Author: Roberto Markarian

Dr. Roberto Markarian is the head of the Dental Implant Clinic – ImplArt, widely recognized for his expertise in implantology. With over 24 years of experience, he has performed 12,000 dental implant and oral rehabilitation procedures, standing out for his excellence and innovation. A specialist in Implantology and Prosthetic Dentistry, he holds a Master's and Ph.D., solidifying his authority in the field. In addition to his clinical practice, he actively contributes to the advancement of dentistry by publishing scientific articles and book chapters with international impact. His dedication to education and innovation makes him a reference in the field, always striving to deliver the best results for his patients.

Dental Implants for Dentures – Acrylic Bridge

The Branemark prosthesis is a technique developed in 1969 by the Swedish doctor Bränemark with the aim of oral rehabilitation (Dental Implants for Dentures) with dental implants for people who have lost their teeth. It is currently indicated for people who lost their teeth many years ago and therefore have little bone volume (advanced bone resorption).

In these people, mobile prostheses, dentures (normal, partial and dentures) often become loose and cause discomfort and insecurity. In this way, a fixed prosthesis on implants certainly brings much more peace of mind and comfort to the wearer. Treatment with the Bränemark protocol consists of two stages: surgery with implants and prosthetics at intervals of four to six months for the mandible and maxilla. This interval is necessary for the correct healing of the dental implants.

The material used for protocol prostheses can be resin, and its technical name is metal-plastic. In this case, the prostheses can come in two versions: Resin with national teeth or Resin with imported teeth. In this second option, we can consider teeth with more natural aspects, and more resistant to wear and acquiring stains from food. However, the most modern materials today are zirconia protocols and porcelain protocols on total implants.

Topic related to Dental Implants for Dentures in Brazil

Why should I have Dental Implants for Dentures?

The Dental Implants for Dentures is a modern option for patients who have lost all their teeth. It is anchored by screws to several implants, providing greater stability and chewing efficiency. In addition, treatment brings with it a number of benefits. Here are several of them, which you can consider if you’re thinking of having a protocol prosthesis:

Chewing efficiency: Because it is screwed onto several implants, the Dental Implants for Dentures prosthesis offers greater stability and chewing efficiency than other solutions such as removable prostheses. The prosthesis does not fall out and can only be removed by the implant dentist in the clinic.
Easy adaptation: The Dental Implants for Dentures prosthesis is known for its easy adaptation and general use.
Durability: The resin acrylic prosthesis is durable and will restore your bite for several years. However, it may be necessary to replace the prosthesis in the future if the materials wear out.
Aesthetic results: A branemark bridge prosthesis can provide a natural aesthetic result, giving patients back their self-esteem and confidence to smile.
Freedom: Prostheses give patients more freedom and also improve their self-esteem.
Less pain and frequent bruising of the gums: Protocol-type dentures can reduce the occurrence of frequent pain and cuts in the gums. This is because the prosthesis does not rest against the gums and is not mobile, so it does not cause sores.
Ease of cleaning: Full arch acrylic implants are easy to clean. There are appropriate instruments for cleaning your fixed teeth. The full resin implant prosthesis has a smoother texture and accumulates less plaque than ordinary removable prostheses and dentures.
Cost: Resin bridges usually require a lower investment than the second option, porcelain, or even zirconia. In addition, maintenance, when necessary, is not expensive.

What’s the difference with plain ceramic (metal) or zirconia metal-ceramic prostheses?

Metal-ceramic prostheses, known as porcelain, differ from metal-plastic prostheses, known as resin or acrylic prostheses, in terms of their resistance and aesthetic results. Porcelain surpasses resin because it offers long-term patient comfort, since it is much more resistant to wear and tear and remains the same over the years as the day it was installed, in terms of color and tooth shape. Translucent Zirconia, on the other hand, allows computerized methodologies to be used to plan and execute full-arch prostheses. In addition, its resistance and aesthetic results are superior to any other, making it the most modern material option available in dentistry today.

Metal-ceramic prostheses: the internal structure is made of titanium alloy while the aesthetic coating is made of dental porcelain. Despite what it may seem, these materials are very light and resistant.

Zirconia is the most modern technology for making fixed prostheses on implants. For full-arch dental implants we have Translucent Zirconia and Zirconia with porcelain applied.

Dental Implants for Dentures images – photos of real cases

See below for examples of our Branemark Acrylic Prosthesis clinical cases. We have our own in-house dental laboratory capable of carrying out the treatment more quickly, safely and with the highest quality.

At the ImplArt clinic we have already carried out thousands of treatments with full-arch dental implants. Come and see our work!

