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Author: Roberto Markarian

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

All on four or All on 4 implant technique

All on four is a technique for full-arch oral rehabilitation, i.e. restoring full dentition to those who have lost all the teeth in an arch. It is a much more comfortable and safer option than a mobile prosthesis (denture), as the fixed prosthesis is attached to 4 dental implants distributed throughout the arch, like a protocol prosthesis. The technique is more economical than a protocol prosthesis and has different characteristics. Find out more about the technique used at Clinica Dentaria ImplArt below and whether it is suitable for your case.

How does the All on 4 technique work? Is this technique right for me?

The All on 4 protocol consists of the surgical placement of 4 implant pins strategically distributed throughout the arch, followed by the fixing of a complete dental prosthesis.

The technique is generally indicated for people who have lost all their teeth in a full arch, upper or lower. Many of them wear mobiledentures and have advanced bone resorption(low bone volume), i.e. they have bone loss and are unable to place several dental implants in the arch.

We can therefore define the All on 4 technique as a dental implant alternative for people with little bone volume. Therefore, there is no need for bone grafts.

Another option for those with little bone volume is to use short or thinner implants, often avoiding bone grafting procedures.

We have performed over 1.000 cases of all-on-four implants since 2008, at ImplArt Clinic !

all on 4

The choice of which technique is best for your case should be discussed between the patient and the dental surgeon, in consultation, after clinical and radiological assessment. Find out more about smaller dental implants here.

The immediate loading technique can be defined as one in which the prosthesis is fixed more quickly after the implants have been placed. Most of the time, on the same day.

One of the biggest concerns for those undergoing full-arch rehabilitation with dental implants is whether they will lose teeth at some stage during treatment. With the immediate loading technique, patients are not left without teeth while they recover.

What is the difference between the All on four technique and the traditional protocol prosthesis technique?

In the conventional technique, 6 dental implant pins are generally used throughout the arch to support the protocol prosthesis.

With the All on four technique, four dental implant screws are used, the two posterior ones being longer. They are placed at a greater angle than conventional implants, around 45°. The longer length of the post is intentional to increase the contact area between the implant surface and the bone. This reduces the need to recreate a vertical bone augmentation through bone grafting surgery.

implantes dentarios all on four
1 – Full denture for lower arch; 2 – X-ray showing 4 dental implants distributed throughout the arch. The two implants in the posterior region are placed at an inclined angle (45°).

As well as increasing the contact area, the use of longer, tilted implants allows them to be placed in a stronger portion of the bone, so that they are securely attached.

Eventually, someone might ask whether this technique would be less efficient than the conventional one, imagining that the load distribution on 4 implants would be greater than 6 pins, for example.

Biomechanical studies show that tilted implants, when they are part of the prosthetic support, have no negative effect on load distribution. Implant tilting has been used in clinical practice for over a decade and has shown favorable results.

Advantages of total prosthesis on All-on-4 implants compared to dentures:

  • The dental prosthesis is stable because it is attached to the implants. This makes speaking and chewing more comfortable and secure. With a mobile prosthesis, the wearer may feel their prosthesis is unstable.
  • Dental implants are, in most cases, able to maintain bone volume. In contrast to implant-supported dentures, mobile dentures are unable to prevent bone loss and, as a result, the bone can become thinner and smaller. This is also one of the factors that makes dentures loose due to maladjustment.
  • The aesthetics of the prosthesis for rehabilitation in undoubtedly much better than a mobile prosthesis. Ceramics, applied zirconia and pure zirconia are advanced technology materials that more faithfully reproduce the characteristics of human teeth, for example, strength, shine, translucency, shades and textures, whereas mobile prostheses are made of acrylic or resin, materials that scratch, fracture and stain more easily.

Computer-guided implants for less invasive surgery and faster recovery

Rehabilitation with All on 4 implants is best performed using computerized planning, better known as guided implant surgery.

