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.
All-on-four dental implants are an incredible procedure, but also considered the most complex in implant dentistry. This procedure, also known as total implantation and protocol prosthesis, is capable of revolutionizing the patient’s life. It is offered at the ImplArt Clinic by Dr. Roberto Markarian and involves various skills on the part of the dental surgeon to guarantee the success of the treatment. We’ll give you more details on how All on Four dental implants workand the 8 common mistakes to avoid!
The All on Four dental implant treatment can also be called a total implant or protocol prosthesis. In English, this treatment is also called Full Mouth Dental Implantor All on X. If you have any doubts about how the All on Four dental implant treatment works, don’t worry, we’ll tell you all about it below.
All-on-Four dental implants are a revolutionary solution for people who have lost most or all of the teeth in an arch. This technique uses just four dental implants strategically positioned to support a complete dental prosthesis. This provides a stable and secure base for artificial teeth, significantly improving the functionality and aesthetics of the smile. The fact that precisely 4 implants are used determines the name of the technique, ALL ON 4.
But it’s important to note that there are modern prosthetic materials, such as Translucent Zirconia, which will require the implant dentist to carry out more dental implants in each arch. Therefore, total implant treatment usually involves 4 to 6 dental implants, depending on the type of prosthesis that will be installed.
Dental Implants All on Four
Here are the top 8 common mistakes to avoid with All-on-4 dental implants.
Here are the common mistakes to avoid when getting All on Four dental implants
In the video below, Dr. Roberto Markarian, implant dentist and director of Clínica Dentaria ImplArt, tells us about the 8 main mistakes to avoid when doing All-on-4 dental implants:
1. Not choosing an experienced implant dentist
All-on-4 implants are one of the most complex dental surgical procedures. As with many things, there is a big difference between being able to perform the procedure and being able to do it well.
You can find many dentists who can perform the procedure, but not all of them do it with excellence. Part of the problem is that many dental practices offer All-on-4 implants these days, but who is behind this offer?
Dental implants All on 4: how to choose a specialist
All-on-4 implants are becoming very marketable, which means that many newly qualified dentists are being trained in the process from an early stage. Even more experienced dentists, but with little experience in oral surgery, are getting into the practice. This results in a market saturated with professionals who may have only performed a few All-on-4 surgeries, but who heavily advertise this treatment.
This can be a minefield for uninformed patients. At the ImplArt Clinic, under the direction of Dr. Roberto Markarian, you’ll find the expertise you need. Before you start, research the dentist’s credentials. Check how many All-on-4 cases he has performed and whether he has specific experience in this type of implant. At ImplArt, we offer a guarantee on our work, reflecting our confidence in the quality of our services.
Meet Dr. Roberto Markarian, clinical director of ImplArt, who tells us more about dental implant surgery where he performs tooth extraction and simultaneous implants. This situation certainly happens a lot with all-on-four dental implants, where extractions take place, in most cases, in the same surgery as the implants.
2. Do not consider whether you can perform more than 4 implants per arch
One of the attractions of All-on-4 dental implants is the number “4”. A full arch of upper or lower teeth with just 4 implants. Only 4 implants to be inserted, saving time and money. Minimum work, maximum results.
However, more dental implants can offer more support. While All-on-4 implants are an incredible tool for many people, restoring an entire arch of teeth with 4 implants is not the “standard” option for full-arch implants.
At ImplArt Dental Clinic, we use 3D scans to assess bone health and volume, ensuring that you receive the most appropriate treatment. And if you need bone grafting to allow for the insertion of dental implants, don’t worry: there are several modern bone grafting techniques that will allow for all-on-four dental implants.
4. Not checking and researching the brand of implants
Many people pride themselves on saving money by buying generic brands. This is great for many items, such as food and even medicines. But sometimes you’re not just paying for the brand name, but for the history, reliability, longevity and quality assurance that the brand offers.
There are many types of dental implants on the market, and frankly, they’re not all the same. The cost of a dental implant will certainly depend on the brand you choose. Dental implants from generic brands are therefore risky for two main reasons:
Uncertainty about the quality of the implant itself.
Uncertainty about the company’s longevity.
At the ImplArt Clinic, we use renowned brands such as Straumann, Neodent and SIN, which offer high quality and longevity for your implants.
5. Assuming you’ll have final teeth on the same day
The promise of “final teeth on the same day” is attractive, but not everyone is an ideal candidate for this approach. To be eligible for immediate loading implants, you need to have very good bone volume and meet certain characteristics for this technique. In addition, immediately after surgery, the anatomy of the area is altered by the surgery and becomes swollen, so making a final prosthesis on the same day as surgery may not be the ideal solution.
At ImplArt, we guarantee an honest and realistic assessment of the feasibility of immediate loading implants for you, clearly explaining the process and the time needed to obtain definitive results. We make sure you know that the teeth fixed on the day of surgery are temporary and that you will need to return after a few months to receive permanent teeth.
6. Assuming it’s better to extract all the teeth and start again
Keeping your natural teeth is always the best option. At ImplArt, we prioritize saving natural teeth when possible, using treatments such as root canals to avoid unnecessary extractions and preserve oral health. Extracting healthy teeth should be the last option, and it is preferable to work around existing teeth and keep them.
7. Wearing teeth prematurely after the first surgery
After All-on-4 implant surgery, it is crucial to allow time for osseointegration. One of the most important factors in dental implants is osseointegration, which is the growth of bone around the implant, fixing it in place.
At ImplArt, we provide detailed post-operative instructions to ensure that you avoid overloading the implants prematurely and compromising bone integration. For the first six weeks, avoid biting and chewing hard foods with your temporary prosthesis so as not to compromise the implants.
8. Choosing and comparing treatments based on price rather than quality
Although ImplArt uses high-tech materials, we offer competitive dental implant prices without compromising on quality. Our experienced team and the use of high-quality materials ensure that you receive the best value for your investment in oral health.
When it comes to the cost of dental implant treatment, it is very difficult to make a choice based on the price of the treatment alone. A number of factors must be taken into account, such as the experience of the team, knowledge and practice in the procedure, as well as the types of materials and technologies used in the treatment. Imported implants will certainly have a higher value than domestic implants. When it comes to prosthetics on All on Four dental implants, the same is true: materials such as resin will be cheaper than porcelain or zirconia.
Images of dental implants all on four
Consultation for dental implants All on Four
At the ImplArt Clinic, Dr. Roberto Markarian and his team are ready to offer you a detailed and personalized initial consultation, ensuring that you make informed and safe choices about your All-on-4 dental implants. Right from your initial consultation, you will be presented with all the options for dental implants and modern dental prostheses to choose from. See below how the evaluation consultation at Clinica Dentaria ImplArt works:
HOW TO MAKE IT ALL ON FOUR?
The first step to getting your treatment with ALL or 4 is to book your appointment today to find out how we can transform your smile with safety and quality.
During the initial consultation, the patient’s general and oral health is assessed, as well as the volume and quality of bone in the mandible/maxilla, aesthetics, gum shape and 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 rehabilitation with dental implants.
8 common mistakes to avoid when getting dental implants All on Four
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 to all the treatments offered by the ImplArt Clinic.
Thezirconiaprotocol prosthesis for the complete upper jaw is a fixed aesthetic prosthesis on a titanium dental implant for oral rehabilitation. It involves computerized design methods, and has become the most requested option among patients looking to combine the strength of the material with its superior aesthetic result in a total dental implant and protocol prosthesis treatment.
Designed using computerized technology and a 3D scanner, zirconia protocol prostheses with full dental implants are the most modern option for replacing completely lost teeth. Combined with fast-healing implant types, such as the Straumann implant, they allow for complete rehabilitation in a short space of time.
Why is the zirconia protocol the best material today?
Zirconia protocol prosthesis treatment is fully computerized. In addition, it allows for faster results, much more predictability in treatment, as it relies on computer graphics. It also allows for an aesthetically impeccable result and a lot of resistance. In addition, the treatment is carried out using only 3D scanners, without the need for the old conventional molds.
