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.
Beautiful, aligned teeth with faster, more comfortable orthodontic treatment
What are self-ligating braces?
Self-ligating braces are advanced orthodontic appliances that use gentler forces to move teeth and achieve results in a simple way. This model of orthodontic appliance does not require the use of elastics to hold the wire to the brackets, as is the case with conventional orthodontic appliances.
The wire passes through the channels and is held in place by small caps on each bracket. The absence of rubber bands reduces friction during tooth movement, as the wire runs smoothly in the channels, providing faster and more comfortable treatment, as well as reducing the number of appointments (conventional braces require the patient to return to the office several times to change the elastics).
Other features of self-ligating orthodontic appliances:
Tomographic studies show that the use of light, constant forces in the self-ligating system stimulates a natural adaptive process that widens the arches, creating space and a full, beautiful smile.
This is why the self-ligating system allows various types of treatment to be carried out without the need for extractions to open up spaces.
Studies show that the treatment time using self-ligating braces is up to 7 months faster than other orthodontic appliances. This is due to the 99.5% reduction in friction.
Patients report 60% less discomfort than those treated with conventional braces, as well as great satisfaction with the results at the end of treatment.
Less force required on the device and therefore greater comfort
The absence of rubber bands makes oral hygiene easier, as they facilitate the accumulation of plaque
Self-ligating appliance options available at ImplArt Odontologia
Metallic (metal brackets)
Aesthetic-metallic (metal and transparent brackets)
When extractions are unavoidable due to periodontal disease, it is likely that teeth will need to be replaced with dental implants. However, dental implants can only be placed immediately after periodontitis has been treated. If the disease is not well controlled, the success of rehabilitation with dental implants will be compromised.
Periodontal disease (periodontitis) without proper treatment can lead to tooth loss. This is because the bacterial infection gradually destroys the structures that support the teeth. As a result, the teeth soften and, depending on the case, are unable to be maintained.
This is what is known as peri-implantitis, i.e. infection around the implants. Peri-implantitis hinders osseointegration (a phenomenon necessary for implant fixation) and can lead to implant loss.
Immediately after tooth extractions, the surgeon assesses whether the bone and gum structures are compromised through clinical and radiographic examinations. He may perform minor surgery to clean the area and administer antibiotics to control the infection. The patient is instructed to maintain proper oral hygiene. In the meantime, the patient can wear a temporary prosthesis. The recovery time for periodontitis is not established, as it depends on each case.
Replacement of problematic teeth with implants,in this case protocol prosthesis
Replacing teeth with dental implants
If the bone loss after periodontitis is reasonable, dental implants can even be immediately loaded (in selected cases). If bone loss is severe, it may be necessary to perform a bone graft to rebuild the structure before placing the implants.
Unfortunately, this process is not so quick, as it is primarily necessary to wait for complete healing (from 3 to 6 months on average). After dental implants have been placed, clinical follow-up is particularly important in these cases, in order to prevent periodontitis from returning.
Dental visits should be more frequent for patients with a history of periodontal disease than in cases where tooth loss has occurred for other reasons. The surgeon may order additional imaging tests to monitor the osseointegration of the implant. Care should be taken with oral hygiene at home.
This treatment, when carried out by a specialized team and together with the patient’s valuable collaboration in terms of oral hygiene, correct use of medication, regular visits to the clinic and the patience to wait for the results, has a high chance of success.
The ImplArt Dental Clinic specializes in replacing teeth with implants after periodontal disease. Its team is made up of serious periodontists and implant dentists, trained at the country’s leading universities.
Dr Roberto Markarian, implant dentist, is the 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.
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.
Replacing teeth with periodontal disease with implants
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.
A modern resource for aesthetic and fast orthodontic treatment
Aesthetic braces and self-ligating braces: what are the advantages over conventional orthodontic appliances?
Braces that don’t use rubbers
In conventional braces, the metal wire (orthodontic archwire) is attached to the brackets by small rubber bands. In self-ligating orthodontic braces, the wire is passed through a channel in each bracket and attached by small caps, thus eliminating the need for rubber bands.
Self-ligating braces are more aesthetic
The absence of rubber bands in self-ligating aesthetic braces is certainly what makes this model more discreet compared to conventional orthodontic appliances. In addition, the brackets can be made of translucent material on the front of the appliance. The pieces are also smaller than in other types of braces, making them more discreet.
More hygienic
The advantage of this method is that the absence of rubber bands makes oral hygiene easier and the patient doesn’t run the risk of losing some of them during treatment, which would loosen part of the wire. Absent rubber bands also help prevent the accumulation of food residue as well as plaque and cavities.