Porcelain dental prosthesis after removal of all teeth before and after

Dental protocol prosthesis intraoral aspect and free palate — Porcelain dental prosthesis after removal of all teeth before and after

Dental Implants for Dentures prosthesis and total implant with immediate loading

Nowadays, with the advances made in dentistry, in some cases it is possible to implant in 72 hours using immediate loading. First, four, five or six implants are installed, distributed over the entire arch. They are then left to rest (heal) for four months. After this period, the acrylic prosthesis is fixed onto the implants. For this treatment with immediate loading, there is a need for clinical indication, so that the success of the treatment is not compromised.

Do Dental Implants for Dentures last forever?

The longevity of a fixed bridges for dental implant can be influenced by several factors, including the patient’s oral hygiene and the type of prosthesis used.

The implant pin/screw, which is made of titanium and acts as the root of the tooth, has the potential to last a lifetime. This is due to its ability to integrate with the jaw bone, a process known as osseointegration.

However, the dental prosthesis, which is the artificial tooth placed over the implant, may need to be replaced over time, as they wear down with use and chewing, in the same way as natural teeth. Dental prostheses are generally made of acrylic, zirconia or porcelain, and their durability can vary. For example, a resin prosthesis can last up to 10 years, while a porcelain or zirconia fixed prosthesis (all on 4) can last up to 20 years.

It is important to note that the longevity of the dental implant can also be affected by the patient’s general oral health. Good oral hygiene and regular visits to the dentist for check-ups and maintenance are essential to maintain the health of the implant and prosthesis.

Conclusion

The Dental Implants for Dentures is made from a metal bar to which the resin teeth are fixed. With the Bränemark protocol, patients who have previously been ashamed of their smile due to dental problems and whose self-esteem has been affected can smile normally again, since their phonetic ability, chewing and swallowing improve and provide a better quality of life. If you have any questions, please contact us or book an appointment with our team.

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See other work done with resin

Resin onlays

Direct composite resin veneers

Resin restorations

Resin dental recontouring

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Rapid immediate loading of dental implants

All about Immediate loading

Immediate loading of dental implants

Rapid (immediate) loading is possible thanks to scientific advances. Today it is possible, in selected cases, to enter the office without teeth and leave at the end of the day with all the teeth fixed on dental implants with immediate loading. This technology gives patients great satisfaction due to the rapid results.

Immediate rapid loading can be planned for individual dental implants, or even total dental implants, the so-called protocol prosthesis. Its feasibility should be assessed in consultation with the implant dentist.

When to load implants quickly:

Implants with this rapid loading technique can be used in the following cases:

For total implants (replacement of dentures with all teeth fixed)
Several teeth (usually teeth or tooth roots with periodontal disease, badly decayed teeth as well as old dentures)
For a single tooth (mainly in the anterior region)
Fixed prosthesis of some teeth (in selected cases)

The rapid loading technique can be indicated for a single tooth or for all teeth.

Indications for immediate rapid loading dental implants

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 to be carried out so as not to overload the site with chewing.

Therefore, the immediate loading technique depends on certain conditions of the patient’s dental arch and general oral health. The conditions, planning requirements and feasibility of the implant with immediate loading are assessed individually in consultation. Not all cases can be immediately loaded.

Therefore, the dental implant technique with immediate loading can be indicated for the following cases: people with a completely toothless lower arch, a full arch with a few teeth, single or individual teeth in the anterior region of the mouth, and in some cases fixed prostheses on a few teeth, depending on the region. In all cases and situations, the main course of action is to consult your 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 provide a better result. The technique is not always used in all cases, as it depends on the patient having some specific and favorable conditions that are assessed in consultation.

We must therefore plan your case carefully in order to achieve the expected success. The procedure aims to install a temporary prosthesis immediately after the implants have been placed. The time it takes to make the final prosthesis will be discussed with the dentist and varies from case to case.

Types of dental implants

If your concern is to complete your dental implant treatment as soon as possible, you can use fast-healing implants. The Swiss company Straumann is responsible for producing the most modern dental implants that allow rapid healing. Under ideal conditions, without bone grafting and good locking, these implants normally heal in between 1 and 2 months. So if your concern is time, opt for Straumann implants. These implants can be used for single implants or total implants.

In addition to titanium implants, there are also ceramic implants, an option for those who want a metal-free implant treatment.

Types of dentures

The type of dental crown or type of prosthesis to be used in your treatment should certainly also be evaluated, in order to shorten its execution time. If possible, opt for computerized crowns or prostheses. These modern prosthesis models use 3D tools that speed up the execution time and offer greater quality and naturalness. This includes the Translucent Zirconia Prosthesis, the single zirconia crown or the fixed zirconia prosthesis. As well as the Cerec porcelain crown.