The absence of teeth certainly compromises aesthetics and the patient’s quality of life, which is why the placement of implants with prostheses is able to give the person peace of mind when chewing, speaking and smiling.
The zirconia protocol has many advantages over the conventional resin protocol with a metal structure. Its main qualities are aesthetics and high resistance.
Dental zirconia (pre-sintered zirconium oxide) is a translucent, light-colored material that allows light to pass through, just like natural teeth, and therefore offers an aesthetic result. In this sense, the structure of the Zirconia protocol prosthesis looks discreet inside the prosthesis, even if exposed in brightly lit environments. Certainly the most modern materials are the Zirconia protocol and the porcelain protocol on a total implant.
Zirconia is made using a computerized 3D method and is not a manual job
The structure of the zirconia prosthesis is a single piece, obtained by milling a rough block on a machine that works like a 3D printer. In other words, the treatment is planned on a computer using CAD/CAM technology. The milling machine then wears away the zirconia block until it reaches the shape of the structure of the prosthesis designed to be installed on a dental implant.
Finally, the zirconia structure is characterized with porcelain and the shade is obtained by brushing on specific coloring liquids for this purpose. It is possible to reproduce various shades that make up the same tooth, leaving the prosthesis looking very natural.
Protocol zirconia prosthesis for complete upper jaw full dental implantimage of a complete oral rehabilitation in zirconiaProtocol zirconia prosthesis for complete upper jaw full dental implantProtocol zirconia prosthesis for complete upper jaw full dental implantProtocol zirconia prosthesis for complete upper jaw full dental implantProtocol zirconia prosthesis for complete upper jaw full dental implantProtocol zirconia prosthesis for complete upper jaw full dental implantProtocol zirconia prosthesis for complete upper jaw full dental implantProtocol zirconia prosthesis for complete upper jaw full dental implantProtocol zirconia prosthesis for complete upper jaw full dental implantProtocol zirconia prosthesis for complete upper jaw full dental implantProtocol zirconia prosthesis for complete upper jaw full dental implant
The zirconia prosthesis is then screwed onto the dental implants, which are strategically placed in the jaw. The fixed zirconia protocol on implants can bring great relief, especially for patients who wear dentures. What’s more, this model of prosthesis leaves the roof of the mouth free and the patient feels more comfortable chewing and speaking.
Another great advantage of the zirconia protocol prosthesis over the resin protocol is its resistance to staining. In principle, resin is a material that can stain or yellow over time and with pigmented foods.
Materials that are biocompatible with the human body
Indications for fixed zirconia dental prostheses – Zirconia Protocol
In principle, the patient needs to go for a consultation with an implant dentist at the ImplArt Dental Clinic, so that clinical criteria such as bone volume and general oral conditions can be assessed.
Maxillary rehabilitation with a zirconia protocol can be indicated for people with total upper edentulism, even those who have been wearing removable prostheses for a long time.
If you have any questions, please contact our team through one of the channels below. We, at the ImplArt dental clinic, are a reference in the field of modern dentistry, and we have a team ready to serve you with high technology and knowledge. We’ll be happy to help you!
It arises mainly from the accumulation of bacterial plaque and tartar on the teeth and if the disease is not controlled, over time it can lead to deterioration of the tissues that support the teeth. As a result, dental implants may be necessary due to tooth loss.
Red gums are a warning sign
Bacterial activity releases toxins that inflame the gums and cause redness and bleeding. If not initially controlled, the gums take on the shape of pockets (called periodontal pockets) and make room for plaque and tartar to form on the tooth root.
It is therefore at this point that periodontal scraping of this material becomes necessary to avoid more serious problems, such as the tooth softening and falling out.
Deep periodontal treatment
However, periodontal scraping is a procedure that aims to mechanically remove tartar buildup at the level of the tooth root and helps to control and prevent the progression of periodontal disease.
Periodontal scraping and smoothing of the tooth and root removes the material that causes bacterial activity, allowing the gums to heal and return to their normal position. It is therefore done manually with the aid of specific instruments or ultrasonic vibration.
In most cases, the procedure is carried out under local anesthesia to avoid pain and discomfort for the patient, who usually already has sensitive and inflamed gums. It may be necessary to carry out more than one session in order to remove them completely.
It all depends on the stage of the disease. However, after treatment, patients are advised to take care of their oral hygiene to prevent the disease from reappearing and to return to the dentist’s office more often.
Gum scraping serves as the basis for other dental treatments
However, before having dental treatment we need to make sure that the gums are healthy and that there are no more sources of infection in the teeth. That’s why a dental cleaning and often a gum scraping is always recommended before your main dental treatment:
If you have any questions about the treatment or the price, please make an appointment orcontact us. We at ImplArt Dental Clinic will be happy to help you.
Temporary teeth, also known as “provisionals” or temporary crowns, have undergone important developments over time. However, until recently provisional prostheses were made without the need for perfection in aesthetics and adaptation, as they would be replaced by permanent dental prostheses.
All about 3D Printed Temporary Teeth /Provisionals
What are temporary teeth for?
Temporary prostheses now allow you to “visualize” the final result of your design or treatment, from something as simple as a crown to an oral rehabilitation of all teeth.
Provisionals today serve as prototypes for permanent restorations and allow you to make a better decision about the size, shape, appearance, function and color of your final restorations.
Temporaries have become an important and necessary part of any smile or bite reconstruction. They serve several other important functions, including:
Protect teeth that have been prepared for a final restoration.
Cover exposed dentin to prevent tooth sensitivity, plaque build-up, cavities and pulp problems.
Prevent unwanted tooth movement.
Allow patients to eat and speak normally.
Maintaining the health and contours of the gum tissue.
Allow patients to test the fit, appearance, comfort and function of their smile makeover or early restoration.
To serve as an example and aesthetic reference when discussing the case with the patient.
Allow functional or bite problems to be solved during the intermediate period in which they are worn.
Save time and money by providing an exact plan of what the final restorations will look like, thus reducing the need for additional procedures, adjustments and remakes.
Find out about our new coronavirus measures at the ImplArt Clinic
Do I have to get a temporary one? Or can I do without?
Temporary teeth: crowns, bridges, fixed or removable prostheses are important for intermediate stages at the dentist. Unless you’re having a one-day treatment (Day Clinic), you’ll always need a temporary dental prosthesis.
If you choose to have a treatment, a temporary restoration is placed on the prepared teeth which offers protection, comfort and aesthetics while you wait for the final restoration to be made and placed.
Temporaries are used while you have crowns, bridges, inlays, onlays and porcelain veneers made for you and sometimes even for removable partial dentures, complete dentures and implant treatment.
Temporary restorations are especially important when several teeth have to be prepared, or when occlusal (bite) or cosmetic changes are foreseen. It is easier to adjust temporary acrylic resin restorations than to modify final permanent restorations made from metal, zirconia, ceramic or metal-ceramic materials.
Here at the ImplArt Clinic we use Digital Dentistry CAD / CAM technology (computer-aided design / computer-aided manufacturing).We can create your restorations in your office – create, bond and fit the permanent restoration in just one session, thus eliminating the need for temporaries.
Temporary restorations are also necessary when there is little or no removal of tooth enamel during the final placement of some porcelain veneers, as may be the case with some types of porcelain veneers (with little or no wear), such as dental contact lenses and ceramic laminates.
The time needed to use a temporary varies from a few days (short term) for simple cases, such as a single crown, to several weeks (medium term) for cases such as inlays, onlays and veneers. Provisionals are required for several months (long-term) for complex cases, such as full mouth reconstruction.
How are temporary crowns made?
They can be done using a direct or indirect technique. A direct technique is performed chairside (in the mouth) by your dentist. An indirect technique requires taking a mold (with putty or an intraoral scanner) of your mouth and making your temporaries outside your mouth and/or in an external laboratory.
