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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ARTICLES PUBLISHED BY THIS AUTHOR

As dentists we must focus on biological and functional problems of our patients, but nowadays we have to pay a lot of attention to aesthetica, which is one of the more common reasons why patients come to our offices. Correcting unaesthetic problems may require sound tissue removal because of tooth preparation; sometimes this is mandatory, but we must try and avoid it whenever it's possible.

Last year Styleitaliano members had the opportunity to use ICON, a low density resin used to infiltrate and eliminate white and brown stains and to stop incipient caries. Most of our members introduced the resin infiltration technique to their daily practice as it is an easy, feasible technique; It's a well accepted option for patients as it is more conservative than other available options, avoiding the turbine. 

In many articles on styleitaliano.org we have seen how easy can be to remove white and brown spots from tooth surfaces using the Icon infiltration technique; in the past we presented some clinical cases with Icon used in different clinical situations:

- To stop cervical caries and eliminate the aesthetic defects

- To eliminate white spots After orthodontics

- To eliminate fluorosis stains

- To stop proximal posterior caries lesions

In this clinical case we present the resin infiltration technique with Icon used in another clinical situation: white and brown spots caused by an old trauma.

Trauma in decidous teeth can affect enamel formation on the permanent ones; in anterior lesions caused by an old trauma we can frequently find deep lesions. We cannot detect in advance the lesion depth, but sometimes the origin of the spots and their size make us think that probably we will need to combine icon with composite, because the only resin can't go deeply enough. In these cases a thin composite layer can help us to achieve a better aesthetic outcome, and we use Icon layer like a enamel adhesive.

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.

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