Laser teeth whitening is a treatment often used in our Dayclinic cases because it greatly improves the appearance of the teeth and is quick to perform. Teeth whitening can be used in conjunction with other aesthetic treatments such as cosmetic dental lenses. It can also be used in rehabilitative treatments with dental crowns and even dental implants, where fixed dental prostheses will be required, and the tone of the smile can be modified as a whole at this point.
Laser teeth whitening is one of the aesthetic procedures that ImplArt Odontologia can perform in its Day Clinic
Over time, some of our habits can leave our teeth yellowed or stained. Ingesting highly pigmented foods or drinks, such as coffee, wine, beet, açaí, among others, can stain teeth.
Smoking is also one of the enemies of white teeth, as nicotine also stains teeth. In addition, poor brushing – which would be a better way of removing food pigments from the teeth – can also lead to the accumulation of plaque on the teeth, which makes them look yellow.
A naturally whiter smile, like the ones seen on celebrities, is a common desire. The best part is that this dream is possible, thanks to the laser teeth whitening procedure, which is certainly a great ally for dental aesthetics.
ImplArt Odontologia uses the most modern laser whitening techniques safely and efficiently. The best whitening is done with the combination of hydrogen peroxide-based gel and the laser light that activates the gel.
The procedure safely and effectively removes pigments and stains from tooth enamel and dentin. Some people need more than one session and this will be determined after an assessment of each case.
Application of whitening gelLaser activation of the gelWhitening results
Indications for whitening
Laser teeth whitening treatment is suitable for most people who are bothered by yellow or stained teeth.
There are even techniques for children over the age of 10. The indication is made after a thorough assessment of the general condition of the patient’s mouth (teeth, gums, tongue and mucous membranes) by the ImplArt professional.
Advantages of laser whitening?
Faster results than home whitening
Causes no or little tooth sensitivity
Day Clinic ImplArt
ImplArt Odontologia performs laser teeth whitening with the agility and convenience of a Day Clinic.
This type of service is ideal for people who want to have a more beautiful smile, whether for an upcoming event, such as a wedding, or even to give their look a boost, but who don’t have the time because of too many commitments in their daily lives, or for those who are in São Paulo for a short trip.
ImplArt’s high-tech structure and specialized team allow your treatment to be planned according to your needs and available time.
Whether this treatment can be carried out in a Day Clinic depends on an assessment of each case.
The lack of a tooth, usually lost as a result of an accident or damaged by decay, can be easily replaced by implanting a tooth (which works like a tooth root) and fixing a dental crown (which imitates the color and shape of the natural tooth) onto this dental implant. This treatment is called single tooth implant.
Most of the time, the surgery is very simple and quick and, depending on the type of implant chosen, the patient can be rehabilitated with the final definitive prosthesis in just a few months. This applies to both single and total implants.
The loss of one tooth leads to problems with the other teeth
Dental implants are certainly an effective solution for restoring the aesthetics and functionality of the smile. The absence of a tooth can compromise the aesthetics of the smile, but also its functionality. Missing teeth trigger bone resorption at the site, which can be prevented by implanting a single tooth. Bone loss varies from person to person, but in advanced cases it can unbalance dental occlusion.
In this way, neighboring and opposing teeth can move. For example, a person loses a back tooth in the lower arch and doesn’t replace it. The opposing upper tooth, which until then made contact with the lower tooth, loses its support and tends to move downwards over time. Dental malocclusion facilitates the development of problems such as plaque build-up, tooth decay and TMJ dysfunction. Therefore, the single loss of a tooth can lead to imbalances in neighboring teeth, and needs to be addressed with a dental implant.
Aspect of the dental implant of the front tooth (central incisor) with the healed cap and the positioning of the provisional tooth.Single individual implant or single tooth implant.
Benefits of single tooth implants
Therefore, a single-tooth dental implant has many benefits over other treatment alternatives, the main ones being:
Neighboring teeth remain intact
The new crown is attached directly to the implant, which makes it possible to floss like a natural tooth
Excellent aesthetic and functional results
Ease of treatment, as the prosthetic components are prefabricated (approximately four sessions)
Unaffected by caries and infiltration
It is possible to place a temporary crown immediately after implant placement(immediate loading)
The installation of the implant prevents or stops bone resorption.
Please note: we are only available by appointment, but if you have accidentally lost a tooth or would like to have implant rehabilitation treatment , pleasecontact us so that we can arrange a time to see you as soon as possible.
Dr. Roberto Markarian is a reference in dental implants and computerized dental prostheses in Brazil. As well as having more than 10,000 implants installed, he is a researcher who produces knowledge that is published worldwide in renowned scientific journals in the field of dentistry. He is responsible for promoting knowledge and high technology applied in all the treatments offered by the ImplArt Dental Clinic.
Learn about the stages of treatment for full arch implant rehabilitation. A full dental implant is a treatment designed to rebuild a new smile when all the teeth in an arch or mouth have been lost. This type of treatment is also popularly referred to as a protocol prosthesis or All on four dental implants, the latter if it involves 4 implants.
The ImplArt Dental Clinic has extensive expertise in full-arch implant treatments, using the best materials to produce the fixed prosthesis for full arch implants in its own dental laboratory, using state-of-the-art computerized techniques. In this way, we offer our patients a choice of different types of dental implants, with different healing times. In addition, patients can choose between 5 different types of fixed prosthesis to be fitted over their implants.
The most modern prostheses today are made of zirconia and use a computerized system to create these highly resistant and aesthetically pleasing prostheses. In addition to zirconia prostheses, there is also the option of zirconia implants.
Most full arch implant cases follow the following treatment steps:
1 – An individual assessment of the case for full arch/full mouth implantation is carried out
Considering the patient’s general and oral health, the volume and quality of bone in the mandible/maxilla, aesthetics, gum shape, among other aspects. To assess bone volume, radiological examinations such as panoramic radiography and computed tomography will be requested.
This stage also verifies the need for bone grafting prior to implant surgery, as well as the need for medical supervision if the patient has pre-existing diseases that could interfere with the success of dental implant rehabilitation.
2 – Treatment proposal
Depending on the information collected and the patient’s expectations, we will present some alternatives for full arch implant treatment with different stages of treatment, techniques and possible materials. The recommended types of dental implant will be presented according to the patient’s case, and they will be able to choose according to their preference. Today there are very modern dental implants and healing times can take between 1 and 6 months, depending on the type. Implants from the Swiss brand Straumann are the ones with the shortest healing times.
For provisional prostheses for total implants. The ImplArt dental clinic takes digital impressions with intraoral scanners (without mass).
5 – Installation of full arch implants
Through simple and painless surgery, the implants that will support the fixed prosthesis are inserted. The surgery takes place in a doctor’s office and the patient can go home immediately afterwards. There are modalities with local anesthesia, or with intravenous sedation, if the patient prefers.
There is also the option of performing dental implant surgery using thecomputerized guided surgery technique.
This technique eliminates the need to make large cuts and sutures in the gums, making the post-operative period easier and the recovery quicker.