When provisionals will need to be used for the long term or as diagnostic tools, laboratory-made provisionals are generally better because their materials provide greater strength and are more resistant to wear and discoloration.
As they more closely resemble the final result of treatment, lab-made temporaries also give you and your dentist a more accurate idea of whether you will be able – or want – to live with permanent restorations in this shape, design and fit.
If your permanent restorations are fabricated in an external dental laboratory, the dentist will make a mold of the teeth to be restored. Molds or digital images of your smile are sent to the laboratory, where a three-dimensional simulation of the desired aesthetic proposal or smile restoration is made.
Temporary prostheses made on a 3D printer in our dental laboratory
3D-printed provisionals in the light-hardening phase
The planning is returned to your dentist so that you can approve the shape, contours and appearance of the proposed treatment together with him. Once the treatment has been approved, your teeth are prepared for the final restorations.
Once the provisionals have been made, your dentist will install the teeth using a temporary cement (glue).
If changes need to be made to the bite or shape of the temporary crown, these can also be made at any time.
Materials used in provisional prostheses
Temporary restorations can be made using different materials. We will select the most suitable material for you, based on your treatment plan and taking into account how long you will need to wear it.
The materials used in the dental office to make provisional restorations include prefabricated acrylic (plastic) crowns, self-curing resins, light-curing resins, bisacrylic resins, composite resins, ceramics and, more recently, resins for 3D printing and resins for computerized milling.
Temporaries made in the laboratory are generally made of acrylic, but the ones we use most (at ImpLArt Clinic) are 3D-printed and those made by milling machines.
Materials for a temporary tooth should be strong, wear-resistant, natural-looking, with good color stability, easily adjustable and capable of producing temporaries with a good fit along the gum line.
Temporary teeth 3D Printed : how and why they are used
Placing and removing provisionals
It’s very important that your provisionals are secure and stable in place. If they fall out, the prepared teeth can shift position and this can cause a change in the way the final and permanent restorations fit together.
Therefore, if your temporary falls out or you have a problem, call your dentist to schedule a brief appointment to have it re-cemented or replaced. Temporary crowns are typically bonded using temporary cement.
The temporary cements that dentists use generally have a soft, creamy consistency and come with a modifier used to loosen the cement when removing them.
When the temporaries are loose enough, your dentist will use finger pressure or an instrument such as tweezers to carefully remove them.
Can the provisional fall? Can it break?
When a temporary crown breaks, it should be replaced quickly. Both to protect the tooth below the crown and to avoid the aesthetic discomfort of having a broken tooth.
How much do temporary prostheses cost?
Generally, there is no separate charge for temporaries, as temporary restorations are a necessary part of many dental treatment procedures.
However, the cost of the temporary depends on different factors, including whether they were made in the dental office by the dentistor created by an external laboratory, the materials used to make them, the types and number of adjustments that may be needed, whether the temporaries are for one tooth or several.
An important cost consideration is how long the temporaries need to be in the mouth. For example, if the temporary is a denture or bridge with a dental implant, it may need to remain in place for six months to a year.
This is sometimes called a “long-term” temporary. In addition, if provisionals are used for aesthetics only, the dental insurance will generally not cover the costs associated with them.
For a more specific estimate, you should discuss the figures with your dentist in consultation. For example, consider that most cases of oral rehabilitation or smile design involve diagnostic planning in order to determine the best way to improve a person’s smile.
Dentists usually charge for this service, and these models can later be used to create temporaries.
How to use temps to view Smile Test Drives
As well as serving a functional purpose, temporary restorations also offer a preview of the final treatment result. If necessary, you can ask your dentist for adjustments to the length of the teeth, shape, color and aesthetics.
Your dentist will technically adjust the temporaries for optimal comfort and functionality, as well as testing your ability to speak naturally. When you and the dentist are satisfied, a new impression will be taken of the 3D-print-approved temporary restorations.
The prototype model of your approved temporaries will then be sent to the dental laboratory, where your final restorations will be fabricated according to this “model”.
In our clinic this is even easier as we work with computerized technologies, so all you have to do is reprint the projected tooth in the new definitive material, whether it’s vitroceramic porcelain or dental zirconia.
In certain clinical situations, temporary restorations can be used to visualize the final results without wearing down the teeth. If you decide that the proposed treatment is not suitable for you, neither you nor your dentist will commit to wearing down the tooth.
In other situations (if there is tooth decay), your teeth should be restored before the temporary ones are made.
Smile test drive
Smile test drive or teeth mockup
A trial smile is a removable acrylic device used during the pre-treatment phase to give you and the dental team a clearer understanding of the expectations for the final result.
To allow you to see the potential result of the proposed restoration in three-dimensional form, a diagnostic wax-up is created and a removable test smile that you can wear in your mouth is made with this wax-up.
In our clinic, this result is planned using computerized models. An experimental smile is made from 3D-printed acrylic.
Once modeled and fabricated, the experimental smile is placed in the mouth. This allows you to instantly visualize, feel and test the result of your new smile with temporary teeth before undergoing permanent tooth preparation.
If you like the expected result, you can choose to continue with the treatment plan. After accepting the treatment, the next step is to get temporaries for the teeth involved.
Temporary prostheses: concerns, care and travel considerations
Provisionals are designed to restore teeth, usually for a short temporary period.
Although today’s temps are realistic, natural and durable, it’s common for some people to have problems with their temps.
Common concerns with temps include:
Temporaries can have a rough feeling that can be irritating to your tongue.
They fall easily.
Teeth with temporary crowns are more sensitive to heat and cold.
It’s harder to chew.
You’re not happy with the way the temps look.
Temporaries can cause bad breath if they are not cleaned properly.
Take care of your provisionals
To face as few problems as possible with your temporary teeth, following the care instructions below can be helpful:
Don’t eat or drink anything hot for at least an hour after your temporaries have been fitted.
So if you feel sensitivity in your gum tissue and teeth, take a mild painkiller and anti-inflammatory according to the instructions. Call your dentist if the discomfort doesn’t subside or gets worse.
Rinse with warm water and salt (1/2 teaspoon of salt in a four-ounce glass) for a few days after placing the temporary to help reduce gum sensitivity.
Avoid sticky foods such as toffee, caramel or chewing gum, as they can dislodge the temporary product.
When brushing your teeth, use a soft-bristled brush to gently massage the gum tissue.
Still floss daily, but pull the floss along the sides of your teeth instead of upwards.
To avoid breakages, don’t chew hard substances such as nuts, ice, peanuts or pencils. If possible, chew on the opposite side of your mouth.
I’m going on a trip and I still have temporary crowns, what should I do?
Depending on the procedure you are undergoing, it may be necessary to remain in São Paulo until the end of a stage of the work or until the final conclusion (rapid treatments in DayClinic).
During this treatment you may need (or want) to wear temporaries / temporary teeth.
Also make sure you discuss this with your dentist before starting any procedure, so that he can schedule the fabrication of your temporaries in time for your trip.
Satisfactory temporaries are especially important when travelling away from the dentist, as it can be more difficult to see the dentist if there are problems with fit, function or the temporary falling out.
Also, if you’re planning a vacation or business trip, complete any necessary dental work before you leave.
If this isn’t possible and you need to use provisional or temporary teeth, let your dentist know your travel plans as far in advance as possible, as this may affect the type of temporaries he will make for you and the strength of the cement used to adhere them.
Before your departure, schedule a preventive check of your temporaries to minimize the possibility of dental emergencies while you’re away.
Dental implants have revolutionized modern dentistry, offering effective and long-lasting solutions for replacing missing teeth. If you’re considering this option or simply want to better understand how the process works, this guide is for you. Here, we’ll explore everything you need to know about dental implants: from the benefits and types available to the surgical procedure and post-operative care. Get ready to discover how to regain the functionality and aesthetics of your smile with confidence.
What dental implants are used for
The state of our smile plays a fundamental role in our general well-being. We express many of our emotions when we smile. In addition, when we interact with others, we are always showing our teeth, this is inevitable and part of human nature.
