Dra. Francesca Vailati, MD, DMD, MSc


After receiving her medical degree from the University of Bari (Italy) in 1996, Dr. Vailati left Europe to pursue her dental education in the United States.

In 2000, she received her dental degree from the University of Pennsylvania (USA) and in 2003, she earned a certificate in Prosthodontics along with an MSD degree from the University of Connecticut (USA).

Returning to Europe in 2004, she joined the department of Fixed Prosthodontics headed by Prof. Urs Belser at the University of Geneva (Switzerland), where she is now in charge of the Geneva Erosion study, under the direction of Prof. Irena Sailer.

Dr Vailati maintains a part-time private practice in Geneva, dedicated to rehabilitation of worn down dentitions, using adhesive Prosthodontics and ADDITIVE Dentistry.
She has developed a protocol, the 3STEP technique, which allows clinicians to face full-mouth rehabilitations in a more predictable manner.

Finally, Dr. Vailati has created her own Academy, the 3STEP Academy, with different centres around Europe. Her main location, however, remains next to Geneva, her home base, Annecy, France, where theoretical-practical courses are held on Additive Dentistry and functional rehabilitation of patients affected by erosion and parafuctional habits.


Facing patients affected by degradation of their incisal edges, before starting any prosthodontics rehabilitations, a diagnosis about the origin of the tooth wear should be made.
Even though loss of tooth structure is often multifactorial, clinicians should strike to identify the principal cause: erosion or parafunction?

Once this has been assessed, it is possible also to anticipate how the restored dentition will age.

If erosion is mainly responsible, the restorations will age better than dentin and enamel; however, if parafunctional habits are involved, patients should be informed that the restorations will never perform better than the original intact teeth, and that maintenance (based on their repair and replacement) will be necessary for the rest of the patient’s life.

3 learning objectives:

1) Learn to identify the signs of dental erosion.

2) Know the evolution of untreated mouths affected by dental erosion.

3) Make the differential diagnosis between erosion and parafunctional habits.


Diagnosis of tooth wear, from erosion to parafunction


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