The surgical guide acts as a template with indications of where the incisions should be made to place the dental implants. The surgical guide is custom-made according to the patient’s CT scan images, using a 3D printing method.
On the same day or after a few days. This is one of the most important stages of treatment. The prosthesis can be fixed or removable, depending on the case. The preference is for a fixed temporary prosthesis, unless this is technically impossible.
This first provisional prosthesis for total implants does not always meet all the requirements of aesthetics and function because it is made under adverse conditions, such as pre-existing teeth that make molding difficult. If necessary, we will make new prostheses.
7 – Waiting period
It takes between one and six months for the implants to integrate into the bone (osseointegration) and for the gums to heal.
The first image shows the proof of the zirconia structure in the mouth, and the second shows the finished prosthesis with porcelainand a thin layer of artificial gum
8 – Start of the definitive prosthesis for total implants
If the implants are hidden under the gums, the first step is reopening surgery. This is a simple procedure that aims to expose the implants in the mouth. Then molds are made.
9 – Studies for the definitive prosthesis
For total implants, the aim is to find out which characteristics will be important in order to obtain the best aesthetics and functionality. When the characteristics of the final prosthesis are discussed, the color of the teeth, the shape of the teeth, the volume of the prosthesis and whether or not artificial gums are needed will be defined. The patient takes part in this process and will be able to see the stages of the treatment beforehand, as well as the final aesthetics. The dental implant prosthesis can be made of Zirconia, Porcelain or Resin, each with different characteristics, and the patient’s choice is made right at the start of treatment, so that planning is already carried out in anticipation of the definitive prosthesis.
10 – Delivery of the total implant prosthesis
With the approval of the patient and the dentist, the protocol prosthesis is then given as completed and all stages of the proposed treatment have been fulfilled.
11 – Total implant control and maintenance
Once all the treatment stages have been completed and the protocol prosthesis has been delivered, the patient should return every six months for a check-up and cleaning. Every twelve months we will request a panoramic radiograph to monitor the case internally. Even though the patient has had implants and, in many cases, has had all their natural teeth removed, they should still visit the dentist regularly every 6 months.
Dr. Roberto Markarian is a reference in dental implants and computerized dental prostheses in Brazil. As well as having more than 10,000 implants installed, he is a researcher who produces knowledge that is published worldwide in renowned scientific journals in the field of dentistry. He is responsible for promoting knowledge and high technology applied in all the treatments offered by the ImplArt Clinic.
First of all, it’s worth pointing out that the ImplArt dental clinic offers various types of treatment aimed at rehabilitating the patient’s oral health in all its aspects. In this way, not only the functional aspect of the treatment is addressed, but also the aesthetic one. These pillars are supported by digital dentistry techniques present in our modern structure.
As a result, we have been able to achieve top quality treatments, which generates great satisfaction among our patients. Of course, the Clinic is dedicated to offering knowledge and the latest technology to those patients looking for the most modern treatments.
Below is a testimonial from patient Kazue, who came all the way from Japan to have her complete oral rehabilitation treatment with implants and zirconia crowns at the ImplArt Clinic. She tells us why the ImplArt Clinic was chosen as the best clinic for her treatment:
Best dental implant clinic in Brazil
ImplArt ranks 1st in Top Clinics – Brazil !
The GCR Score (Global Clinic Rating) is an international organization created with the aim of providing ratings on 432,000 medical and dental clinics around the world, in such a way as to indicate those that develop the best practices. First of all, it is important to mention that more than 128,277 dental clinics in the world have been evaluated, 603 of them in Brazil. This is certainly a criterion of great importance and relevance to dentistry worldwide.
First of all, dental clinics are evaluated on more than 100 criteria based on 4 pillars: facilities, standard, experience and patient feedback. Finally , according to these items, the clinics are classified and then placed in a ranking from 1 to 5 stars.
As a result of this recognition, the clinic is constantly receiving patients from all over Brazil and the world, who are looking for the best practices in modern dentistry, above all translated into high quality. For patients coming from abroad and from other states in Brazil, there is the option of Day Clinic dental treatment, which is first and foremost an intensive treatment focused on the needs of each patient. This applies to dental implant treatments, fixed prostheses, protocol prostheses and even dental contact lenses.
Learn more about the ImplArt Dental Clinic from Dr. Roberto Markarian, implant dentist and clinical director of ImplArt:
ImplArt dental clinic chosen as the best dental implant clinic in Brazil
For us at the ImplArt Dental Clinic, it is above all a great satisfaction to top this ranking of best dental implant clinic. It certainly means that all our commitment and dedication has brought many positive results in our dental implant and dental aesthetic treatments and, above all, it drives us to continue on this path.
First and foremost,at our clinic we offer the most modern technologies and facilities to carry out your specialized dental procedure in comfort, safety and, above all, with high standards of control. The ImplArt dental clinic is certainly one of the best dental technology centers in Brazil and the world.
Designed by the architectural firm Moran e Anders, by architect Gustavo Anders, the facilities at Clinica Dentaria ImplArt are modern and designed to offer maximum comfort to patients.
Types of dental implants and prostheses offered
Just to illustrate , several types of implants are offered , including those from the modern Swiss brand Straumann. In addition, for the stage of making dental prostheses, the clinic uses computer graphics to plan and execute them. In this way, aesthetics and functionality are studied in three-dimensional models. In this sense, we highlight the translucent zirconia prosthesis, made using modern digital systems.
ImplArt dental clinic’s international standard
In fact, we have more than 10,000 implants installed around the world and smiles achieved using the most modern implant dentistry techniques. With all our know-how , we are able to offer the latest implant techniques, total implants, modern contact lenses and zirconia prostheses. Our smiles are spread all over the world, as we have received patients from all over the world, such as Japan, the United States, Canada, Switzerland, Portugal, Spain, the United Kingdom, Italy, Australia, Holland, Angola, Paraguay, among others! The high quality of our treatments makes the clinic an international standard treatment center, in line with the high demands of world standards.
Follow the testimonials of ImplArt Clinic patients
Privileged location of the clinic
We are located in one of the most privileged areas of São Paulo, in the Bela Vista neighborhood, close to Avenida Paulista. We also have two subway stations nearby, Paraíso station and Brigadeiro subway station (green line), as well as Vergueiro station (blue line). In addition, access by car is facilitated above all by Avenida twenty-three de maio (north-south corridor), as well as Avenida Paulista itself.
Today we have the experience of thousands of implants installed, hundreds of cosmetic dentistry cases solved, and thousands of satisfied patients as a result. These certifications have taken us to the rank of best clinic, and certainly enable us to better serve even the most difficult cases in dental aesthetics, oral rehabilitation, orthodontics and dental implants.
Dr. Roberto Markarian, clinical director of the ImplArt Clinic
Member of the Clinical Staff of Oswaldo Cruz Hospital
More than 10,000 implants carried out
The best technology and advanced techniques
First of all, modern technology and, above all, the know-how of having solved so many cases, as well as the constant presence of our scientific clinical director , implant dentist Dr. Roberto Markarian, at important conferences and meetings in the United States and Europe, certainly ensure that the procedures offered at the ImplArt dental clinic are in line with the latest advances in world dentistry.