The good news is that nowadays the problem of missing teeth is becoming easier and easier to solve with dental implants. This modern treatment is constantly evolving, with versions of dental implants that adapt to different situations: fast implants, short implants, narrow implants, modern implants, nanotechnology implants, total implants, etc.
In this article we’ve prepared a complete guide to everything about implants, so you can find out tips, benefits, indications, tips and much more about dental implants. Follow along!
What is a dental implant?
Dental implants can currently be made of two materials: titanium or zirconia, which act as artificial roots. In this way, they can be inserted into both the maxillary and mandibular bones to replace missing or compromised teeth.
Basically, a dental implant replaces the root of a tooth, giving stability to the prosthesis or dental crown. After the implant placement surgery, a period called osseointegration begins. This is precisely the moment when the dental implant gains stability with the bone, which will certainly allow the implant to withstand the stresses and pressures of the chewing process.
Undeniably, dental implants are a revolutionary solution that allows patients to replace missing teeth with stable, long-lasting and effective solutions.
Certainly, the wide range of dental implant options makes it possible to reach an increasing number of patients. For example, even patients with poor bone structure can now have dental implants in most cases. In this way, more and more patients are able to experience the benefits of treatment, improving their quality of life, self-esteem and confidence to smile.
Extraction and dental implant in the same surgery
In the video below, our clinical director, Dr. Roberto Markarian, explains how the option of treatment with extraction and dental implant in the same surgery works:
What is the difference between an implant and a pivot?
The dental implant and the pivot have significant differences, although in both treatments the intention is to recover a damaged tooth. While the implant involves a surgical procedure, the pivot is a prosthetic procedure. The definition of the type of treatment must be carried out by the dental surgeon, and will certainly depend on the degree of damage to the tooth.
The pivot is a dental prosthesis that requires the installation of an intraradicular core inside its root. In other words, in this treatment option the tooth root is maintained after root canal treatment and a core is inserted to structure the tooth and support the dental crown.
Implants, on the other hand, are used when the tooth can no longer be preserved with conventional treatments and tooth extraction is necessary.
As mentioned above, the definition of the treatment will depend on an individual analysis by the specialist, who will also assess the desired aesthetic objectives.
What is the difference between implants and dentures?
Many patients confuse dental implants with dentures. It’s important to mention that when we’re talking about dental implants, we’re always talking about a surgical procedure. When we talk about rehabilitation with implants, the dental prosthesis or dental crown refers to the “tooth” supported on the dental implant.
In the past, to replace a missing tooth, the solution used to be a 3-part fixed prosthesis. This meant that the teeth next to the lost tooth had to be worn down in order to support the prosthesis. Today, however, modern dental implants make it possible to replace a missing tooth without affecting the teeth next to it.
In the video below you can see the differences between fixed prostheses and dental implants:
When we talk about removable dental prostheses, we are referring to dentures, which are the old removable prostheses. Of course, dentures are being used less and less, being replaced by the modern protocol prosthesis, which is a prosthesis fixed on 4 to 6 implants. The most modern material for protocol prostheses is Translucent Zirconia.
Types of Dental Implants: Types of Dental Implants
The first type of implant is the single tooth implant. This solution is ideal when the patient loses a single tooth and needs to replace it. The procedure consists of inserting an individual titanium or zirconia dental implant into the bone. It can be performed in either the maxillary or mandibular bone. After the implant has healed, a dental crown is made, which, if made of zirconia, will be very natural and similar to natural teeth.
Watch the video below about individual dental implants:
TOTAL IMPLANT WITH FULL ARCH FIXED PROSTHESIS
The second most important type is treatment with a total implant and a protocol prosthesis. This treatment is recommended for patients who have lost all the teeth in a complete arch. This treatment can be carried out on both the upper and lower arches. This type of treatment involves six to four implants on which the protocol prosthesis will be fixed. This treatment certainly makes the patient feel comfortable, both when smiling and when eating. See how the full implant and protocol prosthesis treatment works in the video below:
DENTAL IMPLANT TWO BY THREE (2 x 3)
This treatment option can be used in cases where there are some bone limitations, or when patients need to reduce treatment costs. Therefore, instead of performing single tooth implants, 2 implants are performed which will support a prosthesis with 3 crowns. In this situation, the patient has a fixed bridge over the implants, rather than individual teeth. It is therefore not possible to floss between the teeth, for example, as is possible with the conventional single implant technique. Therefore, if the conditions are right, opt for a single implant if you are looking for a result similar to natural teeth.
In this case,02 dental implants support a prosthesis with 03 teeth
ZYGOMATIC IMPLANT
Treatment with zygomatic implants is used in some cases where there is extreme bone loss. They are anchored in the zygomatic bone (cheekbone) and are used to support fixed prostheses. The truth is that they are being used less and less these days, as there are less invasive treatment options. Certainly one of them is bone grafting in patients with bone loss, followed by dental implants.
IMMEDIATE LOADING IMPLANTS
Immediate loading dental implants is a technique in which the procedure of placing a dental implant and a fixed prosthesis is carried out more quickly. Immediate loading means placing a prosthesis – usually temporary – fixed to the implants immediately after surgery. Of course, the viability of immediate loading implants depends on a few prerequisites. These start with checking all the preoperative X-rays and CT scans. In addition, there are factors related to the surgery itself with conditions that can only be attested to at the time of implant insertion.
SHORT IMPLANTS
The new short dental implants are indicated for patients who, for whatever reason, have limited bone availability. They are therefore very versatile, increasing treatment predictability and the chances of acceptance in patients with compromised bone availability. Often, the need for bone grafting to increase the vertical dimension can be dispensed with, bringing greater peace of mind and speed to the treatment.
Zirconia implants are metal-free, made of highly resistant ceramic and therefore have an ivory hue. They are an excellent option for those patients who have very thin or atrophied gums. This is especially important for front teeth. They are also an excellent option, especially when these conditions occur in the anterior region (the most visible part of the arch). It is therefore an excellent option for those looking for a dental implant treatment with the best aesthetics available. Watch the video below showing the zirconia implant surgery:
NANOTECHNOLOGY IMPLANTS
Modern nanotechnology implants present a revolution in dental implant production because they add nanometric particles to the surface of the implant. These particles are prepared to perform healing functions as soon as they come into contact with human tissue. In this way, these nanometric particles act as catalysts or coadjuvants to stimulate the process of osseointegration. Therefore, by using these implants we have a reduced healing time and a greater chance of success.
Comparative image shows the difference between the surface of a conventional implant and a nanotechnology implant during the healing process
Certainly the main advantages of dental implants are that they unite two important points in anyone’s smile: aesthetics and chewing function. In these respects, dental implants are unbeatable and are undoubtedly the best alternative for replacing one or more missing teeth. If the tooth loss is frontal, the front tooth implant can provide natural results, bringing comfort and security to the patient’s smile. Check out the video below showing the real results of a front tooth implant treatment:
Undeniably, the implant, by allowing the dental arch to be rebalanced, brings direct benefits to the patient through comfort when eating and confidence when smiling. All these factors provide a direct increase in the patient’squality of life and well-being
Advantages of dental implants: restores aesthetics and chewing function
Here are some of the main advantages of implants:
Quick replacement of a lost tooth
Restoring aesthetics: Dental implants are designed to look and function like natural teeth, making them the best way to replicate them. That’s why they allow you to regain the aesthetics of your smile.
Maintaining long-term results: Dental implants are effective structures, capable of lasting for many years and enabling long-term results.
Balanced chewing: The dental implant is a structure capable of withstanding the intense chewing efforts to which the teeth are subjected. Therefore, they allow the patient to eat with great comfort and stability, even more so when compared to old dentures.
Bone maintenance: The dental implant is able to stabilize the natural bone absorption that occurs in the area that has suffered tooth loss. In this way, the bone structure is maintained and there is no impact on neighboring teeth. See below for a video showing the consequences of missing teeth that are not replaced by implants.
