Digital impressions (intraoral scan)
6 months after the procedure, a 3D scan of the patient's mouth is performed with an intraoral scanner. No traditional impressions with pastes and trays.
Circolare d'Autore® — The definitive prosthesis without fake gum
The Circolare d'Autore® explained by the Nicola Lettera Maxillofacial Team (click to play)
The Circolare d'Autore® is the definitive prosthesis in zirconia-ceramic made to measure for patients treated with the Bilateral Sinus Solution™ (BSS) technique. With 14 teeth per arch, without fake gum, it represents the maximum in terms of aesthetics, functionality and durability. It is a registered trademark of the Nicola Lettera Maxillofacial Team.
Contents
1. What the Circolare d'Autore® is
The Circolare d'Autore® is the definitive fixed prosthesis in zirconia-ceramic that completes the Bilateral Sinus Solution™ (BSS) rehabilitation, applied about 6 months after the procedure. It covers the whole arch with 14 teeth, without fake gum, with a natural appearance. Every prosthesis is a unique handmade piece made to measure for the patient and does not require periodic replacement.
The Circolare d'Autore® (registered trademark) is the definitive fixed prosthesis designed to complete the implant rehabilitation with the Bilateral Sinus Solution™ (BSS) technique. It is applied about 6 months after the surgical procedure, when the osseointegration of the implants is complete and the gums have stabilised around the temporary prosthesis.
It is called "Circolare" because it covers the whole circumference of the dental arch (from molar to molar), and "d'Autore" because every prosthesis is a unique handmade piece, made to measure for the patient by a specialised dental technician under the supervision of the Nicola Lettera Team.
Main characteristics:
- 14 teeth per arch (including all posterior molars)
- Zero fake gum — the teeth seem to emerge from the natural gum
- Material: zirconia structure + layered ceramic coating
- Permanent: does not require periodic replacement
- Simple hygiene: cleaned with a toothbrush and dental floss
2. Explanatory video
The explanatory video of the Nicola Lettera Maxillofacial Team illustrates the characteristics and advantages of the Circolare d'Autore®. It shows how the definitive zirconia-ceramic prosthesis differs from traditional composite resin prostheses, explaining why the absence of fake gum and the zirconia structure guarantee superior aesthetic results and permanent durability.
Watch the video of the Nicola Lettera Maxillofacial Team explaining the Circolare d'Autore® (click above to play).
3. Materials: zirconia and ceramic
The Circolare d'Autore® uses zirconia (ZrO2) for the load-bearing substructure, with mechanical strength up to 1,200 MPa, biocompatibility and lightness. The aesthetic layered ceramic coating is applied by hand by the dental technician layer after layer with firings above 800°C, faithfully reproducing colour, translucency and morphology of natural teeth.
The Circolare d'Autore® uses the most advanced materials available in prosthetic dentistry:
Zirconia (substructure)
Zirconia (ZrO2) is a high-strength ceramic material used as the load-bearing skeleton of the prosthesis. It is milled from sintered blocks with CAD/CAM technology. Properties:
- Mechanical strength: up to 1,200 MPa (much higher than composite resin)
- Biocompatibility: does not cause allergies, does not corrode
- Natural white colour: does not show dark through the ceramic
- Lightness: much lighter than traditional metal alloys
Ceramic (aesthetic coating)
The layered ceramic is applied by hand by the dental technician layer after layer, firing each layer in an oven above 800°C. This handmade process allows:
- Faithfully reproducing the natural colour of the teeth (enamel, dentine, translucency effects)
- Creating customised morphologies for every tooth
- Guaranteeing an aesthetic effect indistinguishable from natural teeth
- Making masticatory surfaces anatomically correct
Why zirconia-ceramic and not composite resin? The composite resin (All-on-4/6, Toronto Bridge) wears out in 4-5 years, stains, scratches and accumulates bacteria. Zirconia and ceramic are permanent, do not wear out, do not stain, have superior aesthetics and do not need replacement.
4. How it is made
The realisation of the Circolare d'Autore® combines digital technology and craftsmanship: digital impressions with an intraoral scanner, CAD design of the zirconia structure, 5-axis CNC milling with micrometric precision, handmade ceramic layering in several firings, mouth trial and finishing, and definitive application with screwing onto the implants.
The realisation of the Circolare d'Autore® is a process that combines digital technology and dental craftsmanship. Here are the phases:
1
2
CAD design
The technician designs the zirconia structure on the computer, defining shape, thickness and morphology of every tooth, respecting the patient's occlusion and aesthetics.
3
Milling of the zirconia structure
The zirconia structure is milled from a solid block with 5-axis CNC machines. Micrometric precision, tolerances below 20 microns.
4
Ceramic layering
The dental technician applies the aesthetic ceramic by hand layer after layer (dentine, enamel, background colours), firing each layer in an oven. Every prosthesis requires several layering and firing sessions.
5
Mouth trial and finishing
The prosthesis is tried in the patient's mouth to verify shape, colour, occlusion and comfort. Any small adjustments are made in the laboratory.
6
Definitive application
The Circolare d'Autore® is screwed onto the implants with titanium screws. The prosthesis is definitive: it never needs to be removed except for periodic controls.