In this way,the materials and techniques used at ImplArt, the best dental implant clinic in Brazil according to the GCR, are aligned with those of the best dental clinics in the world. As a result, we are able to achieve results with greater precision and speed.
Real testimonials from those who have experienced ImplArt, the best dental implant clinic according to the GCR ranking.
Follow the testimonial below from our patient Sandro, who chose the ImplArt Clinic as the best clinic for his treatment and came all the way from the United States for his Day Clinic.
See below for more spontaneous testimonials from our patients, so you can learn a little about the experience of having your treatment at the ImplArt Dental Clinic:
“It was simply my lucky year to have found ImplArt, the latest technology in implants. I took advantage of my trip to Brazil and had my implants done. I highly recommend them!”
Regina Fassina
“ImplArt was able to attend to me and treat me within the limited time I had available. Super polite and professional staff. I highly recommend them.”
luizgmf76
“I thank and congratulate Dr. Roberto Markarian and his entire team for their competence, professionalism, ethics and respect. You have given me back the will to smile.”
Eva Bastos, São Paulo/SP
“I liked it very much! Serious dental company committed to results and patient satisfaction and excellent team of professionals!”
Cristiane Rinaldi
“It was much more than I expected, we always have expectations, I was very well taken care of, everyone was very attentive, I loved it, I have already made referrals to other people. Thank you for everything”
Virginia Reis Oliveira
“Excellent professionals. Dr. Roberto is not only competent but also welcoming. Dr. Brenda is competent and very committed. The girls at reception are super attentive too. I recommend them.”
Leila Nepomuceno Borges
“I loved everything the dentists the receptionists the prosthetists everything super recommend”
Valeria Dus
“I’ve been a client for 12 years and I’m still very satisfied with the Implart clinic and its top-class professionals. My last treatment was a success, I was attended to with great attention and concern for achieving perfection. Thank you to the whole Implart team ????.“
Li G.s
Read more testimonials:
“Good afternoon was wonderful, the treatment of excellence not only in the equipment, but in the whole team, I am totally satisfied and impacted with the treatment I had. I highly recommend this clinic, without a doubt the best.”
Ritinha Xavier Dias
“I’ve finished my treatment and I really like the result. As for the service, I can only praise all the professionals, receptionists, doctors and directors. Implant surgery with Dr. Roberto is always a pleasure. The doctors who attended me were all very competent and attentive. I recommend it!!!”
Antonio P. T. de Almeida
“I had two implants done at Clinica Implart with Dr. Roberto, who is an excellent professional. The implants were perfect. The Implart team is very attentive and meets their clients’ needs.”
Dithelmo Kanto Filho
“Excellent team who attended to me very well. I highly recommend the clinic!”
Tamiles Gover
“I was a patient at Implart and I can say that it is technically impeccable, uses the highest technologies and excellent aesthetic procedures. At the same time, the service is humanized and efficient. I was very happy with the results.”
Débora Rocha
“A modern clinic, run by Dr. Roberto Markarian, a beast in dentistry, a professional who is always up to date with the latest developments in the sector. His team is extremely competent, attentive and helpful. I’ve been a client for years and have nothing but praise for him.”
Wander Sanches
Find out more about the ImplArt Clinic
First of all, we would once again like to thank all the patients who spontaneously evaluate and attest above all to the quality of care and the seriousness of the services provided. These testimonials are certainly very valuable. Our dedication to our patients has been recognized and has led us to be ranked first as the best dental implant clinic in Brazil, according to the GCR world ranking.
⭐️Guiados by our clinical director, PhD Dr. Roberto Markarian, and composed above all by a team of expert dentists, technicians and receptionists with a passion for what they do, we are first and foremost dedicated to promoting the well-being and improving the quality of life of our patients.
Therefore, we are here to help you improve your quality of life through proper chewing and, above all, a healthy smile. Contact us to find out how to schedule your evaluation appointment, WhatsApp (11) 3262-4750, we’ll be happy to help.
Finally, check out the GCR website for a ranking of the best dental implant clinics in Brazil.
Metal-ceramic prostheses, also known as porcelain-fused-to-metal (PFM) prostheses, offer a reliable and durable solution for patients seeking tooth replacement with both aesthetic appeal and structural strength. These prostheses consist of a metal framework covered with layers of porcelain, ensuring a natural look while providing long-lasting stability. Widely used in dental rehabilitation, PFM prostheses are ideal for patients who need durable solutions, particularly in areas of the mouth where the force of chewing is greater.
At Clínica ImplArt, the application of metal-porcelain prostheses combines advanced dental technology with expert craftsmanship, ensuring optimal results for each patient. The clinic’s dental specialists are well-versed in modern techniques that improve both the functionality and the aesthetics of these prostheses, delivering a solution that blends seamlessly with natural teeth while maintaining high resistance to wear and tear over time.
The metal-ceramic prosthesis is a traditional material for making crowns on implants
How do the prostheses work with this building materials?
Metal acts as a structural reinforcement, while porcelain offers aesthetics. Therefore, the positive points of this material are: resistance, great durability and aesthetics, characteristics that are very similar to natural teeth.
1 – Metal-ceramicprosthesisfor single implants 2 – Metal-ceramic prosthesis for individual implants 3 – Metal-ceramic prosthesis for implants – several teeth.
Among the indications for metal-ceramic crowns on implants are also crowns, bridges and complete fixed prostheses. One of the great difficulties in working with metal ceramics is the need to completely hide the metal.
Example of metal-ceramic prostheses made at the ImplArt Clinic
We can do your metal-ceramic bridge in Brazil
How are the aesthetics of metal-ceramic dental crowns? Does the metal not show?
This model of crown can change over the years. Sometimes the gums can recede over time and expose a metal line, compromising the aesthetics of the smile.
Especially in areas where aesthetics are essential, we recommend zirconia crowns. These are prostheses with an internal structure made of zirconia, a white ceramic material with a shade and translucency very similar to human dentin.
In addition, the application of porcelain in metal-ceramic prostheses is completely handmade and the final aesthetic depends a lot on the skill of the ceramist (technician who works with ceramics).
If you have any questions about techniques, prices or treatments, please contact us or make an appointment. We’ll be happy to welcome you!
Immediately loadeddental implants are a technique in which the procedure of placing a dental implant and fixed prosthesis is carried out more quickly. In this way, it helps patients regain their self-esteem and their smile without the need to visit the dentist’s office several times. Immediate loading means placing a prosthesis – usually temporary – on the implants immediately after surgery.
Here at the ImplArt Dental Clinic we perform implants with immediate loading. However, each case is assessed on its own merits to see if it is the most appropriate and safest way to ensure the success of each treatment. See more information below.
How does Immediate Load of Implants work?
Learn more about the technique – indications
But can it be done in all cases?
The answer is no. The possibility of an immediately loaded implant depends on fulfilling pre-requisites that can only be ascertained at the time of implant insertion. In addition to checking all the preoperative X-rays and CT scans, there are factors related to the surgery itself. Thus, the final torque of the implant at the time of bone insertion must be verified. It must therefore be checked after the implant has been installed.