Due to the limited bone volume, we perform a CT scan to accurately measure the width and height of the available bone. With this information, it is much easier to choose implants with diameters and lengths appropriate to the volume, as well as to choose the areas with the best conditions for insertion.

all on 4
Implant surgical guide planning

Once the measurements of the implants have been defined, as well as the positions in which they will be placed, we make a plastic guide that will serve as a surgical template.

Guided surgery for implants favors minimally invasive procedures, without making extensive cuts in the gums because surgical access is through small holes in the gums. The surgical guide ensures the guided and precise placement of osseointegrated implants.

Types of implant prostheses All on 4

The ultimate prosthetic solutions for All on four:

If you would like more information about the All on four technique, please contact us. We at the ImplArt Dental Clinic will be happy to assist you.

Aesthetic oral rehabilitation – Specialist Clinic

Aesthetic oral rehabilitation is a treatment or set of dental procedures aimed at restoring the oral function and aesthetics of a person who is suffering from missing teeth and needs implants, or whose oral function is compromised by other dental problems that affect chewing, speech and the aesthetics of the smile.

Accordingly, depending on the case, single or partial dental implants can be carried out, or so-called total implants with a protocol prosthesis, which are implants for the entire arch. Porcelain crowns or zirconia crowns can be made, designed with modern computerized systems that allow patients to regain their confidence to smile, as well as their chewing function. It is important to note that dental implant surgery is simple, and allows for major transformations in the patient’s life.

Aesthetic oral rehabilitation: which procedures?

In addition, oral rehabilitation also aims to prevent other problems from arising in the future. A complete, better and well-articulated set of teeth will certainly prevent problems with the jaw, mandible and temporomandibular joints.

ImplArt specializes in prosthetics and restoring dental aesthetics

The ImplArt Dental Clinic has a team made up of the main areas of dentistry:

  • Endodontist – root canal treatment.
  • Periodontist – treatment of diseases affecting the teeth, roots, gums and supporting bones, such as cavities, gingivitis, plaque, periodontitis.
  • Restorative dentistry – aesthetic treatments such as whitening, application of dental contact lenses and aesthetic planning.
  • Oral and maxillofacial – specialist in the surgical correction of facial anomalies, such as asymmetries, TMJ dysfunctions and bone grafting.
  • Prosthodontist – Dental surgeon specialized in making aesthetic and conventional dental prostheses.
  • Prosthetist – laboratory technician specialized in making dental prostheses.
  • Radiologist – specializes in radiological examinations that help with diagnosis and treatment planning.
aesthetic oral rehabilitation
Treatment for aesthetic oral rehabilitation: 1 – Stained and scratched restorations, missing diastema teeth, short teeth, malocclusion. 2 – Aesthetic dental treatment for the installation of lenses and veneers, replacement of restorations, tooth whitening, implants and crowns
Lente de contato
1 – Short teeth, 2 – Gingivetomy (gum lift) and tooth preparation, 3 – Temporary dental contact lenses (mockup), 4 – Permanent dental contact lenses – Whiter and longer teeth, more beautiful and harmonious smile.

All these areas can work in isolation or better together to achieve complete oral rehabilitation. ImplArt’s team of professionals is supported by a number of facilities and the best technologies, all at the same address:

In-house dental laboratory

With a specialized team and equipment that helps make modern dental prostheses quickly and precisely, much more like real teeth, such as the modern translucent zirconia prosthesis. ImplArt’s prosthetics laboratory has two of the most modern dental 3D printers on the market: the Cerec Sirona System and the Ceramill Motion 2.

They do everything from computerized three-dimensional design to milling teeth in ceramic material. Find out more by clicking here.

Digital radiology laboratory

With a digital panoramic X-ray machine and computerized tomography.

Computerized treatment and surgery planning

Exclusive software that plans and simulates various dental treatments. This way, patients know how their treatment will go before they even start it.

Day Clinic

The Day clinic is a type of service that carries out one or more dental treatments intensively. In this way, oral rehabilitation can be achieved in the shortest possible time (subject to assessment of the complexity of each case).

One of the main features of aesthetic oral rehabilitation is the porcelain dental crown

This is a dental reconstruction that aims to cover or encase a tooth that has had its structure compromised, or even after root canal treatment. Teeth with a root canal almost always need a reinforcing post to give the dental crown a better structure. The dental crown can be made from a number of porcelain options currently available.