At the ImplArt dental clinic, we have all the structure to carry out your procedure with peace of mind, so come in for an assessment and we’ll analyze whether your case can be solved with this technique. Contact us by WhatsApp (11) 3262-4750, we’ll be happy to talk to you and answer any questions you may have.

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Transparent aligner – braces without parts glued to the teeth

The transparent aligner is a modern option for orthodontic treatment. Because it is transparent, it is much more discreet and almost imperceptible. Unlike conventional fixed orthodontic appliances , clear aligners are plate-shaped and do not have brackets, metal wires or colored rubber bands. Orthodontic treatment with clear aligners consists of the sequential use of different plates, with minor adjustments to each one.

It also plays a fundamental role in oral rehabilitation when there has been tooth loss. When tooth loss is not immediately replaced with dental implants, nearby teeth tend to move, taking the place of the extracted tooth. Therefore, before the patient can receive the implant, space must be made by moving the teeth back to their original position so that the site can receive the dental implant. This is done with orthodontic braces.

Therefore, in the event of tooth loss, the ideal is to replace the lost tooth with a dental implant as soon as possible.

How the aligner works without glued parts

The patient wears each plate for about 2 weeks and the teeth move progressively until they reach the ideal position. The aligner plates are custom-made for each patient, based on a digital mold taken from the teeth using an intraoral scanner and computerized planning.

In this planning, tooth movement can be simulated in advance with three-dimensional images and the patient can follow the progress of the treatment. Sometimes the aligners need accessories such as resins bonded to the tooth or a mini dental implant to guide the treatment.

We work with national aligners and aligners imported from the United States – Invisalign

Digital documentation

The documentation for this model of orthodontic appliance is a set of scans and photographs used for the digital planning of orthodontic treatment with clear aligners. The 3D orthodontic documentation for treatment with clear aligners consists mainly of:

Panoramic radiography

Digital radiological examination that allows visualization of teeth and bone structures.

Lateral Teleradiography

Radiological examination that allows cephalometric tracings to be analyzed. Radiological examinations make it possible to diagnose occlusion problems, missing teeth, erupted teeth and the bony structures of the face.

Intraoral scanning

A high-precision camera scans the teeth and gums and then creates a 3D mold of the arches. It then reproduces details such as the color and shape of the teeth and dental occlusion on the computer screen.

Extraoral and intraoral photos – facial and intraoral photos. digital orthodontic documentation

The documentation, along with a standard questionnaire, is sent to the factory responsible for making the clear aligner plates. All of the patient’s images are then entered into software for virtual planning of the tooth design and tooth movement.

transparent aligner — **Click on the image to watch the simulation**

Once the treatment has been approved, the Invisalign factory makes a series of customized aligner plates for the patient to wear sequentially. The plates must be worn 24 hours a day and removed only when eating or cleaning the mouth. Ask us about the best model, value and price.

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Porcelain crown for implants – Day Clinic

What is a porcelain crown on a dental implant?

The placement of a porcelain implant crown is one of the procedures that ImplArt Odontologia can carry out with the convenience and agility of Day Clinic Dentistry in São Paulo.

A porcelain crown is a type of fixed prosthesis with a shape, color and functionality very close to that of a natural tooth, to be fitted over a dental implant. The dental implant is a titanium pin that replaces the root of a lost tooth and supports the prosthesis.

The porcelain crown on dental implant is certainly capable of restoring a beautiful smile and chewing safety for people who have lost one or more teeth, including the root, for some reason. Because it is made from state-of-the-art materials, the porcelain dental implant crown is highly aesthetic, resistant and durable.

ImplArt Odontologia uses the metal-free technique to make porcelain crowns. The advantage of this technique is that the internal structure of the crown is reinforced with zirconia. It is a white material, therefore free of metals and invisible inside the prosthesis, which gives the prosthesis a much more aesthetic result and no dark spots. These materials are also very resistant.

How is the porcelain implant crown made in the Day Clinic?

At ImplArt, the design of the porcelain implant crown is computerized and executed on 3D printers. The design of crowns is completely personalized for each person, quickly and conveniently. This is thanks to our complete structure, which includes a multi-specialized team and our own digital prosthetics laboratory equipped with computerized systems such as Cerec Sirona and 3Shape.

Some cases in which this treatment can be carried out in a Day Clinic

Replacing a lost tooth
Improved smile aesthetics
Improved chewing and speech
If you already have an implant, but would like to change your prosthesis for a better-looking, higher-quality one. Learn more

porcelain crown for single implant to replace a missing tooth

Oral rehabilitation with crowns usually takes a few weeks, but the structure of ImplArt Odontologia allows this time to be considerably reduced with a Day Clinic service plan.