In addition, it is important to note that the ideal is always to wait for the dental implant to heal before loading it. The making of a final prosthesis certainly involves aesthetic and functional studies, which have their own timeframe for preparation and testing by the patient. Therefore, if immediate loading is possible, it should ideally only involve a temporary prosthesis. In this way, the final prosthesis can be made with the implants already healed, and the aesthetics and functionality can be studied in depth, without putting the newly inserted implants at risk.
Immediately loaded implants – indications
The dental implant technique with immediate loading can be carried out when bone quantity and quality are normal and also when occlusal habits are favorable for the procedure so that there is no overload from chewing on the site.
Therefore, technique depends on certain conditions in the patient’s dental arch and general oral health. These conditions are assessed individually during a consultation here at the ImplArt Clinic.
The immediate loading dental implant technique can therefore be indicated for the following cases:
People with a completely missing lower arch,
Full arch with a few teeth,
Single or individual teeth in the anterior region of the mouth,
In some cases, dentures are fixed on some continuous teeth,
In all cases and situations, first and foremost the best course of action is to consult an implant dentist and carry out a full assessment to determine what and how will be done. Only this assessment can determine whether an immediately loaded dental implant is indicated or whether another rehabilitation procedure would bring a better result. In any case, implants are a great way to replace teeth, see before and after cases with dental implants.
Below is a video showing how total implant surgery is performed with a fixed prosthesis on implants, the protocol prosthesis.
Read more about immediate loading – indications:
There are some contraindications to immediate loading, as described in another article. Read more by clicking here.In our blog, we mention more differences between a conventional implant treatment and one using this technique. Click here to read the article.If you have any questions, please contact us. We at Clinica Dentaria ImplArt are happy to answer any questions you may have.
schedule your appointment at the implart clinic by phone or whatsapp
Dr. Roberto Markarian, PhD CRO-SP 73583 (Technical Manager)
Knowledge, updating, experience, seriousness and transparency
Practice at Clinica Dentaria ImplArt
Meet Dr Roberto Markarian, implant dentist, creator and director of the ImplArt Dental Clinic. The ImplArt Dental Clinic is certainly one of the main centers of technology in aesthetic oral rehabilitation and implantology in Brazil. As a result of its know-how and high technology, the ImplArt dental clinic receives patients from all over the world who are looking for high technology and knowledge to carry out their dental implant treatment.
Clinical History
Our clinical director holds a doctorate in implant dentistry, a master’s degree in prosthodontics, and two specializations in dental implants and prosthodontics. In addition, he has completed several training courses in the field of dentistry, not only in Brazil, but also abroad.
He also actively participates in the sector’s main congresses and fairs, both national and international. He is a member of important institutions in dentistry and related fields, such as the ITI – International Team for Implantology, the ADA – American Dental Association, and the EAO – European Association for Osseointegration.
Dr. Roberto Markarian is always striving to keep the ImplArt Clinic up to date and in line with the latest developments in world dentistry. He believes above all in teamwork and is particularly concerned about the quality of treatments, especially patient satisfaction.
In the case of patients who have already had a dental implant and wish to have a new prosthesis, in the vast majority of cases we are able to identify the type of implant by evaluating the panoramic radiograph. This is due to the expertise of our clinical director, implant dentist Dr. Roberto Markarian.
Scientific History Dr. Roberto Markarian
Dr. Roberto Markarian graduated as a dental surgeon in 2001 from the USP School of Dentistry in São Paulo. While still a student, he carried out research into improving dental materials, particularly in the areas of dentistry, prosthodontics and implantology. As aresult of this work, he received 5 awards in Brazil. He described his results in more than 30 scientific articles, which were later published in international journals.
In the meantime, he has taken postgraduate courses in prosthetics and dental implants and has become a researcher and assistant to the fixed prosthetics team at USP (São Paulo)and at the São Leopoldo Mandic College (Campinas), as well as teaching college students and dentists.
In the area of academic research, Dr. Roberto Markarian has been conducting courses and research in the area of implant dentistry since 1998, and in the area of digital dentistry since 2004. He also gives lectures and training courses on modern digital dentistry tools.
Clinical coordination and planning – Summary of academic titles
Acting as a Judicial Technical Expert in the areas of Dentistry as well asAssistant Implantology
More than 30 scientific articles published innational and international journals
Technical consultant for the EsteticArt CAD/CAM computerized prosthetics laboratory in São Paulo
Ambassador of the company S.I.N. Implant System – Research and development of solutions in Digital Implant Dentistry (guideddental implants and computerized prostheses)
Dr. Roberto Markarian – Director ImplArt Dental Clinic
Dr. Markarian’s Postdoctoral Research in Implant Dentistry
Title: Dental implant-abutment fracture resistance and wear induced by single-unit screw-retained CAD components after mechanical cycling, fabricated by four CAM methods, Univ SL Mandic – 2020.
Supervisor: Prof. Dr. Fabiana Mantovani Gomes França. There was an international scientific publication resulting from this work in JPD (Journal of Prosthetic Dentistry) 2021 (USA).
Dr. Roberto Markarian’s Doctoral Thesis in Implant Dentistry (PhD)
Title: SEM analysis of the adaptation of screw-retained unitary abutments fabricated by four CAD/CAM methods after mechanical cycling, Univ SL Mandic – 2017.
Advisor: Prof. Dr. Fabiana Mantovani Gomes França. There was an international scientific publication resulting from this work at IJOMI 2017 (USA).
Master’s Thesis in Prosthodontics (MSc)
Title: Biomechanics of force transmission to single implants as a function of prosthetic crown stiffness: photoelastic and dynamic analysis – USP School of Dentistry – 2005.
Advisor: Prof. Dr. Claudio Luiz Sendyk (FOUSP)
Dental Implants Specialization Monograph
Title: Evaluation of the All-on-4 (All-on-Four) technique for the installation of fixed prostheses on four implants with immediate loading – graftless technique for atrophied maxillae, USP School of Dentistry – 2008
Advisor: Prof. Dr. Francisco Fernando Todescan (FOUSP)
Dr. Markarian giving a lecture on Digital Dentistry
Congress Awards and Scholarships
1st Place in Group C5 of Panels at the 22nd Annual Meeting of the SBPqO-Pc179, Brazilian Society of Dental Research (2005).
1st Place in Scientific Panel, XXVI CUBO – Brazilian University Congress of Dentistry (2001).
2nd Place – Oral Presentation, XXVI CUBO – Brazilian University Congress of Dentistry (2001).
Scholarship – Removable Prosthesis, FOUSP (2001).
4th Place – Oral Presentation – Honorable Mention, XXIV CUBO – Brazilian University Congress of Dentistry (2000).
2nd Place – XXV de Janeiro Award for Encouraging Scientific Initiation, Academic Center XXV de Janeiro (2000).
Scholarship – Restorative Dentistry II, FOUSP (2000).
Published articles and some scientific work by Dr. Roberto Markarian
MARKARIAN RA, GALLES DP, FRANÇA FBG. Dental implant-abutment fracture resistance and wear induced by single-unit screw-retained CAD components after mechanical cycling, fabricated by four CAM methods. Journal of Prosthetic Dentistry, 2021.