Faster treatment with self-connected devices
There are studies that prove that orthodontic treatment with self-ligating braces can be faster (up to 7 months faster than conventional braces). This advantage is mainly due to the lower friction between brackets and wire in this model, which makes tooth movement faster.
As a result, visits to the dentist’s office become less frequent, as there is no need for a lot of maintenance to change the rubber bands (rubber bands lose their elastic properties and strength over time, so they need to be constantly changed).
Self-ligating metal bracesSelf-ligated aesthetic-metalAesthetic self-ligating braces
The auto-on device is more comfortable
For the patient, the greater freedom in moving teeth with self-ligating braces means more comfort and fewer episodes of pain during treatment, as self-ligating braces exert a lighter and more gradual force than conventional braces. Self-ligating braces also require fewer tooth extractions to be installed.
Indications of auto-on devices
Self-ligating aesthetic orthodontic braces, like conventional braces, can be used for a variety of orthodontic problems. However, it has a slight advantage in treatments that require arch expansion (smile opening). Self-ligating orthodontic braces can be used, for example, for:
Misaligned teeth
Missing teeth
Teeth growing in the wrong place (roof of the mouth, next to the tongue, rotated as well as crowded)
Open bite
Crossbite (the top teeth fit inside the bottom teeth when you close your mouth)
Aesthetic orthodontic braces in the form of transparent plates
Transparent aligner
Almost imperceptible device
ImplArt clear aligners are a new option for orthodontic treatment. The main advantage of this method is that clear aligners are very discreet and hardly anyone will notice that you’re wearing them. Just to illustrate, unlike conventional fixed orthodontic appliances, ImplArt clear aligners are plate-shaped and do not have brackets, metal wires or colored rubber bands.
The way they work is similar, but there are other differences, as you’ll see below. It consists of the sequential use of different plates, with minor adjustments to each one. The patient wears each aligner 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 and a detailed plan made by our specialist team using an intraoral scanner.
In this computerized planning, tooth movement can be simulated in advance with three-dimensional images and the patient can follow the progress. Other advantages of ImplArt transparent aligners:
They can be removed by the patient for regular oral hygiene and eating;
They don’t interfere with speech;
Prevents irritation to gums and mucous membranes;
They require fewer office visits for strength adjustments;
More aesthetic than conventional braces.
Indications for transparent braces
Problems such as tooth misalignment, crowding, gaps between teeth (diastema), dental malocclusion, crossbite and overbite can be solved with orthodontic treatment.
Aligning plates can be designed to move some or all of the teeth, depending on the needs of each case. Many orthodontic problems, if not treated correctly, can damage your health and well-being throughout your life.
The most common problems are: pain in the muscles and bones of the face, pain and clicking in the temporomandibular joint, facial asymmetry, the appearance of periodontal disease, plaque build-up, tartar, gingivitis, tooth decay, snoring, sleep apnea, speech and chewing problems, among others.
Orthodontic treatment with transparent aligners is a great success worldwide, and now you can find it at the ImplArt Clinic with aligners using national technology. Make an appointment now to see if your case could benefit from this technique.There are no age restrictions on the use of these techniques.
If you have any questions about the types of braces, price and value, please contact us.ImplArt Odontologia has a team specialized in orthodontics and in the technique of self-ligating orthodontic appliances and clear aligners.
The Implart clinic offers dental implant services and porcelain crowns for them. Implants are performed to replace lost teeth or teeth that cannot be maintained. Porcelain crowns are prostheses that we recommend to restore damaged teeth, such as advanced caries or teeth broken due to accidents. They are also indicated in cases of tooth mobility caused by periodontal disease, when extraction is necessary.
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The application of the crown on tooth in short is recommended when the root of the tooth can still be maintained and the application of the crown on implant is when the tooth is completely lost, i.e. the tooth root is also extracted must be replaced by a titanium dental implant pin.
The porcelain crown is currently the material with the closest visual and physical characteristics to a natural tooth. ImplArt only works with high-performance porcelain so that the prosthetic crown looks almost indistinguishable from the neighboring teeth.
The porcelain crown can be made with internal metal reinforcement (usually recommended for posterior teeth) or with metal-free white zirconia reinforcement (recommended for anterior teeth due to the aesthetic needs of the smile).
What is the difference between a porcelain crown and a dental contact lens?
Reconstruction and protection of teeth that have undergone root canal treatment
Because they are made from state-of-the-art porcelain, the crowns are highly aesthetic, resistant and durable.
