Lithium disilicate
MV·CER·018e.max ceramic. Preferred for inlays and onlays where strength and biocompatibility are jointly required.
Marchetti & Vlasov.
A house of biological
and integrative dentistry.
The mouth as system.
— Dentistry, slowly.
Request a consultation
MV · MMXXVI
On Method
Established 2014
Marchetti & Vlasov is a private dental practice in Milan. We work in the discipline of biological dentistry — which is to say, we treat the mouth as part of the body, the appointment as part of a longer relationship, and our materials as part of our duty of care. We do not advertise. We do not chain. We accept new patients by application, and we work with each of them slowly.
The Argument
On the oral-systemic connection
The mouth has been treated as a separate territory of medicine for most of the modern period. We disagree. Inflammation in the gum tissue is inflammation in the cardiovascular system. Material chosen for a filling is material chosen to live in the body for thirty years.
Biological dentistry is a clinical discipline practiced by approximately four thousand dentists worldwide, organized through the IAOMT and IABDM. We work to its protocols. The four tenets below are not opinions; they are the standards of the field.
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I.
Material literacy.
Every restoration material is selected for biocompatibility and tested where indicated. We work without mercury amalgam, by protocol.
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II.
The oral-systemic connection.
Periodontal inflammation, occlusal stress, and craniofacial structure are read as systemic signals. We collaborate with longevity physicians and functional medicine practitioners.
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III.
Considered restoration.
The fastest restoration is rarely the right one. We prefer ceramic, gold, and conservative preparations over speed.
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IV.
The patient’s clock.
A consultation runs ninety minutes. Treatment is staged across visits, with deliberate intervals. We do not work to insurance time.
The Practice
Six disciplines, one chair
Biological restoration
Primary disciplineMercury-free fillings, ceramic inlays, conservative preparations. Existing amalgam removed under SMART protocol when clinically indicated.
Periodontal medicine
Primary disciplineGum health treated as a systemic-inflammation discipline. Ozone therapy used in selected protocols. Microbiome considered in care planning.
Ceramic implantology
Primary disciplineZirconia (metal-free) implant placement and restoration. Biocompatibility review and pre-surgical workup conducted in-house.
Aesthetic restoration
Primary disciplineConsidered veneer and crown work in feldspathic and lithium disilicate ceramics. We do not undertake purely cosmetic veneer cases.
Occlusal & craniofacial work
Primary disciplineBite, jaw, and airway evaluated as one system. Splint therapy and structural care coordinated with osteopathy when appropriate.
Children’s dentistry
By referral onlyChildren of practice patients, by family referral. Conservative preventive care; no general anaesthesia or chain-clinic protocols.
All work undertaken in our Milan rooms. No satellite offices, no franchise. The practice is the two principals and four associates.
The Materials
MV · Materia · MMXXVI
Zirconia (Y-TZP)
MV·ZIR·004Yttria-stabilised tetragonal zirconia. Metal-free implant material; biocompatibility verified pre-placement.
Composite resin (Class V/VI)
MV·CMP·011Bis-GMA-free composites only. Each batch traced; biocompatibility tested per patient where indicated.
Type IV gold
MV·AU·002Used for posterior inlays where occlusal load and longevity are paramount. The most enduring restoration we place.
The practice maintains a materials log accessible to every patient. We will tell you exactly what is in your mouth and where it came from.
Principals
Lucia Marchetti
Principal · Biological restoration & periodontal medicine
DDS — Università degli Studi di Milano, 2002
Specialist Diploma, Periodontology — University of Bern, 2007
Accredited Member — IAOMT (International Academy of Oral Medicine and Toxicology)
Founding Partner — Marchetti & Vlasov, 2014
Visiting Lecturer — Università Vita-Salute San Raffaele (Biological Dentistry seminar series)
The first time I removed an old amalgam under proper protocol and saw what we were taking out, I understood that I had been practising the wrong dentistry. I retrained. Twelve years later, the practice exists because I refused to go back.
— Lucia Marchetti, DDSDaniil Vlasov
Principal · Ceramic implantology & occlusal medicine
DMD — Charles University, Prague, 1999
Specialist Training, Implantology — University of Zurich, 2003–2006
Fellow — IABDM (International Academy of Biological Dentistry and Medicine)
Founding Partner — Marchetti & Vlasov, 2014
Co-author — “Ceramic Implants in Clinical Practice,” Quintessence Publishing, 2021
A patient came to me last year having had eleven titanium implants placed elsewhere. She was tired. She wanted to know what was in her body and why. We removed seven over three years. The other four she kept. That is the practice.
— Daniil Vlasov, DMD
The Slow Protocol
Five phases · across twelve to eighteen months
Consultation.
A ninety-minute first appointment. Full medical history, oral exam, materials review of any existing restorations. We do not begin treatment at the first visit.
One appointmentMapping.
Diagnostic imaging, biocompatibility workup where indicated, occlusal analysis. Findings are written into a personal protocol document and reviewed with you.
Two to four weeksSequencing.
Treatment is staged. We agree the order, the intervals, and the materials — together — before any work begins.
One appointmentTreatment.
Work proceeds across visits, with deliberate intervals between phases. The mouth is allowed to recover. Materials are cataloged into your file.
Six to twelve monthsContinuity.
Reviews twice yearly thereafter. Your materials log travels with you. You are a patient of the house, not a chart.
OngoingYou are a patient of the house, not a chart.
A Note
— L.M. & D.V.
Milano, March 2026
Most of the dentistry being practised today is fast. The appointment is fifteen minutes, the diagnosis is delivered in three, and the treatment plan is shaped by what an insurer is willing to pay for. We understand why. We worked that way for years before we stopped.
What we do here is different. Not because we are special — but because we have arranged the practice to allow the work to be done properly. One chair. Six disciplines. Forty-eight new patients a year, by application. Each appointment given the time it requires, not the time the schedule allows.
If you have read this far, you may be the kind of patient we exist to serve. We would be glad to hear from you.
Inquiry.
Request a consultation.
A first consultation begins with a short note — your medical history, the work you believe you may need, and how you came to find the practice. We respond personally, within five working days.
Begin a private inquiry →Inquiries are read by Dr. Marchetti. Replies arrive in writing.