MARKARIAN RA, GALLES DP, FRANÇA FBG. SEM analysis of the adaptation of single-unit screw-retained CAD/CAM abutments after mechanical cycling. International Journal of Oral & Maxillofacial Implants 2018.
Evaluation of the marginal adaptation of single zirconia abutments customized by the CAD/CAM system: laboratory study. R MARKARIAN, EMF and Silva, R Manfro. Implant News 10 (3), 363-367, 2013.
MARKARIAN, Roberto Adrian . New materials for implant dentistry and the choice of rehabilitation material. Implant News Perio News magazine, internet, Feb. 24, 2012.
MARKARIAN R.A., UEDA C., LAGANÁ D.C., SOUSA R.M., SENDYK C.L. Stress distribution after installation of fixed frameworks with marginal gaps over angled and parallel implants. Journal of Prosthodontics, v. 16, n. 2, p.117-122, 2007.
LOPES F.M., SENDYK C.L., DUARTE C.P., MARKARIAN R.A., ARANA-CHAVEZ V.E. Swine teeth as potential substitutes for in vitro studies in tooth adhesion: A SEM observation. Archives of Oral Biology, v. 51, p.548-551, 2006.
ADDED, N. ; RIZZUTTO, M. A. ; CURADO J ; FRANCCI CE ; MARKARIAN, RA ; MORI, M. . Trace elementary concentration in enamel after dental bleaching using HI-ERDA. Nuclear Instruments and Methods in Physics Research (Print) (Ceased 1983. Disbanded in 2: ISSN 0168-9002 Nuclear iInstruments & Methods in Physic, v. 249, p. 684-687, 2006.
FALLA-SOTELO FO, RIZZUTTO MA, TABACKNICKS MH, ADDED N, BARBOSA MDL,MARKARIAN RA, QUINELATO A, MORI M, YOUSSEF M. Analysis and discussion of trace elements in teeth of different animal species. Brazilian Journal of Physics, v. 35, n. 3B, p.761-762, 2005.
BARCELOS DP, MARKARIAN RA, PINTO EG, CHELLOTTI A, HADDAD AE. Evaluation of the applicability of Carrea analysis in deciduous dentition Rev Ib-Am Odontopediatr Odontol Bebê, v. 8, n. 41, p.62-66, 2005.
MARKARIAN RA, LIMA RG, SOUSA RM, SENDYK CLTitle: The influence of the prosthetic materials on load transfer to dental implants. Technology Meets Surgery 2005, CD-ROM
UEDA C, MARKARIAN RA, SENDYK CL, LAGANÁ DC. Photoelastic analysis of stress distribution on parallel and angled implants after installation of fixed prostheses Brazilian Oral Research, v. 18, n. 1, p.45-52, 2004.
RIZUTTO MA, ADDED N, TABACKNIKS MH, LIGUORI NETO R, ACQUADRO JC, MACHADO LP, VILELA MM, OLIVEIRA TRCF, MARKARIAN RA, MORI M. External PIGE_PIXE measurements at the São Paulo 8UD tandem accelerator. Nuclear Instruments and Methods in Physics Research B, v. 190, p. 186-189, 2002.
BALLESTER RY, MARKARIAN RA, LOGUERCIO AD Dimensional alteration of amalgam and gallium-based alloy Pesquisa Odontológica Brasileira, v. 15, n. 4, p.341-347, October to December 2001.
Dental Bleaching: Trace element concentration in enamel using particle accelerator. FRANCCI C, MARKARIAN RA, SPADA AE, NAKAMA R, MORI M, ADDED N, RIZZUTTO MA. International Academy of Dental Research, Honolulu, Hawaii – CD-ROM OF Abstracts, 2004.
Trace elements in human, bovine and swine dentin by PIXE. QUINELATO A, YOUSSEF F,MARKARIAN RA, YOUSSEF M, MORI M, RIZZUTTO MA, TABACNICKS MH, ADDED N, FALLA-SOTELO F. International Academy of Dental Research, Honolulu, Hawaii – CD-ROM OF Abstracts, 2004.
Analysis of trace element concentration in enamel after dental bleaching using particle accelerator. FRANCCI C, MARKARIAN RA, SPADA AE, NAKAMA R, MORI M, ADDED N, RIZZUTTO MA. J Appl Oral Sci, 12(sp. Issue):p.46, 2004.
Biomechanics of stress transmission to implants as a function of prosthetic crown stiffness – photoelastic analysis. MARKARIAN RA, SENDYK CL, LIMA RG, SOUZA RM. Brazilian Oral Research, 18(suppl):198 (pb333), 2004.
Evaluation of the elastic recovery of addition silicones in contact with astringent solutions. SILVA, MG, MARKARIAN RA, LISBOA MV, RODRIGUES-FILHO LE, MUENCH A. Pesq Odontol Bras, 17(2):199 (pb321), 2003.
Dissipation of stresses generated in the installation of suprastructures with marginal mismatches on parallel and angled implants. UEDA C, MARKARIAN RA, SENDYK CL. Pesq Odontol Bras, 17(2):255 (pc368), 2003.
Dissipation of stresses generated during installation and after loading of fixed prostheses on parallel and angled implants. MARKARIAN RA, SENDYK CL, UEDA C, LAGANA DC. Pesq Odontol Bras, 16(suppl):60 (Ia222), 2002.
Comparison of the elemental composition of human and bovine tooth enamel using nuclear techniques. MARKARIAN RA, OLIVEIRA TRCF, M, MORI M, ADDED N, VILELA, MM, CAMPOS TN, RIZZUTTO MA, TABACNICKS MH, MACHADO LP, LIGUORI-NETO R. Revista da Pós Graduação da FOUSP, 8(3):p.276 (IC04), 2001.
Comparison between the elemental composition of human and porcine dental enamel using nuclear techniques. OLIVEIRA TRCF, MARKARIAN RA, M, MORI M, ADDED N, VILELA, MM, CAMPOS TN, RIZZUTTO MA, TABACNICKS MH, MACHADO LP, LIGUORI-NETO R. Revista da Pós Graduação da FOUSP, 8(3):p.276 (IC05), 2001.
Comparison between chemical elements of human and bovine tooth enamel.MARKARIAN RA, OLIVEIRA TRCF, M, MORI M, ADDED N, VILELA, MM, RIZZUTTO MA. Pesq Odontol Bras, 15(suppl):29 (I060), 2001.
Copper and strontium in healthy human, bovine and porcine enamel. OLIVEIRA TRCF,MARKARIAN RA, M, MORI M, ADDED N, VILELA, MM, RIZZUTTO MA. Pesq Odontol Bras, 15(suppl):29 (I062), 2003.
Hybrid layer: effects of dentin treatment with glutaraldehyde and/or sodium hypochlorite on microleakage of composite resin restorations in bovine teeth.MARKARIAN RA, BALLESTER RY, LOGUERCIO AD. Revista da Pós Graduação da FOUSP, 7(suppl):p.18 (47), 2000.