How are dental implants performed?
Dental implant surgery can be carried out in the office or in hospital. The implant can be installed under local anesthesia or intravenous sedation. Implant installation surgery is usually quick and can last between 15 minutes and 1.5 hours, depending on the number of implants and the patient’s bone situation.
Dental implants are designed to adequately replace the root of a lost tooth and can be made of either titanium or zirconia. Below is a photo of the zirconia dental implant surgery.
Photo of zirconia dental implant surgery
In most cases, during the implant’s osseointegration period, the patient has a temporary crown installed. After the implant has healed, the definitive crown can be made. There are currently several types of dental crowns, including the modern CAD/CAM Pure Zirconia Crown and CAD/CAM Pure PorcelainCrown. These crowns are made using modern 3D scanning and printing systems, which allow the patient’s smile to be designed using computer graphics. In this way, the aesthetic results are enhanced and the crowns look even more like natural teeth.
CONFIRMS THE STEP BY STEP OF THE DENTAL IMPLANT:
INITIAL ASSESSMENT AND PLANNING FOR IMPLANTS
The purpose of the evaluation appointment is to assess the patient’s case, identifying the patient’s needs and expectations. It is at this stage that the implant dentist, Dr. Roberto Markarian, is able to assess the best treatment for the patient, as well as indicating the types of implants and dental prosthesis options recommended for the patient. Of course, each case is thoroughly assessed and each plan is personalized.
See in the video below how the initial consultation at the ImplArt Clinic works:
In addition to the clinical assessment, specific tests are requested to analyze the patient’s oral structure, anatomy and bone structure. These examinations are certainly a fundamental part of careful case planning.
In addition to the following procedures for treatment planning:
3D intraoral scanner
Dental Photography;
In general, dental implant surgery is very similar to tooth extraction surgery. It usually takes place in a dental office, under local anesthesia, or with the use of conscious sedation performed by an anesthesiologist from the Clinic’s team. The use of sedation is a treatment option for those patients who are afraid of dental procedures, or even for those who prefer the comfort of the procedure. See how sedation works for dental implants in the video below:
In the first surgical stage, the implant is installed in the bone. Using specific equipment, the implant dentist positions the implant in the area of tooth loss. In many cases it is possible to perform tooth extraction and implantation in the same surgery. Of course, the surgery is carefully planned beforehand, based on the patient’s examinations. In this way, the implant dentist is able to choose the implant size, defining the most appropriate height and width.
Immediately after the implant is placed, a kind of cover is put in place to protect the implant while it awaits osseointegration. This process is common to all types of implants.
Immediately after surgery, it is recommended that the patient rests for the rest of the day. The usual certificates for implants are for two or three days, which is the period of greatest care, with ice applied to the area. As the days go by, activities are slowly released, and after 7 days the patient can resume normal activities.
What’s more, in the vast majority of cases, the superficial healing of the gums is fairly rapid. Within a week to 10 days, the patient returns to the clinic for follow-up and removal of stitches, when the surgery is performed conventionally. In cases of surgery without cuts, with a surgical guide, there are no stitches to be removed.
In this phase of treatment, we basically wait for the implant to heal. Depending on the type of implant chosen, this period can take between one and six months, and certainly in the case of simultaneous bone grafts, this period can be increased.
It’s worth noting that this stage is extremely important for the success of the treatment, so following the recommendations is essential. Hygiene guidelines must be followed, as well as avoiding smoking, which can compromise implant healing. In fact, the lack of proper hygiene, as well as smoking, be it electronic cigarettes, conventional cigarettes or cannabis, are factors that impair implant healing.
DENTAL IMPLANT REOPENING
This is the second stage of surgery, when the dental implant specialist reopens the gums to remove the protective cap. After this, the implant healer is installed, which is a device that prepares the gum tissue to receive the prosthesis and serves to make it heal properly, leaving only the access to the implant exposed.
MAKING THE PROSTHESIS
The last stage of treatment is when the implant has healed and the prosthesis or dental crown is made in the chosen material: translucent zirconia, pure porcelain, zirconia + porcelain or metal-ceramic. If the patient opts for modern materials such as CAD/CAM Pure Zirconia and CAD/CAM Pure Porcelain, the crown will only be made using a 3D intraoral scanner, without the need for the old mass molding. Once this stage has been completed, the treatment is finished and the patient can enjoy all the benefits of their treatment.
Indications for Dental Implants: Who Can Get an Implant?
Every patient who is a candidate to receive a dental implant must have their health assessed through anamnesis and general health assessment, as well as clinical analysis. The result is that the vast majority of people meet the necessary conditions to undergo the procedure. However, there are some rare exceptions. Let’s take a look below:
patients with uncontrolled health problems: such as uncontrolled diabetes, for example. It is worth clarifying that even if you have diabetes, if it is controlled, you are a candidate to receive implants
pregnant patients
children and adolescents, as they are still growing;
How many dental implants are needed for the protocol prosthesis?
The number of dental implants required for treatment will certainly depend on the treatment objectives and the patient’s initial situation. If the treatment involves total implants and a protocol prosthesis, 4 to 6 implantswill be used. The number of implants will certainly be defined by the implant dentist based on an analysis of the patient’s bone condition and the type of prosthesis to be used
By analyzing panoramic X-rays and CT scans, the implant dentist is able to determine the number of implants needed to ensure better stability of the protocol prosthesis. In addition, if the patient opts for a resin protocol, 4 dental implants are usually used. If the treatment involves a total prosthesis in metal-ceramic or zirconia, up to 6 dental implants can be used.
When many teeth are lost, are the implants done individually, one by one?
In general, when patients have lost many teeth, they opt for a treatment called total implant and prosthesis protocol. This treatment guarantees stability in chewing and oral aesthetics. In some specific cases it is possible to perform individual implants one by one. However, the patient must meet a number of prerequisites, such as abundant bone structure.
Are there any contraindications to dental implants?
As we saw earlier, the benefits of dental implant treatment are numerous! However, it is important to know that there are situations that can jeopardize the success of the treatment. For example, poor hygiene and smoking can compromise the healing process of implants.
Bone Condition
Nowadays, with advances in bone grafting techniques, the vast majority of patients can have dental implants. In fact, it is very rare for a patient not to be able to do so. In cases of bone loss, bone grafting is essential for the success of the procedure. So nowadays, thin bone is no longer an impediment to implants.
Poor oral hygiene – lack of hygiene after implants
Some patients start implant treatment as a result of tooth loss aggravated by periodontal disease. It is important to note that prophylaxis is essential for monitoring and combating peridontal disease. It also makes it possible to identify tooth decay and eliminate tartar. Hygienization is certainly aimed at preserving the patient’s oral health, including that of their implants. Lack of cleaning can affect the health of dental implants and lead to peri-implantitis, an infection of the implant.
Dental surgeons are unanimous in their opinion that smoking is one of the most damaging habits for oral health and the health of your dental implants. This applies to almost all types of smoking: cigarettes, cigars, e-cigarettes, cannabis, straw cigarettes, pipes, among others. Smoking certainly poses risks to implant treatment, increasing the likelihood of failure. Therefore, to increase the chances of success with implants, this is the ideal time to create new healthy habits!
Being in good health is certainly one of the starting points for having a surgical procedure. Therefore, patients should not neglect their general health when considering dental implants. Today, medicine is preventive, and dentistry goes hand in hand.
That’s why an annual check-up is essential to identify any disorders that could jeopardize the success of your implant treatment. Heart disease, diabetes, coagulation problems and hormonal disorders are among the points that deserve attention for patients who are going to have dental implant surgery. In this case, the dental surgeon and the doctor responsible for the patient’s health exchange information to define the best alternatives for implant surgery.
Can implants be done at any age?
an adult in good health can have a dental implant at any age. The limiting factor is certainly not the patient’s age, but their general health. Implants are not recommended for children and adolescents because their bone structure is not yet fully formed. Therefore, in cases of missing teeth due to agenesis, for example, you should wait until the minimum age for dental implants.