Get to know the ImplArt Clinic

We are located in one of the most privileged areas of São Paulo in the Bela Vista neighborhood, close to Avenida Paulista. Today, we have experience close to thousands of implants installed, thousands of dental prostheses, hundreds of cosmetic dentistry cases solved and thousands of satisfied patients. These certifications certainly enable us to deal with the most difficult cases in dental aesthetics, oral rehabilitation, orthodontics and dental implants. Digital dentistry is the highlight of the ImplArt dental clinic.

Then contact us and make an appointment to see if your case could benefit from this Day Clinic technique.

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Oral Rehabilitation – Day Clinic allows the whole mouth to be restored

Oral rehabilitation is a practice within dentistry with the aim of recovering or improving the patient’s health, chewing function and oral aesthetics in a complete way, when these are compromised. Aligned with implant dentistry, it allows the replacement of lost teeth with a dental implant, either a total implant with a full-arch fixed dental prosthesis or a partial fixed prosthesis.

This practice is also preventative, as complete and well-articulated teeth prevent problems with the jaw and mandible.

Healthy and beautiful teeth with oral rehabilitation at Day Clinic

Problems that arise as a result of a lack of preventive care can develop, become harmful and much more complex in the future. For a smile to be considered healthy and functional, the entire set of teeth, bones, facial muscles and soft tissues must work together in harmony.

Frequent toothaches or even facial muscle pain, swollen or bleeding gums, plaque build-up, cavities, the absence of one or more teeth, clicking or joint pain when opening and closing the mouth, facial asymmetry, yellowed or stained teeth are some of the signs that something is wrong with oral health and aesthetics.

Complete professional team to carry out your oral rehabilitation in Day Clinic

Oral rehabilitation can involve several dental specialties working together in one day. Just to give an example: periodontics, endodontics, orthodontics, implantology, prosthetics, dentistry and dental aesthetics. With it you can, for example:

Treatment of infections and periodontal disease
Replacing missing teeth with dentures or dental implants
Restoring partially compromised teeth with dental crowns
Correct bite problems, dental occlusion
Restoring masticatory function
Recovering or improving dental aesthetics in general

Oral rehabilitation is planned after a number of examinations have been carried out, such as a panoramic X-ray, so that all the patient’s needs can be known. From there, the multi-specialist team jointly decides on the procedures to be adopted for complete oral rehabilitation.

Learn more about aesthetic oral rehabilitation

Oral rehabilitation can be carried out in a Day Clinic* at the ImplArt Dentistry Clinic. Day clinics are ideal for people who need intensive treatment in a shorter time than conventional treatment. In some cases it is even possible for the patient to start rehabilitation in the morning and be discharged on the same day.

The ImplArt Dental Clinic is fully capable of offering oral rehabilitation treatments in a Day Clinic*, because it has a multi-specialist dental team and a complete structure, with a prosthetic laboratory, digital panoramic X-ray examinations and computerized systems. This certainly guarantees agility and peace of mind so that the patient can achieve oral rehabilitation in one place.

If you are far away and need to organize your accommodation in São Paulo for your Day Clinic at Clinica Dentaria ImplArt, we have prepared a list of recommendations for you. To access the accommodation recommendations, go HERE.

Contact us and make an appointment. We will be happy to assist you.

*The possibility of performing oral rehabilitation in a Day Clinic must be analyzed by our team, after assessing the complexity of each case.

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Predictable results with digital smile planning

Digital smile planning makes it possible to design completely personalized treatments. It allows the patient to understand the stages of their treatment, thus aligning their expectations with the proposed treatment, and above all: it allows the dentist to have greater predictability of results. This applies to dental implant treatments, fixed prostheses and other types of dental prostheses, porcelain crowns and zirconia.

index

The use of Computer Graphics (3D) has helped in the planning and simulation of various dental treatments.

Thus, with computerized dental treatment planning, the dentist can design dental crowns, restorations, aesthetic treatments, dental contact lenses and plan the placement of dental implants in 3D. The aim of digital smile planning is to create a personalized treatment, seeking the harmony of the smile and also avoiding unnecessary procedures. As a result, it also makes treatment quicker, more convenient and more precise. When it comes to implant treatment, the speed of digital prostheses, combined with the choice of a rapid implant type, means that significant treatment times can be shortened.

With modern resources and equipment, it is possible to mill materials such as pure porcelain or pure zirconia. The modern Cerec Primemill, the latest German milling machine, which joins the team of milling machines in our digital laboratory, allows for even more precise results with even more detail.

The use of digital dentistry in our clinic reduces the chances of COVID-19 contamination at the dentist.

Dental Aesthetics (Smile Design)

A great feature of computerized dental treatment planning programs is image overlay. This involves positioning the digital plan over the patient’s photo, making it easier, for example, for patients to understand their treatment before it starts.