Microleakage in healthy teeth. MARKARIAN RA, BALLESTER RY. Revista da Pós Graduação da FOUSP, 6(3):p.303, 1999.
Study on Mycroleakage in salutary teeth. MARKARIAN RA, BALLESTER RY. Academy of Dental Materials Annual Meeting Abstracts, Banff, Canada, 1998.
MARKARIAN RA, SENDYK CL, LIMA RG, SOUZA RM. Biomechanics of stress transmission to implants as a function of prosthetic crown stiffness – photoelastic analysis. PANEL. 21st Meeting of the Brazilian Society for Dental Research, Águas de Lindóia, 2004.
MARKARIAN RA, UEDA C, SENDYK CL. Dissipation of stresses generated by the installation and application of fixed prostheses on implants with marginal misalignments. PANEL. 21st International Dental Congress of São Paulo, São Paulo, 2003.
MARKARIAN RA, UEDA C, SENDYK CL, LAGANÁ DC. Dissipation of stresses generated during installation and after loading of fixed prostheses on parallel and angled implants PANEL. 21st Meeting of the Brazilian Society for Dental Research, Águas de Lindóia, 2002.
MARKARIAN RA, UEDA C, SENDYK CL. Dissipation of stresses generated during installation and after loading of fixed prostheses on parallel and angled implants PANEL. 20th International Dental Congress of São Paulo, São Paulo, 2002.
MARKARIAN RA, SENDYK CL, UEDA C. Dissipation of stresses generated during installation and after loading of fixed prostheses on parallel and angled implants PANEL. 3rd APCD International Congress on Osseointegration, São Paulo, 2002.
MARKARIAN RA, OLIVEIRA TRCF, MORI M, ADDED N, VILELA MM, CAMPOS TN, RIZZUTTO MA, TABACKNIKS MH, MACHADO LP, NETO RL. Comparison of the chemical composition of human and bovine tooth enamel using nuclear techniques. PANEL. 26th Brazilian University Congress of Dentistry, São Paulo, 2002.
OLIVEIRA TRCF, MARKARIAN RA, MORI M, ADDED N, VILELA MM, CAMPOS TN, RIZZUTTO MA, TABACKNIKS MH, MACHADO LP, NETO RL. Comparison of the chemical composition of human, bovine and porcine tooth enamel using nuclear physics. ORAL PRESENTATION. 26th Brazilian University Congress of Dentistry, São Paulo, 2002.
MARKARIAN RA, OLIVEIRA TRCF, MORI M, ADDED N, VILELA MM, CAMPOS TN, RIZZUTTO MA, TABACKNIKS MH, MACHADO LP, NETO RL. Comparison of the chemical composition of human and bovine tooth enamel using nuclear techniques. PANEL. 9th FOUSP Research Meeting, São Paulo, 2001.
MARKARIAN RA, OLIVEIRA TRCF, MORI M, ADDED N, VILELA MM, CAMPOS TN, RIZZUTTO MA, TABACKNIKS MH, MACHADO LP, NETO RL. Comparison between the chemical composition of human and bovine tooth enamel using nuclear physics. PANEL. 53rd Annual Meeting of the SBPC, Salvador, 2001.
MARKARIAN RA, LOGUERCIO AD, BALLESTER RY. Hybrid Layer: Effects of dentin treatment with glutaraldehyde and/or sodium hypochlorite on microleakage of composite resin restorations in bovine teeth. PANEL. 8th FOUSP Research Meeting, São Paulo, 2000.
MARKARIAN RA, BALLESTER RY. Microleakage in healthy teeth. PANEL. 19th International Dental Congress of São Paulo, São Paulo, 2000.
MARKARIAN RA, LOGUERCIO AD, BALLESTER RY. Hybrid Layer: Effects of dentin treatment with glutaraldehyde and/or sodium hypochlorite on microleakage of composite resin restorations in bovine teeth. PANEL. 8th USP International Symposium on Scientific Initiation, Ribeirão Preto, 2000.
MARKARIAN RA, BALLESTER RY. Microleakage in healthy teeth. PANEL. 7th FOUSP Research Meeting, São Paulo, 1999.
MARKARIAN RA, BALLESTER RY. Microleakage in healthy teeth. PANEL. Academy of Dental Materials annual meeting, Banff, Alberta, Canada, 1998.
Many patients have doubts about the types of dental crowns that exist and their differences. This article has been prepared to educate you. This way, you’ll know the characteristics of all the types of dental crowns available here at the ImplArt Dental Clinic, always knowing that the most up-to-date technology in the world is here!
Did you know that there are different types of dental crowns?
They differ from the point of view of execution, whether computerized or traditional, as well as the aesthetic refinement they achieve. They can be used both on dental implants and on tooth roots. Some are made using exclusively digital molding, while others still use the old mass molding.
A good indication for people who need to rebuild their teeth and make their aesthetics uniform are porcelain dental crowns or zirconia crowns, which restore the natural appearance and make the smile complete.
Follow us in this article to learn how to differentiate between the types of crowns and choose the one that best suits what you’re looking for as a final result.
What are dental crowns for and what are their types and indications?
The purpose of a dental crown is above all torestore the shape and functionality of the tooth. In short, it is a prosthetic piece (artificial tooth) with the shape and function of a natural tooth. There are a few types of dental crowns that can be selected for your treatment.
The choice of material will depend on a conversation between the dental specialist (prosthodontist) and the patient, which mainly aims to clarify the purpose of the dental crown (aesthetics vs. strength), andthe expected durability (temporary vs. permanent).
What are the types of materials for porcelain dental crowns and what are their differences?
In the past there were other types of dental crowns that we now consider outdated, such as all-metal crowns, gold crowns, resin veneer crowns or porcelain veneer crowns with metal, as well as procera crowns, alumina crowns, inceram crowns, empress crowns, pivots and jackets.
We will therefore present the 4 most modern materials with which we currently make dental crowns in our clinic. In other words, we classify Pure Zirconia as the most modern, followed by Pure Porcelain, both made using computerized systems. In second place are the handmade crowns, called applied zirconia and metal-ceramic.
Types of dental crown and their technical differences. All these types of dental crowns are available at our dental clinic and laboratory. * The technical name refers to the type of porcelain used in the dental crown. ** The strength of porcelain crowns is measured according to the ISO technical standard for flexural strength, measured in MPa. Estimate of aesthetics and durability express the opinion of the author of this article. In the case of MC and ZC crowns, the strength of the structure is high, around 1000 MPa, but problems occur because the thin layer of more fragile porcelain stands out.
Classification of different types of crown based on manufacturing technique:
Below you’ll find different types of dental crowns, classified according to the material they’re made from and how they’re made.
These new composite materials have lower strength than traditional porcelain crowns. However, they look good and can be used in some cases as long-term provisionals or even as permanent crowns.
Dental crowns made by 3D printing of composite materials, resins with a quantity of porcelain reinforcement in the composition. Our in-house dental laboratory is capable of producing such work with great speed and quality.