5. Differences with other prostheses
The Circolare d'Autore® differs radically from Toronto Bridge and All-on-4/6: it offers 14 zirconia-ceramic teeth without fake gum with permanent durability, while the alternatives have 10-12 composite resin teeth with fake gum and a lifespan of 4-5 years. The Circolare d'Autore® allows normal hygiene, has a very low risk of peri-implantitis and is a one-time investment without recurring costs.
| Characteristic | Circolare d'Autore® | Toronto Bridge | All-on-4/6 | Overdenture |
|---|---|---|---|---|
| Number of teeth | 14 | 10-12 | 10-12 | Variable |
| Material | Zirconia-ceramic | Composite resin | Composite resin | Acrylic resin |
| Fake gum | Absent | Present, abundant | Present | Present |
| Duration | Permanent | 4-5 years | 4-5 years | 3-5 years |
| Replacement | Never necessary | Every 4-5 years | Every 4-5 years | Every 3-5 years |
| Fixing | Fixed (screws) | Fixed (screws) | Fixed (screws) | Removable |
| Oral hygiene | Normal | Difficult | Difficult | Difficult |
| Peri-implantitis risk | Very low | High | High | Medium |
| Aesthetics | Excellent | Mediocre | Mediocre | Poor |
| Long-term cost | One-time investment | Recurring | Recurring | Recurring |
6. Advantages of the Circolare d'Autore®
The Circolare d'Autore® offers natural aesthetics with ceramic teeth indistinguishable from real ones, permanent durability without the need for replacement, a complete arch with 14 teeth and all posterior molars, easy hygiene with dental floss and toothbrush as with natural teeth, biocompatibility of the materials and handmade custom realisation as a unique piece for every patient.
✅
Natural aesthetics
Ceramic teeth indistinguishable from natural ones. No fake gum.
✅
Permanent
Does not wear out, does not stain, does not need replacement. One-time investment.
✅
14 teeth
Complete arch with all posterior molars for perfect chewing.
✅
Easy hygiene
Separate teeth: dental floss and toothbrush as with natural teeth.
✅
Biocompatible
Zirconia and ceramic: hypoallergenic, non-toxic materials.
✅
Custom-made
Unique handmade piece designed for every patient.
7. Why without fake gum
The fake gum (pink flange) is a typical element of traditional prostheses (Toronto Bridge, All-on-4/6, overdenture) that causes hygiene, aesthetic and health problems. The Circolare d'Autore® completely eliminates the fake gum thanks to the posterior anchorage: the teeth emerge from the natural gum like real teeth, facilitating hygiene and preventing peri-implantitis.
The fake gum (pink flange) is a typical element of traditional prostheses (Toronto Bridge, All-on-4/6, overdenture) that causes hygiene, aesthetic and health problems. The Circolare d'Autore® completely eliminates the fake gum thanks to the posterior anchorage:
- No pink plastic profiles: the teeth emerge from the natural gum like real teeth
- Easy hygiene: no dead spaces where food infiltrates
- Peri-implantitis prevention: no bacterial accumulation areas
- Natural aesthetics: the smile is indistinguishable from natural teeth
8. Hygiene and maintenance
The maintenance of the Circolare d'Autore® is simple, as with natural teeth: brushing 2-3 times a day, dental floss, interdental brushes and semi-annual check-ups. It does not require specific products or particular techniques. The fixing screws are checked periodically and the prosthesis never needs replacement.
The maintenance of the Circolare d'Autore® is simple, as with natural teeth:
- Brushing 2-3 times a day
- Dental floss and interdental brushes
- Semi-annual check-ups and professional hygiene
- No specific products or particular techniques required
The fixing screws are checked periodically and the prosthesis never needs replacement.
9. From Toronto Bridge to Circolare d'Autore®
The transition from Toronto Bridge to Circolare d'Autore® represents an epochal quality leap: the Toronto Bridge is a composite resin prosthesis with fake gum lasting 4-5 years; the Circolare d'Autore® is in zirconia-ceramic without fake gum with permanent duration. The difference is comparable to that between a sheet metal body and a titanium one.
The transition from Toronto Bridge to Circolare d'Autore® represents an epochal quality leap:
| Characteristic | Toronto Bridge | Circolare d'Autore® |
|---|---|---|
| Material | Composite resin | Zirconia-ceramic |
| Fake gum | Present, abundant | Absent |
| Teeth | 10-12 | 14 with all molars |
| Duration | 4-5 years | Permanent |
| Hygiene | Difficult | Normal |
| Peri-implantitis risk | High | Very low |
10. Book a specialist visit
To evaluate the possibility of applying the Circolare d'Autore® to your case, send your panoramic X-ray on WhatsApp to +39 388 7527525: you will receive a free collegial evaluation within 24 hours. The first step is always the radiological evaluation of your situation.
To evaluate the possibility of applying the Circolare d'Autore® to your case, send your panoramic X-ray on WhatsApp to +39 388 7527525: you will receive a free collegial evaluation within 24 hours. The first step is always the radiological evaluation of your situation.