In a nutshell, digital smile design begins with capturing the patient’s oral images using an intraoral scanner. These images are then transformed into a computerized 3D model of the dental arches.

The dentist then visualizes the initial state and designs crowns, restorations or dental contact lenses in order to solve various problems that compromise the aesthetics and harmony of the smile.

Intraoral scanning

Some cases, for example, can be carried out with digital smile planning:

Increase in the length or volume of one or more teeth.
Aligning asymmetrical teeth
Making restorations for broken or decayed teeth
Making dental contact lenses
Harmonization of teeth with facial biotype
Tooth shade harmonization
Replacing unsightly restorations with porcelain restorations
Making metal-free zirconia abutments and prostheses

Computer-planned dental treatments also allow many procedures to be carried out in a Day Clinic (intensive care modality).

Digital dental implant planning

Digital planning of dentalimplants helps ensure that the treatment result is tailored to the patient’s needs. It also helps to ensure that the treatment is efficient, as minimally invasive as possible and to avoid surgical accidents (such as hitting sensitive structures). Planning begins with a computerized tomography scan.

The three-dimensional images from the tomography then allow the implant dentist to know details such as bone volume and dimensions, and thus determine the best implant positions, as well as choosing implants with dimensions suited to each patient’s needs. The dentist also has the option of ordering a surgical guide, made on the basis of the information from the CT scan.

The surgical guide acts as a template with the exact indications where the incisions should be made, in such a way as to avoid unnecessary cuts and perforations. As a result, treatment becomes less invasive and recovery faster.

Read more about fear of dental implants

digital planning for surgical guidance for dental implants surgery computerized surgery — Specialized software helps us plan the position of your implant with millimetre precision. The templates created take the implants to exactly the right positions.

Guided surgery makes it possible:

Prior surgical and prosthetic planning, resulting in a more precise procedure;
Safe flapless surgery and the possibility of immediate loading;
Respect for bone structures and the path of nerves and vessels;
A reduction in the indication for bone grafting surgeries, as this requires detailed planning of the case beforehand;
Planning aesthetic and functional procedures;
Better post-operative recovery;
Better communication between patient and dentist, contributing to greater trust during treatment.

ImplArt Odontologia uses the main technologies ever developed for computerized dental treatment planning. From intraoral scanning to the execution of prostheses, restorations and aesthetic dental contact lenses on 3D printers. If you have any questions, please contact us or come and visit us. We’d be delighted to welcome you!

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Laser teeth whitening – Day Clinic

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 beautiful, uniform smile makes up dental aesthetics, while yellowed and stained teeth can affect a person’s self-esteem.

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.

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How does laser teeth whitening work?

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.

laser teeth whitening — Application of whitening gel

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.

Learn more about teeth whitening at the dentist

If you have any questions about price or treatment, please contact us or make an appointment. We’ll be happy to help you!

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Dental implants – Frequently asked questions

Find out the most frequently asked questions about prostheses on implants

Are implants aesthetically pleasing?

In short, it depends a lot on the system used and the local conditions. Aesthetics have improved a lot in recent years. But it’s important to bear in mind that, however good the implant and the professional, the first is still a prosthesis on an implant, i.e. the replacement of natural teeth with artificial ones.

Therefore, expectations regarding implants are common, but can usually be followed by a certain amount of frustration. In many cases, the aesthetic solution is quite acceptable. Fortunately, there have been many advances, not only in the materials used to make prostheses, but also in techniques.

Nowadays we can build prostheses that look more and more like natural teeth. However, the main objective must always be functional. The implant is far superior to other prosthetic procedures, and in the absence of teeth, it’s the best we can do.

Dental implant prosthesis: some of ImplArt’s work

How long will I be out of implant prostheses?

In simpler cases, some kind of temporary implant prosthesis is provided for the patient to use immediately after surgery. In the case of the totally edentulous, the period is limited to a few hours to a few days after the first surgery. In the second stage, once the implants have healed, the patient is not left without the prosthesis. In some cases, the immediate loading technique can be used.

Can I eat anything after the prostheses have been fitted? What if I fracture a tooth in the implant-supported prosthesis, is the implant lost?

Not everything can be eaten, but the restrictions are not too severe. Certain foods can even fracture natural teeth. In short, a diet with a minimum of care is sufficient to preserve the teeth of implant-supported prostheses. One positive fact is that repairing fractured teeth is relatively easy.

What happens if the implant (post) becomes mobile after the prosthesis (tooth) has been placed?

All mobility is progressive and indicates that the implant has been lost. Each case is assessed individually and, in principle, the implant can almost always be replaced. This event brings frustration not only for the patient, but also for the dentist. In fact, what happens is an increase in treatment time and, above all, the need to be patient in order to complete it.

