gutta-percha staining. Dark yellow and brown hues are related to filtration and blood, while dark grey is related to Gutta-percha, this second often not being a good candidate for bleaching.
Bicycle accidents may be very dangerous for teeth, causing fractures, luxations and avulsions. In these cases we must preserve tooth structure as much as possible. T.S. 17 y.o. had a bicycle accident reporting multiple injuries in the arms, the knees and in particular in the face. Went to the local hospital ER, he received some stitch on the upper lip; no pharmacological therapy was given.
Modern materials and techniques can help dentists in performing non-invasive adhesive composite restorations. These can be non-expensive and non-aggressive solutions for every day dentistry, especially in anterior teeth trauma cases, direct restorations can be often the perfect solution.

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