In some cases, dental crowns can be better made in one day with the CEREC 3D dental prosthesis and crown in our clinic thanks to the technologies in our laboratories. Dental posts (cores) can be metal or aesthetic (zirconia or fiberglass).

all on 4
Oral rehabilitation with ready-made porcelain lenses

Read more: aesthetic cores

Above all, the ImplArt dental clinic, coordinated by Dr. Markarian, seeks to conduct treatments with clarity, respect and seriousness, so that its patients feel confident, calm and satisfied. So don’t suffer from dental problems.

We understand your fears and expectations, which is why we invest in treatments that are less and less invasive and uncomfortable.

If you have any questions about aesthetic oral rehabilitation prices, values and techniques, then please contact our team via one of the channels below or come and visit us. We’ll be happy to help you!

Planning for dental implants – how is it done by the dentist

Improve your quality of life and self-esteem with dental implants

Dental implants must be planned by a specialist in order to achieve the desired success. Initially, when studying dental implants, examinations are carried out in order to:

Implantes Dentários Mais Modernos

What resources can dentists use to plan implants?

It is important to explain that the dentist uses photos, examinations and clinical assessment in an integrated manner for precise dental implant planning.

  1. Initial Photos: Photos of the mouth and smile at the start of treatment capture the oral anatomy and help to visualize the general condition of the mouth, including the position of adjacent teeth and facial aesthetics.
  2. Radiographic examinations: Panoramic radiographs and CT scans also offer a three-dimensional view, allowing bone quality to be assessed, anatomical structures to be identified and pathologies to be detected.
  3. Clinical Evaluation: Detailed intraoral examinations reveal more in-depth periodontal conditions, the presence of infections and specific characteristics of the oral tissue, providing crucial information for implant success.
  4. Precise measurements: Using specific measurement software, the professional assesses the thickness and height of the available bone, thus ensuring the proper selection of the implant.
  5. Virtual Planning: Specialized software allows for virtual simulations, making it easier to choose the ideal position for the implants, considering aesthetics and function.

The combination of these elements also allows the dentist to carry out personalized planning, increasing the predictability and success of the dental implant procedure.

Planning is important for successful dental implant treatment

Dental implants are performed in the dentist’s office under local anesthesia, with care and attention from the implant dentist. Even those who are afraid of the dentist can have bone implants without any problem. Titanium implants are placed inside the bone and you have to wait three to six months for osseointeraction (calcification of the implant in the bone).

Once healing has taken place, the patient can wear a temporary prosthesis which allows them to better maintain their daily activities and also prevents the process of bone resorption (when the area is left without teeth for a long time, it can lose bone volume). Also during this period, the dentist makes the molds for the fixed dental prosthesis that will be placed after the implants have osseointegrated.

Temporary prosthesis for dental implants – planning

Despite the initial discomfort due to the implants and also the temporary prosthesis, the patient should wear it most of the time to facilitate adaptation. At first, the patient may feel nauseous, produce more saliva than usual and their pronunciation may also be strange. Of course, any discomfort in the meantime is temporary and must be overcome in order to achieve the best possible result.

However, in some cases, the dentist may opt to carry out the immediate loading procedure, in which the temporary prosthesis is fixed immediately after the implants are placed. This takes a maximum of 72 hours and, like all treatments, must be planned in advance to avoid problems in the future.

Read more: Dental implant recovery time

See specific techniques for implanting the front tooth.

Permanent fixed prosthesis for implants

Finally, a permanent prosthesis will be fixed a few months after the implants have healed and the person will experience a significant improvement in chewing, quality of life and the aesthetics of their smile. The materials for the permanent prosthesis can also be chosen by the patient together with the dentist.

There are several options for implant materials, especially in the case of full arches, the so-called protocol prosthesis. Contact our clinic or make an appointment if you have any questions about the treatment, average price or techniques. We’ll be happy to help you!

