Enrico Gherlone: Clinical activity

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Prof Gherlone carries out his clinical activity mainly as a Prosthodontist on natural and implant elements. In addition to personally intervening on the most inquisitive rehabilitations, he exercises a clinical-scientific rehabilitation coordination action on all other dental disciplines, particularly (95% of his activity) at the Operative Unit of Dentistry of the San Raffaele Hospital in Milan, affiliated with the Vita e Salute San Raffaele University: his clinical activity is closely connected and inseparable from that of the Operative Unit where he works daily.

From his earliest clinical experiences, Prof. Gherlone has been involved in Aesthetic Prosthetics on both natural teeth and implants. In fact, as early as 1982, as a lecturer at the Complutense University of Madrid, Prof Lucas Tomas, an internationally renowned oral pathologist, taught 'preparation techniques in aesthetic prosthetics without metal support'.

Given the experience that he was gaining on these types of prostheses, which were highly aesthetic (and which would have a great development in the future), in 1983 he was entrusted with the coordination of the 'Cerestore System' project - one of the first metal-free ceramics - introduced by Johnson & Johnson, to which he became a consultant, indicated by Prof. Mario Martignoni, national director of the project.

Subsequently, numerous clinical cases were solved by Prof Gherlone with aesthetic rehabilitations both in the frontal and posterior sectors, with results that until recently were unimaginable. This has led Prof Gherlone to become, over the years, opinion leader of the most important international companies in the dental sector for both operating techniques and prosthetic materials. In addition to this, he has received important awards from the most prestigious societies in the field, including the Scientific Research Award from the Salerno Medical School and, in 2016, the 'William Laney Award' from the Academy of Osseointegration of the United States of America (now considered the most prestigious award worldwide for implant prosthetics).

Its clinical and coordination activities cover all dental disciplines. Emphasis is placed on prevention, early detection (also by means of salivary diagnostic tests) and treatment of the most common oral diseases in children. Aesthetic prostheses and prostheses on implants, oral surgery and advanced oral surgery are performed. Cutting-edge technologies are also used, such as the laser and the operating microscope.

Among the excellences, a special role is played by implant-supported fixed prostheses made on patients with bone deficiency and grafted with intra- and extra-oral removals, and in particular prosthetic rehabilitations supported by osseointegrated implants inserted with minimally invasive techniques and immediately functionalized; it is since 2000 that Prof Gherlone personally intervenes in the realization of these types of prostheses.

In addition, computer-designed rehabilitations are performed, in which implant insertion is guided by special computer-designed templates customized for the individual patient.

Digital operations have gained a great deal of implementation lately with the techniques aimed at taking dental impressions using scanners and the computerized fabrication of Cad-cam prostheses.