Can dental implants be done during pregnancy?
Normally, when pregnant, the patient is told by her obstetrician to avoid surgical procedures at the dentist precisely because of the anesthesia she has to undergo. Of course, this can pose risks to the baby’s health.
Therefore, if the procedure is not an emergency, the patient will be advised to wait until the end of her pregnancy before having the implant. However, if the procedure is urgent, it should only be carried out with the obstetrician’s permission.
Alternatives to dental implants
Don’t want to get dental implants or can’t and are looking for an alternative? Oral rehabilitation with dental implants can restore your smile by giving you back one or more missing teeth. It is certainly a very safe procedure. However, this procedure may not be suitable for all cases. For these situations, the patient can have:
Fixed dental prosthesis on teeth
Adhesive resin dentures
Dental prosthesis with tooth suspended without support (cantilever)
Removable partial dentures
It should be noted that dental implants are the most comfortable and efficient solution for replacing a missing tooth, and that the patient should be aware of the pros and cons before deciding on a type of treatment. But don’t worry, your dental surgeon will be there to help you make this decision with all the information you need.
The duration of dental implant treatment will depend on the patient’s bone situation. Thus, if the patient needs bone grafting, the treatment period can be extended. In addition, the total treatment time will also be determined by the type of dental implant chosen. Nowadays, there are fast-healing implants that can heal in 1 month under ideal conditions. So if you want to complete your treatment more quickly, opt for implants with nanotechnology!
What are the possible risks and complications of dental implants?
Dental implants are certainly a very safe and effective dental procedure! However, as with any health procedure, there are always risks, however minimal. Find out what they are:
Excessive bleeding: In some situations, there may be more obvious bleeding in the implant surgery area. Normally, if this happens, the implant dentist acts to stop the bleeding. However, for patients who use anticoagulants, it is always advisable to stop taking them a few days beforehand.
Infection: In fections are very rare in the dental implant procedure, as the patient is given antibiotics to take before and after surgery
Poor osseointegration: In some cases, the implant may not heal as expected. In addition, smoking and poor hygiene compromise implant healing.
Incorrect implant positioning: If the implant dentist is inexperienced, there may be aesthetic or functional problems due to incorrect implant positioning. Is
It’s worth noting that the chances of a successful dental implant are very high. The procedure is therefore very safe and the chances of complications are minimal!
Care immediately after placing a dental implant
During the first two days, which are the immediate post-dental implant period, it is recommended to remain at rest. In addition, we can summarize the recommendations of:
Apply ice to the face to prevent swelling
Food / what to eat? Eat cold or icy foods. For example: ice cream, açaí, gelatine, juices, vitamins, soups. We can also recommend that these foods do not contain grains or particles. Also prefer soft or pasty foods. Above all, do not chew hard foods.
Do not eat foods with irritating potential (spicy, acidic, salty, fizzy or hot).
Avoid physical exertion
No mouthwashes (even for 7 days)
Sanitize the area with a cotton swab moistened with an antiseptic solution (Periogard, Listerine, Plax).
Normal brushing of other teeth
Wear prostheses or braces for as short a time as possible
Take medication as directed by the dentist
Avoid the sun and hot environments
In addition to this care, follow the specific instructions provided by your dental surgeon, as each case may have individual needs. As the osseointegration process takes between 1 and 6 months, it is essential that the patient follows the specific care instructions for each stage of the process. This will certainly enable them to obtain the best results and avoid any complications during treatment.
Post-operative implant care
The intensity and duration of recovery after dental implant surgery obviously depends on the extent of the procedure, the technique used and the type of implant used. In general, the post-operative period is fairly uneventful. The patient should follow the guidelines and take the recommended medication: antibiotics, anti-inflammatories and analgesics.
First of all, it’s important to bear in mind that when it comes to quality dental treatment, theprice of a dental implant can’ t always be the deciding factor, but rather the quality of the treatment. For this reason, it is essential that the patient assesses the technical knowledge of the professionals, their qualifications, as well as their years of practice and the type of treatment proposed.
There are certainly several options for materials and techniques that influence the composition of a budget. Already at the initial consultation, patients can find out how much their treatment will cost. If the patient is far away, in another state, city or abroad, it is possible to plan your dental implant surgery remotely, with an online consultation with Dr. Roberto Markarian, director of the ImplArt Clinic.
At theImplArt Dental Clinic, the patient will also be evaluated by Dr. Roberto Markarian, an implant dentist.
Dr. Roberto Markarian holds important academic degrees such as a Master’s, Doctorate and Specialist in Prosthodontics and Implantology. After the evaluation, with a definition of the type of implant and prosthesis chosen, it will be possible to draw up a complete budget for the treatment.
After all, do dental implants hurt? This is certainly the biggest fear of anyone who needs a dental implant. However, we’re going to show you that nowadays, modern resources make the surgery more pleasant, with a more relaxed post-operative period! In addition, we’ll talk a little about the types of prostheses and the myths that exist.
Find out if the implant causes any pain and learn some myths and truths about the procedure:
1. Do porcelain prostheses on both arches make noise?
Myth!Total implant treatment, called a protocol prosthesis, is characterized by the creation of dental implants that will receive a fixed prosthesis resting on them. There is a myth that porcelain prostheses on implants in both arches could generate noise when they collide during chewing or speaking. It’s worth clarifying that implant-supported prostheses, when properly adjusted, will definitely not make noise when they touch each other during speech or chewing.
One misconception that some people have about dental implant prostheses is that porcelain or ceramic prostheses can be heavy. Dental implants are designed to withstand the very high forces produced by chewing, so there’s nothing to worry about. The weight of the dental prosthesis will be irrelevant compared to the strength of the implant. The dental implant that will receive the fixedprosthesis will be ready to receive any type of dental prosthesis you choose.
Therefore, if you can, opt for modern Translucent Zirconia or Porcelain prostheses– the results are worth it. These materials certainly offer high durability, as well as superior aesthetic results compared to resin prostheses, which are made from plastic material.
3. I no longer need to clean after having implants
Myth: Even those with dental implants should not neglect their oral hygiene. Regular cleaning aims to prevent the dreaded peri-implantitis, which can lead to the loss of the dental implant. So keep up your brushing and flossing at home, and go to the dentist every 6 months for a prophylaxis!
4. I can chew normally after dental implant surgery
True. Although care must be taken during the first few days, within 7 days of the surgery, the gums have usually healed and the patient is able to eat normally again. Of course, it is expected that throughout the process of osseointegration of the implants, the patient will have to follow specific precautions. However, once the implants have healed and the final prosthesis has been made, the patient will be able to chew and eat normally!
5. The body may not accept the implant and reject it
Myth: Dental implants are made of inert materials, and this applies to both titanium and zirconia implants. In cases where osseointegration does not occur as expected, the reasons should be investigated. It is worth noting that one of the main reasons is smoking and lack of post-surgical care, such as proper hygiene. It should be noted that patients who smoke greatly increase the chances of implant failure.
Do dental implants hurt?
Do dental implants hurt? Many people stop improving their smile believing that dental implant surgery is painful. The reality is that advances in techniques mean that dental implant surgeries today are less and less invasive, avoiding excessive tissue damage, pain and discomfort.
Dental implant surgery has become increasingly simple, and surgical techniques and prior planning, such as computerized tomography, for example, make the implant procedure much more predictable.
In addition, the surgery is always performed under local anesthesia to make it painless. Electronic anesthesia can also be used, with a feature that makes even the sting of anesthesia painless. Of course, the ImplArt Dental Clinic uses various techniques to reduce discomfort during surgery and make the recovery period more peaceful.
So if you’ve been putting off your implant surgery because you think dental implants hurt, you don’t have to worry about that! We’ll show you that Clinica ImplArt uses all the modern resources available to make your implant surgery go much more smoothly!