Computerized dental aesthetics – Digital Pre-treatment planning

Computerized dental aesthetics uses computerized programs for digital smile planning that have certainly helped dentistry. They are used to plan and simulate various dental treatments, including implants, dental contact lenses and fixed prostheses. They make it possible to design completely personalized treatments.

Predictable results with digital dental treatment planning

As a result, they increase the patient’s understanding of the stages of their treatment, thus aligning expectations with the proposed treatment, and above all allow the dentist to have greater predictability of results.

With computerized dental treatment planning, the dentist can design crowns, restorations, aesthetic treatments, dental contact lenses as well as plan the placement of dental implants.

The purpose of digital smile planning is to create a personalized treatment, seeking the harmony of the smile, as well as avoiding unnecessary procedures and consequently making treatment faster, more comfortable and more accurate.

Now, with the latest Cerec Primemill milling machine, the results are even more precise and more detailed.

Computerized dental aesthetics
all on 4

Computerized dental aesthetics (Smile Design)

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

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

In this way, the dentist visualizes the initial state and designs crowns, restorations or dental contact lenses to solve various problems that compromise the aesthetics and harmony of the smile.

all on 4

Intraoral scanning for digital smile planning

Some cases that can be planned on a computer:

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

The dental treatments planned on the computer also allow for quick dental treatments in the Day Clinic (or Dental Spa – intensive care modality).

Digital smile planning with dental implants

Digital planning of dental implants helps to ensure that the treatment result is tailored to the patient’s needs. It also helps to ensure that the treatment is efficient and as minimally invasive as possible, thus avoiding surgical accidents (such as hitting sensitive structures).

Planning begins with a computerized tomography scan. In this sense, the three-dimensional images of the tomography allow the implant dentist to know details such as the volume and dimensions of the bone in order to determine the best positions for the implants and the choice of implants with dimensions suited to the needs of each patient.

The dentist also has the option of ordering a surgical guide, which is made based on the information from the CT scan. The surgical guide acts as a template, with the exact indications of where the perforations should be made.

As a result, unnecessary cuts and punctures are avoided, meaning treatment is less invasive and recovery is quicker and more comfortable.

all on 4

At the same time, guided surgery makes it possible:

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

Digital orthodontic treatment planning

Digital orthodontic treatment is fully computer simulated and planned using an intraoral scanner and specialized software. The intraoral scanner is used to capture precise images of the teeth and gums and thus create a three-dimensional color mold of the arches. The software uses these images to simulate the movement of the teeth to the desired position.

Models with the proposed final treatment can be 3D printed for verification if the orthodontist prefers. Digital molds can be used not only to plan orthodontic treatment with conventional braces, but also with braces in the form of aligner plates(Invisalign or Compass).

ImplArt Odontologia uses the main technologies ever developed for computerized dental treatment planning. From intraoral scanning to the execution of prostheses, restorations and aesthetic dental contact lenses on 3D printers.

If you have any questions, please contact us or come and visit us. We’ll be happy to welcome you!

Orofacial harmonization

Orofacial harmonization is a relatively new dental specialty, but it allows the specialized dental surgeon to perform aesthetic and functional procedures on the face and neck.

This specialty has emerged as an artifice to complement orofacial aesthetics, and always combined with dental treatment, it aims to create harmony with the patient’s smile and other facial features.

What is orofacial harmonization?

A dentist specializing in orofacial harmonization is one who is qualified to carry out techniques and procedures to balance aesthetics and oral function, improving some aspects of the patient’s face, but always seeking benefits for their health. The aesthetic and functional procedures of orofacial harmonization bring benefits for a more rejuvenated appearance, above all improving personal self-esteem.

Orofacial harmonization is a dental specialty and is duly regulated by the Federal Council of Dentistry (Resolution 198/2019),

Dentists specializing in orofacial harmonization need to complete a specialization course with a minimum of 500 hours to be recognized.