I have a full upper prosthesis. I would like to know about the possibility of placing an overdenture without a palate. How many implants? What are the costs?

The overdenture without a palate is a good option because it makes the wearer feel more comfortable. To do this, at least four implants need to be placed. Another option is a fixed prosthesis on implants. This would require four to six implants.

The cost of this type of treatment is variable and it depends on tests to predict the availability of bone in the area. In other words, prices can only be given after a face-to-face consultation and an assessment of the particularities of each case.

I would like to know about the possibility of replacing two removable prostheses with staples with fixed prostheses without staples or implants. I would also like to eliminate the visualization of the staples in my smile.

A treatment like this appears to be of little complexity and can be completed in a short time, according to our Day Clinic philosophy. We always suggest that you also have your teeth whitened to make your whole smile whiter and more aesthetically pleasing.

I have two fixed bridges (one on each side) on the top and I have two implants started (the pins have been placed). I’d like to complete the implants and replace all my teeth with nice white ones, because mine are yellow and the bridges are old with the metal showing. I would also like to know how many days it would take to do a treatment.

A treatment like this is considered to be of minor complexity and can be completed in between 10 and 15 days, according to our Day Clinic and Dental Spa philosophy. The colors of the teeth will be chosen jointly between the dental team and the patient. We always suggest that teeth whitening is also carried out so that the whole smile becomes whiter and more aesthetically pleasing.

I wear lower and upper dentures. Can I get my teeth back? Can you provide information on costs?

Nowadays it is possible to restore teeth even for people who have been wearing dentures for many years. There are many alternatives, especially dental implants. To get an estimate on the price of dental implants, you’ll need a face-to-face consultation and more detailed examinations, which can easily be carried out at our clinic.

replace dentures with fixed dentures on dental implants — *Example of replacing a denture with a fixed zirconia prosthesis on implants*

Should I go back to the dentist after having my teeth fitted?

At least one clinical radiographic check-up is required every year. It is also the patient’s obligation to attend these check-ups. Appointments are important to identify any problems in time for them to be reversed. They are also used to carry out professional cleaning of the prosthesis, to assess whether the user is performing daily oral hygiene properly, among other aspects that only a professional dentist can identify.

Will chewing ability improve after implants?

Above all, implants have much better functional results than dentures and removable prostheses. Patients who have been wearing dentures for a long time and have implants fitted feel the difference is very significant. The fixed implant prosthesis does not move and the patient certainly feels more comfortable and secure when chewing, speaking and smiling.

I’ve heard that porcelain is the best material for teeth. If I want an implant-supported prosthesis with porcelain teeth, would that be possible?

In most cases it is possible to make a prosthesis on an implant with porcelain teeth. Porcelain teeth are undoubtedly the best material for making a dental prosthesis. Today there are porcelain teeth with or without internal metal that offer different aesthetic results, with metal-free porcelain being more aesthetic than prostheses containing metal.

If you have any further questions about prostheses on implants, please contact us through one of the channels below or make an appointment. We’ll be happy to help you!

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What are the differences between pure zirconia and ceramic layered crowns?

There’s a lot of talk about zirconia dental crowns these days, but did you know that there’s more than one type of pure zirconia crown ? There are actually two types, which are not the same! Let’s follow the differences between Pure Zirconia Crowns and ceramic layered Crowns. In addition, we will present the benefits of the most modern crown, which uses computer graphics, the Pure Zirconia Crown, also called Translucent Zirconia.

First of all, in order to differentiate between the two types, let’s highlight the method used to make each one. While one relies on a super-modern method with computer graphics for its preparation, the other still has an artisanal stage with manual application of porcelain by a prosthodontist. They can be used for single crowns, crowns on individual dental implants, fixed prostheses and even total implants, with the modern zirconia protocol prosthesis.

This way, by the end of the text it will be clear that even though both options have zirconia, not all zirconia crowns are the same! Let’s get to know the important differences below:

Zirconia crowns combine strength and superior aesthetics for more natural results

Decay, a dental fracture or simply the loss of a tooth are enough to compromise the look and functionality of the dental arch, especially if the problem occurs in the front.

Therefore, in order to restore the aesthetics and function of the smile, it is natural to look for options that restore or make up for a missing tooth in a way that achieves the most natural and harmonious result possible. Whether for a crown on a tooth root or on a dental implant, zirconia is the material that offers this excellence. We can highlight the main advantages of zirconia:

Range of shades very similar to human tooth enamel.
Unlike metal-ceramic crowns, zirconia crowns have no metal parts in their construction. Therefore, there are no dark shadows when subjected to a beam of light, and there is no risk of a metal line appearing if the gums recede.
Fracture and stain resistant material
A fully or partially computerized manufacturing method, which makes treatment faster and more precise. The speed of digital zirconia crown production

CAD/CAM zirconia dental crowns

Zirconia oxide dental crowns are considered the most modern crowns thanks to their advanced technical and aesthetic properties. The shade and translucency of this high-performance ceramic are very similar to natural teeth.