Dental Implant Results: Before and After
Dental implant treatment is always transformative. When patients seek dental implant treatment at the ImplArt Clinic, there is always a lot of anticipation to see the results. Of course, this is natural, as many patients report that they have waited for years to be able to have their treatment and therefore want to improve their smile quickly.
Here at the ImplArt Clinic, it is always a pleasure to accompany patients through this very important moment of transformation and regaining the self-esteem to smile.
Check out the dental implant testimonial below from our patient Sandro, who came straight from the United States to have his treatment at Clinica ImplArt. Watch:
Where to get a dental implant?
The ImplArt Clinic is located in Sao Paulo and welcomes patients from all over the world. ImplArt has been operating for over 15 years and has installed thousands of implants and solved hundreds of cosmetic dentistry cases. It is known for its modern dental treatments, and relies on the expertise of Dr. Roberto Markarian, a reference in Brazil for implants and computerized prostheses.
With all this know-how, the ImplArt Dental Clinic is able to offer the most modern techniques for individual dentalimplants, total implants and protocol prostheses. It also offers modern computer-generated contact lenses and 3D Pure Zirconia prostheses.
The smiles created by ImplArt are spread around the world, as it receives patients from all over the world for Day Clinic treatments: Japan, the United States, Canada, Switzerland, Portugal, Spain, the United Kingdom, Italy, Australia, the Netherlands, Germany, Angola and others! The high quality of ImplArt’s treatments makes the clinic an international standard treatment center, in line with the high demands of world standards.
ImplArt has a team specialized in dental implants, made up of implant dentists, prosthodontists, endodontists, among other specialties! Schedule your appointment at the ImplArt Dental Clinicnow! If you’re looking for technology and the best results for your dental implant treatment, the ImpArt Clinic is the right place for you!
Dental implants: Learn all about dental implants in this guide
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 and 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.
Periodontal disease is characterized by the formation of a space between the gum and the tooth, a periodontal pocket, which helps to accumulate food debris and bacteria. It is the main cause of tooth loss in adults. As in all cases, only a dentist can determine with certainty the patient’s condition and what treatment should be carried out.
Periodontal disease self-examination
But people can find out more quickly at home what their problem is. In the case of periodontal disease, the most characteristic sign is bleeding gums. In addition, changes in the position of the teeth, swollen gums, tooth mobility, receding gums, bad breath and food retention are signs that the disease may already be present.
Periodontal disease is caused by bacterial plaque adhering to the tooth. Bacterial activity in this area releases toxins that initially cause the gums to loosen, making room for infection inside. This infection leads to the progressive deterioration of the supporting tissues of the teeth and in advanced cases, they become soft and fall out.
However, changes in the gums can also be associated with emotional causes, medication or low immunity. That’s why it’s important to have a consultation to assess the causes.
Periodontal disease: how do I know if I have it?Periodontal disease: how do I know if I have it?Periodontal disease: how do I know if I have it?Signs of periodontal disease: severe bone loss, malocclusion, tilted teeth, tooth roots appearing (teeth look longer), receding gums, inflamed red gums, bleeding gums, soft teeth, falling teeth, infection, dark space between teeth (dental blackspace), bad breath.
Treatments for inflamed gums
For treatment, the patient must go to the dentist who will remove the plaque by scraping and smoothing the roots of the teeth. Surgery may be indicated if the aforementioned procedures do not reach the entire area of the compromised root. Even with proper treatment, there may be sequelae such as displacement in the position of the tooth, bone loss and gum recession. Surgical and prosthetic procedures are available to reduce these effects.
If you’re noticing any of these symptoms of periodontal disease, make sure you schedule an appointment to start proper treatment as soon as possible, and thus avoid more serious problems such as tooth loss.
See the latest resources we use to help those who are afraid of the dentist
Odontophobia (fear of the dentist) is a condition that occurs in a small percentage of patients and can vary in intensity. In milder cases, the patient reports some anxiety and may experience tachycardia, a feeling of panic, excessive sweating, dizziness and even fainting.
In our clinic, we have received reports of patients experiencing tachycardia and perspiration when simply starting a conversation with the dentist. Occasionally, there are cases of odontophobia with atypical symptoms, such as nausea, excessive nauseaand intolerance when touching the mouth.
Fear of the dentist can seriously damage your oral health
Dental treatment for patients with a fear of dentists can be difficult, even for simple procedures such as impressions, cleanings and restorations. In situations of severe phobia, a procedure such as implant surgery or even tooth extractions may be unthinkable for the patient.
As a result of the fear of the dentist, patients often refuse to go to the dentist for years, and as a result, oral problems such as cavities and periodontal infections arise, or even serious problems such as tooth mobility and loss, as well as aesthetic impairment of the smile.
The psychological origin of odontophobia is linked to traumatic episodes (trauma) that have been fixed in the patient’s subconscious, most often since childhood. The phobic patient can be treated with:
Psychotherapy
Sedation with nitrous oxide – however, in our clinic it has been abandoned because it doesn’t produce good results as it generates very light sedation.
Intravenous sedation – the technique is really effective. The patient remains in a state of deep drowsiness during the dental procedure (which can last up to 4 hours). The sedation is administered and monitored by a doctor throughout the procedure.
General anesthesia – in extreme cases, where even under sedation the patient still becomes agitated, we can indicate the procedure under general anesthesia in a hospital environment.
Due to the inherent difficulty of dental treatment for an odontophobic patient, most of the time we can indicate simpler as well as faster treatments under the Day Clinic system. If you have any further questions or would like to give your testimony, please contact us!
Please note: We do not treat children or special patients.
Testimonials
“Excellent clinic and excellent professionals. I have a phobia of dentists, I had implant surgery with conscious sedation and other treatments over a few months and from start to finish I didn’t feel any pain. I recommend it 100%”
Alessandra Escobar
“I’m very anxious about going to the dentist and I’ve always avoided it as much as possible. Now it’s been five years without treating my teeth, so I ended up losing some dentures, had a lot of cavities and an episode of pain. Then I came across the ImplArt clinic and this sedation technique. It was very easy to have the treatment this way. The doctor who saw me was very attentive and looked after me until the end of the procedure. I also found that the dentist worked quickly and did some implants and treated the cavities while I was asleep. It was a bit magical but when I woke up everything was ready, I thought it was great.”
M.R.R., businesswoman, São Paulo-SP
“I was afraid of dentists, but this clinic gave me confidence and surprised me. Dr. Roberto is an excellent professional, he has a lot of experience and is always trying to learn more and more to be more efficient. I’ve always been very well received. Congratulations to all the professionals at this wonderful clinic, the doctors who are excellent professionals, the receptionists who are always kind and proactive. Thank you especially to Dr. Roberto, Dr. Pedro and Dr. Isabela!”
Karina Nascimento
“Dr. Roberto performed my surgery with great skill and mastery. I felt NO PAIN or discomfort. My recovery was excellent and now I’m going to start the final stage of my treatment. I chose the zirconia crown by scanner, because it’s quick, since I have to finish my treatment soon for a trip.”
Adriana Cardoso
“Anyone who is afraid of getting implants, I’ll tell you one thing: don’t be afraid, it doesn’t hurt at all and the clinic is top of the line. Dr. Roberto, who is the director, is super attentive, Dr. Bruno and Dr. Marcos are excellent professionals, none of the treatments hurt at all. I recommend it to everyone.”
kekeu51
“I was very pleased with the results and with the excellent service provided by the professionals. Dr. Pedro was very careful and attentive to me. Congratulations to the whole team and to Dr. Roberto, an excellent professional, may God bless you all.”
First of all, there are different materials used to make dental prostheses. Tooth loss occurs due to various factors, which is why there are also various types of prosthesis that can be indicated for each patient’s needs. Dental prostheses can be made on full-arch dental implants, protocol prostheses or even on individual dental implants. Therefore, as there are many types of prostheses, from fixed prostheses to removable prostheses ( dentures ), we have decided to explain the types of dental prostheses in a very simple way.
The aim is certainly to help you learn more about all the options available and also to help you decide on the best treatment option. See more below.