Here are some of the procedures included in orofacial harmonization:

Bichectomy

What Bichectomy is for

The surgery is mainly indicated to thin the face and improve its shape by reducing the size of the cheeks, but it can also be indicated to reduce trauma in some cases of people who bite their cheeks on the inner mucosa of the mouth. It is an aesthetic procedure that has already been widely adopted by celebrities, but is now much more accessible to everyone.

bichectomia
Orofacial harmonization

Bichectomy surgery

The surgery is performed by a dentist trained in this technique and consists of removing two fatty tissues located on either side of the face between the jaw and the mandible, called Bichat’s balls. First, an anesthetic is applied and then small incisions are made in the oral mucosa (inside of the mouth) to remove the Bichat’s balls with the help of tweezers. Finally, small sutures are made and the patient is given instructions on how to recover after the operation, which should be calm and with little or no pain.

Bichectomy risks: there may be asymmetry in the result, but this is rare and is more likely to happen if performed by professionals who are not trained in this technique.

Value of Bichectomy: procedure values can only be provided after a consultation and evaluation of each case.

Bichectomy cons: the procedure is indicated with great caution, assessing each case and the patient’s needs. In principle, the procedure is not indicated for people undergoing cancer treatment, people with active local infections, pregnant women, people with heart problems or diseases that could compromise coagulation and healing, people with limited mouth opening and minors.

Lip Filling with Hyaluronic Acid

lip fillings dentist
Orofacial harmonization

The lip filler procedure performed with hyaluronic acid is a resource for harmonizing the shape of the lips and making them more proportional to the face. It is indicated for increasing lip volume, improving lip contour or correcting lip asymmetry.

The technique is an alternative for people with very thin lips, or for lips that have become thin, flabby and wrinkled as they age or as a result of smoking. It is also a resource for harmonizing the lips after dental treatment, such as a new dental prosthesis.

Fillers can also be used for small temporary gains in gum volume.

Lip fillers how it’s done: the procedure consists of applying a local anesthetic and then applying hyaluronic acid to the inside of the lips using a microcannula or needle. The substance does not cause any side effects or rejection in the body.

The technique is carried out by a dentist specializing in orofacial harmonization to obtain a natural lip filling, without exaggeration and which favours the aesthetics of the smile and face. It is normal for swelling to occur immediately after a lip filling, which can last up to 48 hours after application.

lip fillings with a dentist
Orofacial harmonization

How long does lip filler last?: The result of a filler is temporary because the hyaluronic acid is slowly absorbed. However, the effect can last up to a year and a half.

Lip filler sp price: the cost of the procedure can only be given during a face-to-face consultation to assess each case.

Contraindications: in principle, minors, pregnant women, active local infections (such as herpes) and people with autoimmune diseases.

Filler for Chinese Moustache (Nasogenian Furrow)

Chinese mustache filling dentist orofacial harmonization
Orofacial harmonization

The Chinese moustache is characterized by a deep wrinkle that runs from the nasal wing to the corner of the mouth (smile mark). It affects both men and women and is associated with skin ageing, in which there is a natural loss of fat and collagen, with unprotected sun exposure which leads to sagging skin and with smoking. It is also related to a genetic predisposition, excessive loss/gain of body weight, as well as repeated sleeping in the prone position with the face resting on the hand.

There are a number of ways to improve the appearance of this expression mark, and the procedure depends on the degree of depth, the main one being filling with hyaluronic acid. This involves applying the biomaterial subcutaneously to the area in order to fill and elevate the depressed line, leveling it with the skin.

What is the Chinese moustache filling procedure like?

The procedure is carried out simply and quickly by a dental surgeon qualified in orofacial harmonization. It is not capable of altering the natural features of the face, only correcting these imperfections. Superficial wrinkles can be treated with botulinum toxin (Botox).

Initially, a local anesthetic is applied. The furrows are then filled with hyaluronic acid. Finally, the patient is given instructions for the post-procedure period, but the recovery is very smooth and the patient is ready to return to work.

How long does a Chinese moustache filler last? The effect of the filler can last up to a year and a half, depending on the amount of material injected and the depth of the furrow.

How much does a Chinese moustache filler cost? The cost of the treatment is only given in consultation after a careful assessment of each case.