The construction of dental crowns made from pure zirconia is totally unique and innovative, as these crowns are digitally designed using computer graphics and the CAD/CAM system, resulting in more precise pieces and much faster. The equipment has robotic arms that mill a block of zirconia until it reaches the designed shape. This type of crown has the highest resistance of all the dental crown options available. In addition, it allows for greater patient comfort throughout the treatment because it only uses digital readings, with a 3D scanner, without the need for the old mass moldings.

The CAD/CAM pure zirconia crown manufacturing method is 100% digital, while the ceramic layered zirconia crown, which we’ll see below, has a handmade interface, with mass molding and manual application of porcelain on the outside.

Zirconia crown with porcelain ceramic layered (zirconia + porcelain)

It is a crown in which the inner part is made of zirconia and the outer layer is made of ceramic layered material. Only the inner part of the tooth structure is made of zirconia, while the outer part is made of porcelain. The layered zirconia crown is more artisanal, as it requires a prosthetist to manually apply the outer porcelain layer.

After the ceramic is applied to the zirconia structure, the crown undergoes a sintering phase in a kiln. In this way, each layer of ceramic applied takes on a spectrum of color, translucency and opacity in the crown, seeking to reproduce the color variation of natural teeth.

Zirconia full denture with ceramic applied. Note that in addition to characterizing the teeth, the ceramic gingiva has also been characterized. Both the crown and the applied zirconia prosthesis have no shadows or dark spots, even in very bright environments. The zirconia of the internal structure has a shade very similar to that of human dentin, which is the inner part of natural teeth. The ceramic, on the other hand, has resistance, color, translucency and texture very similar to tooth enamel. This type of crown or total prosthesis already has huge gains compared to metal-ceramic, which has a metal structure and a porcelain exterior.

Pure milled zirconia crown

The pure zirconia crown is milled from a multilayer zirconia block, meaning that the block is already produced with the different layers of color and translucency just like the teeth. In other words, the pure zirconia crown model does not need a layer of ceramic to reproduce the shades and translucency of the teeth. After milling, it goes straight into the kiln. It represents the most resistant material available in dentistry today, in addition to the natural aesthetic result, similar to natural teeth.

What is the best type of zirconia crown?

Nowadays, patients are looking for comfort when undergoing dental treatment. In addition, they want a treatment with high durability and aesthetic results. The CAD/CAM Zirconia Crown meets all these requirements precisely because of the characteristics of the material and the method of execution using digital design and a 3D scanner. Without the need for the uncomfortable mass moldings of old.

The production of CAD/CAM pure zirconia crowns, due to the fact that no manual ceramic finishing work is required, allows faster work to be carried out. If the need is for faster treatment, and the patient is looking for the most modern treatment, this is undoubtedly the best option.

Totally metal-free rehabilitation: is it possible?

Yes, in the event that you need to replace a missing tooth with a dental implant and prosthetic crown, this rehabilitation can be done with a ceramic implant as well as a zirconia crown. In this way, we achieve a metal-free implant treatment. This has been a trend for followers of biological dentistry, who are looking for dental treatments without any metal.

The combination of ceramic implant and pure zirconia crown, complete metal-free treatment. Suitable for people with high aesthetic requirements or those allergic to metals.

All of ImplArt’s zirconia dental crowns and prostheses are made in the dental clinic‘s own digital laboratory. This allows for high quality control and on-time delivery.

How much does a zirconia crown cost?

In order for us to ascertain the needs of your case: single tooth crown, fixed prosthesis, prosthesis on implants, prosthesis protocol, we need to assess you carefully and thus be able to give you the price of your personalized zirconia treatment. The consultation can be in person or online, for those patients who are physically far away. Contact us at ImplArt Dental Clinic and we will be happy to answer any questions you may have.

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Periodontal disease – causes

Periodontal disease is a set of inflammatory manifestations caused by bacteria that affect the supporting tissues of the teeth, which in advanced cases leads to tooth loss. Periodontal disease is the main cause of tooth loss in adults. Bacterial action in these structures begins with the accumulation of plaque on the tooth surface.

Why gum disease occurs

The accumulation of bacterial plaque occurs mainly due to poor oral hygiene, poorly performed or hampered by the shape of the teeth (crooked teeth or teeth that are too close together) and long periods without visits to the dentist’s office for preventive treatment.