Learn about the main types of dentures
First of all,teeth are very important for health, aesthetics and well-being. The absence of teeth therefore compromises speech, chewing, social interaction and even general health.
In addition, difficulty chewing can sometimes influence the poor intake of important nutrients.
The great news is that dental prostheses today are very advanced and increasingly resemble natural teeth, not only in appearance but also in function. What’s more, there are many options for prosthetic materials, from conventional teeth to fully computerized ones
Single or individual denture – This is a denture in the shape of a single tooth element.
Partial or multiple prosthesis – This is a bridge-shaped prosthesis that contains three dental elements, the central one suspended over the gums. It is therefore used to replace teeth that have been lost sequentially.
Full dentures – These are used to replace all the teeth in a dental arch when the person has no teeth left.
Description by type of prosthesis . Fixation method
Crowns on implants can be of the cemented or screwed type
Description by type of prosthesis . Type of support
Gum-supported dentures – Full dentures that are supported on the gums and are held in place by the shape of the denture or with the aid of attachments.
Supported on teeth – The single or partial denture can be bonded to teeth that can still be maintained, usually with a treated root canal and with part of the remaining structure prepared. In this way, the partial denture can also be attached to the lateral teeth using metal clips, but this technique has some disadvantages, such as exposed metal and a certain amount of discomfort.
Implant-supported fixed prosthesis – Single, partial or total prostheses can be fixed on dental implants surgically installed in the jawbone or mandible. In the case of complete dentures, the implants are strategically distributed throughout the arch.
Classification by type of dentalprosthesis materials
Resin dental prosthesis – Plastic material used to make a single prosthesis, partial or total, on gums or on an implant. The Branemark protocol is a total prosthesis with a metal framework and resin teeth and gums.
Metal-ceramic prost hesis – This is a single, partial or total prosthesis with a metal structure and teeth made of dental porcelain.
Applied zirconia dental prosthesis – Single, partial or total prosthesis with an internal zirconia structure and teeth made of dental porcelain. Extremely aesthetic and similar to natural teeth.
Pure zirconia dental prosthesis – Pure zirconia is also known as cubic zirconia, or translucent zirconia, monolithic zirconia, as well as multilayer zirconia.
On the type of gum characterization and materials
Artificial gum prosthesis – Artificial g um prosthesis is indicated for people who have had a lot of vertical bone loss, cases in which the gums have been reshaped and therefore the arch has lost its shape, or who have lost their gums for other reasons. In this case, the artificial gum mimics the shape and color of the natural gum so that the prosthesis looks more natural and the teeth don’t get too long.
Without artificial gums (teeth only) – Dentures without artificial gums are indicated for people who maintain the volume and arch of their natural gums (for example, someone who has a tooth extracted and then has a dental implant placed). It is certainly not possible to make a gumless prosthesis in all cases, so please consult us.
Type of impressions and prosthesis planning
Computerized impression taking – Technological advances allow us to take digital impressions with intraoral scanners and processes that are part computerized and part manual. This undeniably allows us to make faster, more personalized, more aesthetic prostheses with excellent adaptation.
Conventional molding – made with putty and the prosthesis manufactured using completely manual processes. The result can be excellent, but the work can take longer.
Some of the prostheses made at the ImplArt Dental Clinic
First of all, we know that images are important for seeing the results of a treatment and analyzing the differences in prosthesis materials. We have therefore included some images below so that you can see the different types of dentures made at Clinica Dentaria ImplArt.
Zirconias are more modern materialsProtocol prosthesisZirconia fixed prosthesisResin protocol prosthesisPorcelain dental crownTypes of dental prosthesis materialsZirconia full denturesZirconia ProtocolResin protocol prosthesisPorcelain ProtocolCAD/CAM dental crownsCAD/CAM porcelain crowns
See the guide below to navigate the types of materials for dentures
First of all, this material has been prepared to educate you, so if you have any questions about the types of prostheses, please contact us. We at the ImplArt Dental Clinic are happy to help you and answer all your questions about dental prosthesis materials and dental implants! If you would also like to know what dental implant surgery is like , click HERE.
The Invisalign transparent aligner is undoubtedly the most modern and discreet way to align teeth and improve the beauty and functionality of the smile. ImplArt Odontologia is an Invisalign accredited dental clinic.
This modern orthodontic aligner can even help with dental implant treatment. And we’ll explain why: When there is tooth loss that is not immediately replaced with dental implants, nearby teeth tend to move, taking the place of the extracted tooth. As a result, 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. Therefore, in the event of tooth loss, the ideal is to replace the lost tooth with a dental implant as soon as possible.
See below for more indications for using this modern orthodontic aligner.
Aesthetic invisible braces: how the most discreet treatment works
Technological advances in dentistry have also reached orthodontic treatments. It allows us to offer increasingly effective, faster and more discreet treatments, especially for adults who would like to align their teeth and improve occlusion without the use of metal braces.
ImplArt Odontologia offers the modern transparent aligner Invisalign as an orthodontic treatment option. This device is much more discreet than conventional braces.
A worldwide success, the Invisalign clear aligner is an orthodontic appliance with a plate format, i.e. it doesn’t have metal brackets and wires like conventional orthodontic appliances. This certainly gives it a smooth and discreet look, almost invisible.
How does the transparent aligner work?
Note that the transparent aligner is fitted to the teeth and is almost imperceptible
Treatment with Invisalign consists of the sequential use of aligners with small adjustments to each one, which lead to progressive tooth movement and consequently improve the occlusion and aesthetics of the teeth.
See how orthodontic treatment with Invisalign works:
Our specialized orthodontic team assesses the teeth, occlusion and general oral conditions.
A digital mold of your teeth is then taken using the Trios 3Shape intraoral scanner.
The images of the teeth form a three-dimensional image of the arches. The digital template, along with intra- and extra-oral photos and radiographic examinations are sent to the manufacturer of the Invisalign aligners.
The Invisalign team plans the treatment and thendetermines the number of aligner plates that will be needed to complete the tooth movement.
The plan is sent to our team for approval.
If everything checks out, personalized plates are made using computerized techniques and delivered to the patient.
Normally, the aligner plate is changed every two weeks until the teeth reach the desired position. This type of aligner allows the movement to be made on all or just a few teeth, depending on each need. In the meantime, the orthodontist and you monitor the progress of the treatment.
Simulating the progression of tooth movement with Invisalign
Main advantages of the Invisalign transparent aligner
It’s practically invisible;
It can be removed by the patient for regular oral hygiene and plaque cleaning;
Can be removed before meals;
It doesn’t interfere with speech;
Does not cause irritation;
Results between 6 and 12 months on average.
You don’t need a lot of time in the office chair to make adjustments;
The orthodontic aligner system consists of the sequential use of transparent aligners that are changed on average every 15 days for progressive tooth movement.The aligners are transparent and practically imperceptible in the mouth
Indications for invisible braces
The Invisalign clear aligner can be used to solve a variety of orthodontic problems, from subtle corrections to more complex treatments, either alone or in conjunction with complementary techniques. Some of the cases in which Invisalign aligners can be used:
Crowded teeth
Separated teeth
Dental malocclusion
Overbite, open bite and/or crossbite
Top-to-bottom bite.
ImplArt Odontologia is a dental clinic accredited to carry out orthodontic treatments with Invisalign aligners. Make an appointment for an assessment and find out if this is the best technique for aligning your teeth.
Invisalign transparent aligner treatment before and after
Invisalign transparent aligner
How much does the Invisalign transparent aligner cost?
Dental treatment prices can only be answered through a dental consultation, which can be in person or via TeleOdontology. This is because dental treatments can only be indicated after a careful assessment of the patient.
There are countless factors that influence the planning of a treatment, materials and techniques, and the professionals involved, all of which affect the amount of the budget. Schedule your appointment by WhatsApp 11 3262-4750.
Please also contact us for other aesthetic treatments such as:
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 and 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.
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.
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