Treatment of jowls on the neck (jowl lipo)

jowl lipo dentist
Orofacial harmonization

Treatment of jowls with deoxycholic acid

What can I do to get rid of my jowls? This is one of the most frequently asked questions by those looking to improve their appearance and achieve a more rejuvenated look. Reducing jowls (submental fat) is also one of the aesthetic procedures that a dentist specializing in orofacial harmonization is qualified to treat.

The procedure is also known as jowl lipo, enzymatic jowl treatment or lipolysis of submental fat.

How deoxycholic acid works for jowls

Deoxycholic acid is a substance naturally found in the human body and acts to metabolize fats, i.e. it breaks down fat cells (adipocytes), stimulating an inflammatory reaction by the body at the site. This helps to eliminate the broken down fat (a process that should take place over a maximum of 30 days).

With this elimination of fat cells, there is a reduction in fat deposits and an improvement in the contour of the neck, as well as a tightening effect on the skin (not applicable in cases of severe sagging).

What is the chemical lipo procedure like?

Before starting the application, a topical anesthetic is used to eliminate any possible discomfort from the needle prick. We then apply deoxycholic acid in the form of a synthetic drug to the adipose tissue, distributed in small quantities over the entire length of the jowls.

In the first few days, swelling, bruising, pain (which can be controlled with painkillers), erythema (redness) and numbness may occur, but this is normal and is part of the fat elimination process. During this period it is recommended not to take anti-inflammatory drugs, as they prevent the product from working.

Up to six sessions are recommended to obtain a satisfactory result (depending on the degree of fat accumulation), with intervals of one month between each session.

In some cases, treatment can be enhanced with the use of a compression/microporous bandage at night after the fourth day of application, as well as local drainage to help reduce swelling and speed up the elimination of fat.

Duration of jowl treatment: the effect of the treatment does not have a set time, but it is expected that the accumulation of fat in this area will not return, except in cases of excessive weight gain.

Contraindications to deoxycholic acid for jowls: in principle, local infection, pregnant or breastfeeding women, people with cysts at the site of the jowls, goiters or thyroid nodules.

How much does jowl lipo cost? The cost of the treatment is provided through a face-to-face consultation and an assessment of the complexity of each case.

Application of botulinum toxin – botox

botox dentist
Orofacial harmonization

Botox to treat bruxism

Bruxism is a parafunctional disorder that causes people to grind their teeth or clench their teeth involuntarily during sleep. The excessive force of bruxism causes wear and tear on the teeth, pain in the muscles and bones (joints, jaw), as well as ringing in the ears and head and neck pain.

It can also cause clicking in the temporomandibular joints when chewing or opening the mouth and gum recession. Patients with bruxism need to be very well assessed and monitored, and treatment may involve the work of different health specialists.

Botox can also be applied by the dentist for aesthetic improvements to the patient’s lips and face

One of the resources for treating bruxism is the application of botulinum toxin. It acts by inhibiting the contraction of the temporal and masseter muscles in the jaw, thus reducing muscle activity in cases of teeth clenching, and applied to the muscles responsible for masticatory movements (the same ones responsible for the involuntary contraction of bruxism) to contract them and thus reduce teeth grinding.

Botulinum toxin is not normally used in isolation to treat bruxism. It is almost always combined with the use of bite plates(myorelaxing plates) and bite correction, among other procedures.

How is Botox applied for bruxism?

Applications to block the muscles are made in one appointment and the benefits are seen within the first 48 hours. The blockade can last up to six months, so botulinum toxin needs to be periodically reapplied to maintain the effect.

Botox for bruxism price: the price of the treatment is given in consultation with a dentist who will carefully assess each case and recommend the most suitable treatment. A consultation is required to find out the price of Botox. According to the regulations of the Federal Council of Dentistry (Resolution 198/2019), yes, dentists can apply Botox.

In dentistry, the application of botulinum toxin (Botox) is also very useful for correcting asymmetries in the smile or face in the middle and lower thirds, for treating gummy smiles, treating orofacial pain related to TMJ disorders or the muscles involved in chewing, softening expression lines in the middle and lower thirds, and even controlling excessive saliva production.