How is the Day Clinic procedure done?
ImplArt Odontologia has a structure that allows several dental procedures to be carried out intensively at the Day Clinic, including the placement of porcelain crowns. The structure is made up of computerized systems that speed up the design and manufacture of prostheses, a dental laboratory within the clinic, as well as a multi-specialized team to carry out a complete treatment, from diagnosis to completion.
Porcelain crowns are a procedure carried out by ImplArt Odontologia. Porcelain crowns are fixed prostheses used to replace lost or damaged teeth. These crowns can be placed over natural teeth or dental implants. ImplArt offers the service of placing porcelain crowns at the Day Clinic – Dental Spa, with convenience and agility. These porcelain crowns provide patients with aesthetics and functionality.
The computerized design of the porcelain dental crown is made according to a digital molding of the teeth obtained through a scan of the teeth. This makes it possible to design pieces that are completely customized to each patient’s needs. The crown is made by 3D tooth printers.
Gum plastic surgery is an option for people who are dissatisfied with their smile and also with the shape and size of their gums, mainly due to the lack of gums.
Gingival plastic surgery and tooth reshaping with composite resin
When they are very apparent, they influence the harmony of the smile and the self-esteem of some people. Gingivalaesthetics influences the smile through its relationship with the teeth, color and thickness of the gums. With this procedure it is possible to correct gum deformities by removing excesses and reconstructing areas that have little gum using gum grafts. The surgery is simple, performed under local anesthesia and carried out in the dentist’s office.
How is gum grafting done?
In general, gum tissue is taken from another part of the mouth, such as the roof of the mouth or behind the wisdom teeth. However, today it is also possible to use an artificial gum graft, obtained from pig tissue. After the procedure, the patient is instructed on how to perform oral hygiene for the first few days, as well as the medication they should take (usually antibiotics, anti-inflammatories and painkillers).
Caso a estética da gengiva não esteja ideal há recursos que podem ajudar a aumentar ou diminuir seu volume.
They also receive recommendations on diet, especially to avoid eating foods with potential irritant reactions, such as acidic, very salty or spicy foods. The healing period depends on each case, but total internal gum rehabilitation takes place after six months. Many patients resort to this surgery due to gum disharmony, which can be related to excess or lack of gums.
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Can the gums grow?
Growth can be caused by the use of medication such as antihypertensive drugs based on alodipine, anticonvulsants based on hydantoin, and fixed braces associated with poor brushing.
Gum recession or retraction is a change in the position of the gums as the root of the tooth becomes longer and more sensitive. This situation can occur due to strong traumatic brushing, malocclusion, when the bite is overloaded on the tooth with recession, bruxism and periodontal disease.
For this type of correction, gingival grafting may be indicated. The tissue used is taken from the mucosa of the roof of the mouth (palate). Surgery is contraindicated for patients with untreated cardiovascular problems, active periodontal disease, blood problems and mouth cancer.
There are different materials that can be used to build a dental prosthesis, the main ones being: resin with a metal internal structure (metalloplastics/Branemark protocol), ceramic with a metal internal structure (metalloceramics) and the most aesthetic option which is ceramic with a metal-free dental zirconia internal structure (metal free).
Therefore, among the possible materials for dental prostheses, we have:
resin with an internal metal structure – this is known as metalloplastic or Branemark protocol,
ceramic with an internal metal structure – this is called metal-ceramic,
The most aesthetic option is ceramic with a metal-free dental zirconia structure, also known as metal free.
We can perform your zirconia bridge in Brazil
The evolution of aesthetic dentures
Most total or partial infrastructures are made with metal alloys that play the role of mechanical and functional support. However, their dark color can compromise the final aesthetics, especially in areas that are more apparent and important to patients.
As a result, metal-free ceramic structures are gaining ground, mainly because they achieve a more aesthetic result and because of their biocompatibility, resistance and stability.
Dental ceramics and zirconia are considered the most advanced materials because they do not contain metals in their composition, which provides an aesthetic dental prosthesis that is much more similar to natural teeth.
Zirconia teeth can be single, bridged or full-arch, installed on teeth or on dental implants.
A zirconia dental prosthesis is made to perfectly mimic dental and gum tissues. Above, the zirconia prosthesis designed, and below, the prosthesis installed. Both the color and the shape were designed individually and jointly between the patient and the implant dentist.
Dental zirconia is a white, resistant ceramic material used to build the structure of the prosthesis. A layer of porcelain is applied to this structure, which makes the prosthesis similar to natural teeth in terms of translucency, texture and shade.