The porcelain crown remains the best material and can be made using different techniques
Please note that the term porcelain crown is a generic term but can have subtypes. The correct selection of the crown material has a major impact on the final result, how it is made and even on the budget
Learn more about the types of dental crowns and choose the best one for you
Dental materials differ in the way they are prepared clinically and in the laboratory, as well as in their aesthetic results and degrees of resistance.
The appearance of some types of dental crowns. The construction methods in the clinic and in the dental laboratory are different. MC = metal ceramic (fabricated by hand), ZC = zirconia and ceramic (fabricated by hand), P = pure porcelain (fabricated by computerized methods), ZP = pure translucent zirconia (fabricated by computerized methods).
Porcelain + metal dental crown (metal ceramic is porcelain applied by hand to metal) – MC
Porcelain applied over metal (metal-ceramic) is an old technique for making dental crowns, and it’s also the one that ends up having the lowest final value for the patient and the lowest manufacturing cost for the dentist (see photos of the MC crown). Even though they are not as aesthetic as porcelain crowns without metal, metal-ceramic crowns are still used to restore teeth in the back of the mouth.
All metal-ceramic crowns have a structural underlying metal layer and then the porcelain/ceramic on top of it. The metal structure is thin, strong and fits perfectly on the prepared teeth. A layer of porcelain is applied over the metal structure (called a coping). The porcelain layer is 1.5 mm to 2 mm thick, depending on the area of your tooth.
The porcelain layer is resistant, withstands chewing forces very well and resembles natural teeth. However, metal-free porcelain crowns are the most widely used today, as they easily match the color of adjacent teeth better than metal-ceramic crowns. Metal-ceramic crowns are more opaque and not as natural-looking as today’s best dental crowns.
In some cases, porcelain on metal wears, chips, cracks or breaks over time, exposing the metal and making the work unsightly and non-functional. In addition, in cases of gum recession, dark lines may appear near the gums or parts of the metal.
Because of these limitations, metal-ceramic crowns are more suitable for back teeth and should not be used on front teeth. Other disadvantages of metal-ceramic crowns include the possibility of causing allergies and gum irritation.
A zirconia crown with porcelain applied is similar to a metal-ceramic crown in the way it is made. A crown with a zirconia structure also has 2 layers, but instead of metal, we have dental zirconia, a very resistant white material. You can see the two layers of material in the dental crown in the photo below.
Zirconia + porcelain dental crown cut in half. Note the structural layer of white zirconia, and the yellowish part is the porcelain that gives the tooth its aesthetics and final color.
Zirconia is considered to be an artificial diamond and is as resistant as a metal. In fact, dental zirconia has properties similar to metals, with the advantage of being white and therefore more aesthetic. The composition of zirconia crowns + applied porcelain does not include metal, improving the aesthetic results.
The zirconia dental crown with porcelain is also suitable for replacing a large restoration when the tooth structure has deteriorated.
Type of Dental Crown
Materials
Indications
Main Features
Emax Computerized Porcelain Crown
Lithium disilicate
Anterior and Posterior Teeth
Superior aesthetics, similar to the natural color of the teeth – Fast preparation
Porcelain crown with metal base (Metaloceramic)
Porcelain, Metal
Posterior Teeth
Functional and sturdy but poor aesthetics – Slow to produce
Zirconia crown with ceramic application
Ceramic, Zirconia
Anterior and Posterior Teeth
High resistance, aesthetics and biocompatibility – Slow production
Translucent 3D Pure Zirconia Crown
Zirconia
Anterior and Posterior Teeth
High resistance, aesthetics and biocompatibility – Rapid production
Resin crown
Acrylic resin
Anterior Teeth
More economical alternative, but less resistant than other materials.
Metal crown
Metal (Precious Metal Alloy)
Posterior Teeth
Good resistance, especially in areas of high masticatory load. poor aesthetics.
Temporary crown
Acrylic or Temporary Resin
Provisional phase before Permanent
Temporary use during treatment or until the permanent crown is made.
This table provides an overview of the different types of dental crowns, including the materials used, clinical indications and the main characteristics associated with each type. Remember that the choices between these types of crowns may vary depending on the specific needs of each patient
CAD-CAM pure porcelain dental crown (Emax – lithium disilicate) – P
Pure porcelain crowns – the EMAX system – are made using the CAD-CAM (Computer Assisted Design) technique for the computerized production of special porcelain crowns and restorations. They are therefore highly translucent and resistant. Their long-lasting and highly aesthetic results enable excellent results to be achieved quickly. These are the main properties of an Emax crown, which make them one of the best options for restoring front teeth.
Dental crowns of different types seen from the inside, which is usually hidden. Aesthetics differ between crown types, as does the method used to make them. MC = metal ceramic, ZC Zirconia and ceramic, P = emax pure porcelain, ZP = translucent pure zirconia
Emax all-ceramic dental prostheses and crowns are rapidly gaining popularity in aesthetic dentistry due to their excellent aesthetics, durability and strength. The Emax system is mainly suitable for the fabrication of crowns and dental contact lenses in the anterior region. After preparing the final tooth shape, a digital mold of your teeth will be made with an intraoral camera.
This mold is then transmitted via the internet to the computer in our dental laboratory, which controls the design and milling procedure. The color of the dental crown needs to be chosen in advance to resemble natural teeth. With the design approved, a milling machine cuts the monolithic block of lithium disilicate to produce the required shape of the prosthesis, already with the right color.
As the crown is made from a single block of material and has a single layer, we can call it a monolithic crown. The dentist then tests the fit of the crown to the tooth, makes any necessary adjustments and fixes it to the tooth with a special adhesive.
Crowns made from cubic zirconia are becoming increasingly common and offer a number of advantages. They are made using CADCAM computerized methods, from the digital mould to manufacturing.
The power of pure zirconia
First andforemost, one of the greatest advantages of pure zirconia for dental crowns is its strength and durability. Imagine how much force your back teeth exert on the food you chew. Your crowns need to be made of a strong material , so translucent pure zirconia can be a good option for crowns at the back of the mouth. In addition, they show little wear, which can be interesting for patients with bruxism, as it doesn’t allow for the destruction of the tooth that bruxism often causes.
Super realistic multilayer translucent dental zirconia
Durability of dental cubic zirconia
Dental zirconia-based crowns have performed just as well over 5 years as metal-based crowns, according to a scientific study. Those made of zirconia, called monolithic zirconia crowns, are especially durable.
Zirconia is the choice of many dentists because of its biocompatibility, which means that the body is less likely to provoke a reaction or immune response such as inflammation. Zirconia is such a biocompatible material that there are white zirconia dental implants. There is a current today of more natural biological dentistry, which advocates the use of more biocompatible and metal-free materials, and the pure zirconia dental crown fits the bill perfectly. It is therefore important for you to know that there is currently the possibility of carrying out a ceramic dental implant treatment, without metal, and combining it with a Pure Zirconia or Pure Porcelain dental crown, thus obtaining a metal-free treatment!
Discover our complete structure – in the Avenida Paulista area/ Downtown São Paulo-Brazil
Here at the ImplArt Dental Clinic, all prostheses, crowns and restorations are made in our own prosthetics laboratory using computerized systems.With computerized dental crowns, which can be used in any area of the mouth, the appearance, shape and alignment of the teeth are improved, as well as their strength, which also benefits.