Dental Spa and Dental Day Clinic

Here at the ImplArt Dental Clinic we have the option of a Day Clinic, also known as a Dental Spa, where we carry out one or a few procedures in a single day or over a few days. In the Day Clinic at Clinica Dentaria ImplArt we can carry out procedures such as dental implants, zirconia implants, total implants, protocol prostheses and dental contact lenses, as well as many other procedures. All procedures are designed to reduce the time and cost of dental treatment.

For those coming from far away, from abroad, or even from other regions of Brazil, it is possible to have an online consultation before you come and plan your dental implant surgery remotely.

Day Clinic Dental Spa: faster dental treatments

The ImplArt Dental Spa Day Clinic – who can do it?

We are pioneers in Day Clinics in Brazil and can offer you the most advanced services in dentistry today. With the best in dental technology, we plan and execute your Day Clinic with the highest quality at the ImplArt Dental Spa.

The Day Clinic is suitable for executives, people who live in other cities/states/countries, people on vacation, people who want to have a quick treatment for an upcoming special event, such as a wedding, or for those who are afraid of the dentist (odontophobia).

Most dental treatments can be carried out at the Dental Day Clinic, including procedures such as dental implants, dentures, fillings, veneers or aesthetic techniques. Before anything else, however, the dental spa needs to be planned in advance.

We have all the infrastructure you need to carry out your Day Clinic in complete comfort. Our own dental prosthesis laboratory, within the clinic, facilitates the rapid completion of the work in the Dental Spa, maintaining high quality materials, with the entire process computerized.

The laboratory’s focus is on using high-tech materials such as zirconia and special porcelains, manufactured using computerized Cad/Cam projects. We also have a digital radiology center within the clinic, which speeds up not only diagnosis but also the start of treatment.

Contact us to find out if the treatment you need can be carried out in a Day Clinic. With the ImplArt Dental Spa, improving the aesthetics of your smile, even with dental implants , can be faster than you think! If you prefer, we can serve you fluently in English and Spanish.

Patient testimonials

“I was recently in São Paulo because I travel frequently for work. Due to the sudden need for emergency treatment, I came across ImplArt, who promptly solved my problem. My time in the city, about a week, was enough for a definitive treatment to be completed. I was very pleased with the speed of treatment and the quality of the ImplArt dental spa. I recommend it!” C.A.S. Manaus

“As I have known ImplArt for some time, I told them in advance that I was coming to São Paulo, as I visit my family periodically. I was asked to send tests in advance, which I promptly did by email. I was impressed by how useful technology can be even for a dental spa treatment. I loved the treatment I received, as the dentists here in England are very cold and the prices are much higher” – R.A. England

“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, as I have to finish my treatment soon for a trip.” – A.C.

“I found Implart through a Google search. I was looking for a clinic in São Paulo that would serve me with quality and speed, as I live in Miami. I wanted zirconia treatment, as is done here, and I found what I wanted at Implart. A committed team, a director with credibility and knowledge. I was very happy with my choice and came back very happy.” R.N. – Miami

Dr. Roberto Markarian, creator of the Dental Spa

Our clinical director, Dr. Roberto Markarian, an implant dentist, is the creator of the Day Clinic system and the Dental Spa modality. He has a doctorate in implant dentistry, a master’s degree in dental prosthetics and two specializations in dental implants and dental prosthetics. He has also taken a number of training courses in the field of dentistry, not only in Brazil but also abroad.

It also actively participates in the main congresses and fairs in the sector, not only nationally but also internationally.

Dr. Roberto Markarian is enthusiastic and knowledgeable about the most advanced technologies applied to digital dentistry, such as computerized CAD/CAM systems, high-performance and aesthetic ceramics, state-of-the-art dental implants, 3D dental printers, as well as digital scanners for computerized molding.

Dr. Roberto Markarian is always striving to keep the ImplArt Clinic up to date and in line with the latest developments in world dentistry. He believes above all in teamwork and is particularly concerned about the quality of treatments, especially patient satisfaction.

