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Giano Ricci

DENTISTRY IN FLORENCE SINCE 1974

Dr. Giano Ricci

I went to school at the age of 5 and was placed directly into second grade. I liked a little girl with freckles and red hair who was my classmate.
I was the teacher’s “favorite” since I was the youngest in the class, and I sat in the front row, as I have always done throughout my life.

At 17 and a half I obtained my classical high school diploma, and at 24 I graduated in Medicine and Surgery.

I enrolled because I wanted to become a general surgeon, but in my fourth year, when I began to better understand the environment and realized that to become a good surgeon I would have to place my professional life in the hands of a “baron” who, after 20 years of obedience, could either place me in a good position or destroy my career, it was a bit too much for me.

So I decided to pursue Dentistry at the highest possible level, attending one of the best schools in the world and giving it my absolute best.

I started asking for advice and evaluations by knocking on the doors of the best Italian dentists, and for Periodontology, after my research, the best clinical school at the time turned out to be Boston University.

I began thinking about how to make contacts. Fortunately, I was attending daily one of the best practices in Florence, whose owner had organized a Periodontology course with a great American professor right in his office.

I was excited at the idea of meeting him and attending the course. I asked if I could participate, but I was told the course was already full. At most, I could meet the guest lecturer during the coffee break. Excited, I went to the coffee break.

The owner introduced me to the lecturer, and while I was hoping he would tell me to stay for at least a couple of hours, he told me that now that I had met him, I could leave.

Disappointed, I found out where the lecturer was staying, and as soon as I got the information, I rushed to the Grand Hotel and sat in a chair in front of the entrance, certain I would meet him when he returned.

After three hours of waiting, the professor appeared at the hotel’s revolving door and went inside. Like lightning, I ran up to him and introduced myself again, explaining that I wanted to enroll at Boston University.

He firmly told me: “I no longer accept Italians.”
“Why?”
“Because they come, start well, and after 4–5 months, around Christmas, they tell me they want to go back to Italy because life in the USA is too hard and they don’t feel comfortable. So I lose a training position, and I can’t replace it because the course has already started.”
“With me, that won’t happen!”

I left and sent 19 red roses to his wife, who was at the hotel.

A few months later I received an acceptance letter for the program. Later on, after becoming friends with the professor, he would sometimes laugh and say: “Giano, you got into Boston University with a bouquet of flowers!”—and we would both laugh heartily.

My experience at Boston University changed my life greatly for the better, but I had to work very hard.

After three months of my arrival, I was assigned only simple cases because I was one of the two foreign students in the course, and therefore the most interesting cases were given to American students.

One evening, risking expulsion from the course, I jumped behind the reception desk and obtained the clinical records of the most complex cases. The next morning, I called the patients and told them they had been assigned to me for treatment.

The working hours in the Periodontology department were very strict: from 9:00 to 17:00 theory and clinical practice, and from 17:00 to 19:00 in the library reading books and publications. Often, some colleagues would take the publications home to prevent others from reading them and becoming better prepared for the next day’s seminars.

Finally, after 3–4 months, the day of my first surgical procedure arrived. I was excited and believed I had perfectly prepared the surgical tray, radiographs, and impressions of the patient.

The mentor arrived, examined the patient, asked me to describe the procedure I intended to perform, looked at me, and said: “Today you cannot operate on this patient.”

In disbelief, I asked why.

“You see, Giano, the bone levels between the upper canines and premolars are not clearly visible on the radiographs.”

“Professor, give me a moment and I’ll retake the X-rays so we can start.”

“No, because you must arrive at surgery with the entire situation perfectly documented. You will perform the operation next week.”

I was about to throw the surgical tray at him and punch him. I hated him at that moment, but over time I understood that he was teaching me that one must approach surgery with the entire protocol perfectly in order.

This is one of the many things I learned at Boston University, which I later passed on to my students, always aiming to shape them to pursue only the very best. Above all, thanks to my main mentors I learned a great deal of histology (every Monday from 9:00 to 12:00), which allowed me to understand the biological mechanisms of disease and healing, the different surgical and non-surgical therapeutic techniques, how to present a case to a patient, how to explain it in detail, and how to confidently outline the long-term prognosis.

Upon returning to Italy, I had to work very hard to launch the first practice in Italy dedicated exclusively to periodontology.

“What does Ricci think he is doing? He’s found a way to starve! We are in Italy, not in America!” many colleagues said.

Even patients were not very happy to be treated periodontally by me and then having to go to other clinics for fillings or prosthetics.

But I had the psychological support and clinical backing of my mentors, who encouraged me, knowing I could establish myself as a pure periodontist.

“You have the right knowledge and personality. You will make it.”

After renting a practice in one of the most prestigious areas of Florence, I began my professional activity in Italy.

At the same time, I established external collaborations in Livorno, Venice, and Milan in very busy practices with a large number of patients, but I could not perform all the procedures I could have, because patients did not reach a level of oral hygiene compatible with surgical treatment.

One day in Livorno, I spoke with a dental assistant: “Tell me, why do patients neglect their oral hygiene so much that we cannot carry out complete treatment? Aren’t you the one teaching them hygiene?” She looked at me and said in the local Livornese dialect: “Doctor, the owner wants to pick up dead and injured patients during the day, and after five minutes explaining hygiene he comes to me and says: ‘Stop it, we’re not here to brush people’s teeth!’”

After some time, I left that collaboration despite the people being kind and pleasant.

Within two years of opening, my Florence practice became very successful. I founded a study club, and periodontology began to spread.

I worked with enthusiasm and passion, although some family problems arose due to my absence from home and rather demanding working hours.

I began seeing people coming from all over Italy—actors, singers, ambassadors, including the United States ambassador, who arrived with three escort cars and bodyguards who inspected the waiting room before letting him in (this was in ’75!).

Courses, congresses, books, and articles began to occupy much of my time because I genuinely enjoyed teaching and spreading periodontology.

I have the satisfaction of having many colleagues who have reached very important positions, and with whom I recently celebrated my 50 years dedicated to periodontal therapy.

The beautiful thing is that I want to continue being passionate about the evolution of Periodontology and Implantology together with my children, who work with me and continue to share great satisfaction, exploring new therapeutic methods and using the most modern equipment.

Retirement? Pension?

I don’t know that word.

A qualified
and passionate team

Continuity of the Therapeutic Approach

IN PERIODONTAL, ORTODONTIC, PROSTHETIC AND AESTHETIC FIELDS

An Experience Built Since 1972

The therapeutic choices made at the Ricci Practice are based on experience developed since 1969, starting from the teachings received at the Universities of Florence and Siena, and from 1972 at Boston University. To this foundation are added the most up-to-date scientific knowledge, daily mutual consultations among the different members of the team, and the use of state-of-the-art equipment and protocols.

The primary goal of the therapy carried out at our Practice is to preserve the patient’s natural dentition, even in the most complex cases, so as to restore aesthetic and functional integrity, slow down the aging process, and minimize the need for implant treatments.

When this is not possible, implants must be used with competence and experience. In fact, they require precise periodontal and biological assessments regarding the behavior of the gingiva and bone.

GIANO RICCI

A qualified
and passionate team

What I Look for Every Day

To live peacefully within my family and receive the daily, rewarding recognition of patients satisfied with the treatments provided.

This is my daily motivation.