As zirconia is white, the prosthesis has a similar shade and translucency to natural teeth, even when exposed to light.
New types of more translucent dental zirconia allow for the complete fabrication of dental prostheses by computer, without the need to apply porcelain manually.
The shade of zirconia is comparable to natural human dentin. In contrast, the same result cannot be achieved with a prosthesis containing a metal framework.
This is because bone and gum changes naturally occur over the years, and this remodeling can expose a small portion of the metal of the prosthesis and thus cause aesthetic damage to the smile.
Another advantage of zirconia is that prostheses made from this material are completely computer-engineered and executed on 3D printers using Cad/Cam systems. This allows prostheses to be made more quickly and accurately.
For your convenience, ImplArt Odontologia has its own digital prost hesis laboratory that develops dental zirconia prostheses. Make an appointment and find out if this technique is right for you. We would be delighted to hear from you!
See below for photos of implant treatments and fixed porcelain and zirconia dental prostheses:
Dental zirconia: better aesthetics for dental prosthesesDental zirconia: better aesthetics for dental prosthesesDental zirconia: better aesthetics for dental prosthesesDental zirconia: better aesthetics for dental prosthesesDental zirconia: better aesthetics for dental prosthesesDental zirconia: better aesthetics for dental prosthesesDental zirconia: better aesthetics for dental prosthesesDental zirconia: better aesthetics for dental prosthesesDental zirconia: better aesthetics for dental prostheses
Dental implant recovery and care of dental implants before and after surgery
The post-operative period for dental implants and the preparation before dental implant surgeryare certainly fundamental to the success of the procedure. We have therefore prepared recommendations for patients who are going to have a dental implant, which can also be applied to minor dental surgery.
We should certainly point out that the care of dental implant surgery is considered a simple and minor intervention from a medical point of view, with low risk for the patient. The duration of surgery is short and recovery after implant surgery is also considered to be easy for the patient, even in cases of complete oral rehabilitation.
Eat normally before the procedure if the surgery involves local anesthesia. If you have opted for sedation, follow the specific guidelines for your case, which may involve fasting.
Take the prescribed medication 1 hour before arriving at the clinic. If indicated for your case, preferably come accompanied by someone who can drive.
Stitches for dental implants should be removed between 7 and 10 days.
After implant surgery – care of dental implants urgery
What should I do afterdental implants, after implant surgery (for 48 hours)?
Apply ice to the face to prevent swelling
Avoid physical exertion
Sanitize the area with a cotton swab moistened with an antiseptic solution (Periogard, Listerine, Plax).
For 2 days: you should eat cold or iced food. For example: ice cream, jelly, juices, smoothies, soups.
Also avoid hard, crunchy foods such as bread, peanuts, etc.
On the third day you can warm up the food more and normalize your diet according to your own tolerance
What can I do 3 days after my dental implant?
Apply warm compresses to the face to reduce swelling
Exercise in moderation
Tip: In cases where a surgical guide has been used to install the implants, the expected post-operative period is milder than in normal implant surgeries.
What can I do one week after my dental implant?
Brush the operated area lightly
Mouthwash with antiseptic solution
Physical activity released
Remove the stitches at the dentist
Are there implants without cutting or stitches/care of dental implants?
There are modern computer-guided planning techniques that minimize the need to cut into the gums and therefore often do not require stitches. This is computer-guided dental implant surgery, a very up-to-date and safe procedure for implant surgery.
Post-operativecarefor implants, medication and procedures make a difference
Frequently asked questions about post-operativeimplants:
Is dental implant post-op swelling normal? What is the post-operative period of implants like?
Swelling can occur in the first few days after implants, which is why anti-inflammatory drugs are prescribed to be taken as soon as necessary. Cold food and ice help to reduce swelling in the mouth.
How long does it take to resume physical activity after a dental implant?
Each case is assessed individually, but in general you should wait 7 to 10 days before returning to the gym in full.
How many days to remove the dental implant stitches?
On average, you should remove the stitches from the implant surgery within 7 to 10 days.
Is it normal to feel pain after a dental implant or bone graft?
ImplArt Clinic’s care of dental implants conclusion
If you have any questions about post-operative implants, value, price or the best technique, please contact us or schedule an appointment with our specialized team via 📲WhatsApp (11) 3262-4750. Here at Clinica Dentaria ImplArt in Brazil your first consultation is with our clinical director, implant dentist Dr. Roberto Markarian, so you can clear up all your doubts about dental implants and discover that the surgery is simpler than you think!
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