If you have any questions, please contact us, visit our photo gallery or book an appointment with our team📲WhatsApp(11) 3262-4750. We’d be delighted to hear from you!
Dr. Roberto Markarian is one of the leading specialists in dental implants and computerized prostheses in Brazil, with more than 10,000 implants performed. In addition to his vast clinical experience, he is a renowned researcher, contributing to dentistry with publications in international scientific journals. At the ImplArt Clinic, Dr. Roberto applies high technology to all his treatments, offering patients innovative solutions and superior quality.
The post and core is an important part for installing a prosthetic crown to replace a tooth that has been badly destroyed, usually as a result of decay or fractures. In cases where it is possible to preserve the root with root canal treatment, the core is installed inside the root to support the prosthetic crown.
The core is the internal reinforcement part of a dental crown
This is an important stage in providing support and strength to the porcelain dental crown. See more about dental core materials. If the crown were installed without a core, the prosthesis would probably not be able to withstand the masticatory effort and consequently its duration would be shorter.
See also this article on our blog which talks a little more about root canal treatment, core and porcelain crown. Today, the reinforcement core (dental post) can be made from various types of materials: from metal to zirconia, fiberglass and carbon fiber.
The choice of material depends on a number of factors, such as the location in the dental arch and the masticatory load that the crown will be subjected to.
The metal core is considered more resistant (especially suitable for the most hidden and used area of the arch), while zirconia is considered more aesthetic because it is white (suitable for the most visible area, i.e. the front of the arch).
The prosthetic crown can be made from two different materials: resin (plastic with a metal core) or porcelain (with a metal or aesthetic core). Porcelain is more resistant and aesthetic than resin.
In some cases, root canal treatment is performed to preserve the root;
The root and tooth are prepared to receive the core;
When made of metal, the impression is taken directly inside the root;
When in zirconia, the post is cemented into the root;
A core mold is taken to prepare the prosthetic crown. At ImplArt, this mold can be made conventionally (with putty) or digitally using intraoral scanners;
The crown is installed on the core;
The duration of the procedure varies, as it depends on the complexity of each case. For some people it can be carried out in a Day Clinic.
Advantages of the technique:
The dental crown restores chewing ability as well as the aesthetics of the smile;
The appearance of this type of prosthesis is very similar to natural teeth, so it is indistinguishable when fitted;
Your smile will be beautiful and complete again, free of unsightly spots such as cavities, metal restorations, absences, etc;
The roots are protected and healthy;
Dentures are very durable, but they may need to be replaced after a few years. This need is verified during regular visits to the dentist’s office.
In cases where teeth are weakened and it is no longer possible to rebuild the tooth with a crown, dental implants are recommended. If you have any questions, please make an appointment or contact us. We’ll be happy to help you.
Bone grafts are techniques to supplement the bone lost in the patient’s jaw. They can be performed simultaneously with the insertion of the dental implant, or require a healing period. Each indication will depend on an analysis of the patient’s case. But rest assured, today’s bone grafting techniques are very modern and painless for the patient. The results are certainly worth it because dental implants are the best solution for restoring missing teeth!
Know everything about dental bone grafts
Bone grafts are used to reconstruct the area that has lost height or thickness
In some cases, it is not possible to place dental implants without first doing bone grafts. People who have lost one or more teeth due to accidents or extractions always think about reconstructing their dental arch in order to smile without embarrassment and for this, dental implant placement is certainly an excellent option.
When people lose their teeth and don’t replace them immediately, they experience bone resorption. As a result, the bone in the area becomes thinner and taller, or has defects in its shape. In the upper jaw, the size of the maxillary sinus can increase, which in principle prevents implants from being placed. In addition, with tooth loss, expressions become limited, the mouth shrivels, chewing becomes difficult and speech can also be altered.
In this way , bone grafting serves to rebuild enough structure to allow the implant to be made, restoring the lost volume to the atrophied bone. For this technique, the dentist can use the patient’s own bone material, taken from the mouth (for small reconstructions) or taken from other sites, such as the hip bone (iliac) and skull cap (for large extensions).
There are different bone grafting techniques, each with its own particularities
In the case of smaller, more common grafts, the bone grafting procedure can be done in the office using local anesthesia. For larger areas, the surgical intervention is performed in a hospital by a larger, multidisciplinary team under general anesthesia. The patient does not lose teeth while the bone graft heals.
It is also possible to use a xenogenous bone graft crystal, when the bone comes from animals (freeze-dried bovine bone – Genox or Bioss), human bone from bone banks (bone transplant) or synthetic vitreous materials (synthetic hydroxyapatite). However, the most easily regenerated material is bone graft taken from the person themselves (autogenous bone).
Types of bone graft materials
The procedure can be carried out in fragments or as a block. Many people are afraid of undergoing a bone graft, but in fact the procedure can be very simple. All the materials are biosecure and undergo strict controls to prevent contamination.
Smaller bone grafts are non-invasive and can be used to supplement the bone around a newly placed implant. However, in people who have lost their teeth many years ago, larger bone grafts may be necessary. ImplArt’s philosophy is to avoid bone grafts and has mastered alternative techniques such as:
Bone loss can occur for a number of reasons, but the most common is tooth loss or extraction without immediate replacement. When a person loses their teeth, the body resorbs the bone in the maxilla or mandible because it understands that the bone no longer has a function (which was to provide support for the teeth). This loss is progressive and over the years the person has little bone volume in terms of height and width, which at first makes it difficult to place dental implants.
Maxillary sinus lift or sinus lift
A sinus lift is a surgical procedure for bone grafting in the posterior region of the upper jaw. The aim is to increase the amount of bone in height so that a longer dental implant can be placed.
When a person loses one or more teeth in the upper arch, there is a loss of bone in height and the maxillary sinus shrinks (fig.1). The procedure is carried out in this way: First, a small opening is made in the gum in the lateral region of the bone defect (fig.2).
A variable amount of bone regeneration precursor material is then placed inside this opening (figs.3,4). The surgery is quick and usually takes no more than 30 minutes with an experienced surgeon. Bone regeneration takes between 4 and 9 months (fig.5), and then the implants are placed (fig.6), but radiographic examinations are carried out beforehand to check the progress of bone regeneration.
Materials used in bone grafts
Nowadays we have a variety of materials that can be used for bone grafts in the maxillary sinus:
Studies show that all materials are favorable for this type of graft, depending only on the surgeon’s preference.
Bone Graft Before and afterBone Graft Before and after – X rays
The ImplArt Clinic has experience in various grafting techniques
Dr. Roberto Markarian, coordinator of Clinica Dentaria ImplArt, is an experienced dental implant specialist with thousands of implants installed. Due to his extensive clinical and surgical experience, he has been able to carry out countless cases of rehabilitation without the need for bone grafting and which had been indicated for grafting by other specialists.
Each case is assessed individually during a consultation. If you have any questions about the price of treatment, values or planning, please contact us or schedule a consultation 📲WhatsApp(11) 3262-4750. Bone grafts are different from gum grafts in terms of techniques and objectives.
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