In early cases, the toxins released by the bacteria inflame the gums, which then become red, swollen and bleed easily. In moderate cases, the gums lose their attachment and form pockets, called periodontal pockets.

This condition is very worrying because when the gums lose their adherence it opens a door for bacterial activity below the gum line, meaning that tartar can build up on the surface of the tooth root and inflammation of the bone tissue and all the supporting structures of the teeth can occur.

Without proper control, inflammation leads to gradual bone loss and teeth become soft, fall out or need to be extracted. Look at your teeth and gums: some conditions can be signs of periodontal disease:

Plaque and tartar adhered to the teeth, mainly on the line between the gums and teeth. Plaque is colorless and viscous. Tartar is when the accumulated plaque calcifies and is yellowish or whitish in color;
Gums that are swollen, red or bleed easily when brushing, flossing or involuntarily;
Retracted gums, sagging or separated from the tooth;
Tooth sensitivity;
Part of the tooth root exposed;
Changes in the position or mobility of the teeth;
Tooth loss;

periodontal disease bone loss — Periodontal disease - causes

periodontal disease space between teeth dental blackspace tilted teeth bone loss and gum recession — Periodontal disease - causes

Periodontal disease: causes

Accumulation of plaque and tartar

Plaque is a viscous, transparent film that forms on the teeth near the gum line. The toxins released by the bacteria inflame and irritate the gums, which can turn red and bleed. Tartar is when this plaque becomes hardened (yellowish or whitish calculus) and can only be removed by a professional. When the gum becomes loose, it exposes the root and calculus can build up in this area. Bacterial activity in this area leads to the gradual deterioration of the bone around the tooth.

Medicines

Some medications can interfere with oral health and favor the onset of periodontal disease or make it difficult to cure. The main classes of these drugs are: contraceptives, antidepressants, anticonvulsants, antihypertensives, some used to treat cardiovascular problems and drugs to prevent organ rejection in transplant patients. It is important that patients inform their dentist of any medication they are taking.

Low immunity

Patients in this condition, in most cases as a result of AIDS or chemotherapy, find it more difficult to respond to infectious processes and are more susceptible to the progression of periodontal disease.

Diabetes

Diabetes can cause difficulty in healing, changes in blood circulation and a drop in immunity. Diabetics are more likely to suffer from periodontal disease than non-diabetics.

Bad habits and functional conditions

Smoking –smoking reduces vascularization and consequently oxygenation of the cells. This makes it difficult for the body to respond to any infection. It also hinders healing processes and reduces salivation (which is essential for removing and fighting bacteria on the teeth). Read more about the harmful effects of smoking on oral health.
Poor nutrition – a lack of intake of various nutrients, such as vitamin C, can reduce immune resistance and promote oral infections.
Poor oral hygiene – proper brushing is the best way to remove food residue that may stick to the teeth and gums. The accumulation of this waste serves as “food” for bacteria. In addition to brushing properly, flossing and antiseptic rinses are recommended.
Failing to visit the dental practice regularly – visits are essential for identifying problems at an early stage and for carrying out prophylactic professional cleanings.
Bruxism – the habit of grinding and clenching teeth can accelerate the process of destruction of bone and gum structures with active periodontal disease. Read more about treating and controlling bruxism.
Malocclusion and crooked teeth – conditions that can encourage food residue to accumulate on the teeth and make it difficult to remove.

Emotional causes

Stress – Stressed individuals may have an altered immune response to infectious conditions. Tension can also encourage bruxism.

Genetic factors

There are people who are genetically predisposed to periodontal disease, even if they maintain good oral hygiene habits and visit the dentist regularly. A test can be carried out to find the genetic marker that influences periodontal disease.

Hormonal factors

Pregnancy – During pregnancy there are intense hormonal changes and the woman’s body can be slow to respond to infectious conditions. In addition, there are studies that show that periodontal disease can influence premature birth.
Puberty and menopause – As with pregnancy, puberty and menopause are phases of intense hormonal changes that can certainly make the body more susceptible to infections.

How can periodontal disease be prevented?

Maintain proper and regular oral hygiene. Spend more time brushing. Don’t forget the inside. People tend not to brush the less visible areas of their teeth properly and it is precisely in these areas that plaque and tartar can build up;
Visit the dentist regularly for professional prophylactic cleaning (scraping off plaque and smoothing the tooth surface);
Avoid excessive consumption of sugar and refined foods (the bacteria present in plaque feed on these sugars).

Even if you don’t notice these signs, regular visits to the dentist should not be abandoned. A professional eye can identify problems in time to treat them. Preventive care is certainly very important. They prevent problems in the future and can save you time and money.

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