So if you’re looking for high technology based on knowledge, you’re in the right place at Clinica ImplArt!

Conclusion: Why get your dental implant at Clinica Dentaria ImplArt?

The ImplArt dental clinic has been rated the best dental implant clinic in Brazil, coming first in the GCR world ranking. According to the Global Clinic Rating, this ranking was secured above all by ImplArt’s expertise in Digital Dentistry, Modern Structure and Patient Satisfaction.

In addition, the ImplArt dental clinic offers various types of treatment aimed at rehabilitating the patient’s oral health in all its aspects. In this way, not only the functional aspect of the treatment is addressed, but also the aesthetic one. These pillars are supported by digital dentistry techniques present in our modern structure. Our know-how involves implant dentistry, as well as other areas of dentistry.

Certainly, with all this experience and backing we have been able to achieve top quality treatments, generating great satisfaction among our patients. If you have any questions or would like more information about our treatments and dental spa, we are at your disposal, please get in touch!

Dental Implants at ImplArt Dental Clinic Specializing in Dental Implants

Get to know the ImplArt Dental Clinic, a specialist dental implant clinic in São Paulo. Clinica Dentaria ImplArt has a complete team and structure for you to carry out your implant surgery with peace of mind and high-quality materials.
We offer the most modern treatments with a structure ready to receive the patient according to high international standards. In addition, we offer the best brands of dental implants for you to choose from, various types of implants and the best team of specialists in implant dentistry. So if you’re looking for an implant clinic that works with high technology and modern materials, you’re in the right place!

It’s important to know that there are different types ofdental implants, and that they are not all the same. The Swiss brand Straumann offers fast-healing dental implants, as well as the latest white implant, the ceramic dental implant. The zirconia implant is the only non-titanium implant, and is therefore an option for those looking for a metal-free dental implant treatment.

Implants can have different healing times, so it’s important to choose which one to use before surgery. Osseintegration times for dental implants can vary from 1 to 6 months. Therefore, choosing the ideal type of dental implant is very important, because once implanted, the healing period for each implant must be respected. With Clinica Dentaria ImplArt, aclinic specializing in implants, you will certainly have all these options at your fingertips!

Fast healing dental implant

Fast-healing dental implants, full-mouth implants, zirconia prostheses, ceramic protocols and dental contact lenses make the ImplArt dental clinic much more than just a specialist implant clinic. We take care of our patients’ oral health as a whole, offering the most modern techniques available in dentistry today. Our clinical director, dental surgeon and implant dentist, Dr. Roberto Markarian, is a reference in dental implants and modern computerized prostheses.

For those who want a quick implant treatment, the ideal is to use the Slactive dental implant from the Swiss brand Straumann and a fixed prosthesis in Zirconia or a dental crown in Cerec Pure Porcelain. Both materials are completely made using computer graphics and a 3D printer. Because they use modern computerized systems, the Translucent Zirconia fixed prosthesis speeds up implant treatment, even if it is a protocol prosthesis. In this way, the treatment, even if it is a protocol prosthesis, is more precise and faster because it requires fewer treatment steps.

Dental implants – Quality of life and self-esteem back

What are dental implants and dental implant clinics?

This is a titanium or all-ceramic post (Straumann or Neodent ceramic implant ), which is surgically placed in the jawbone and has the function of replacing the root of a lost tooth. Tooth loss can occur as a result of trauma, tooth decay, gum infection or periodontal disease.

In these cases, after the dental implant has been installed, a dental prosthesis is attached which has the function and appearance of a tooth.

Treatment at the ImplArt Dental Clinic, which specializes in dental implants, aims to restore masticatory function, oral health and the aesthetics of the smile, giving people back their quality of life and self-esteem.

Treatment with dental implant pins is more efficient than treatment with conventional removable prostheses, known as dentures, and provides much more comfort for the patient, both when smiling and chewing.

Currently, for those looking for a metal-free treatment, either due to metal allergies or preference, the combination of ceramic implant and porcelain crown, or computerized Pure Zirconia, are ideal.

As we are a clinic specializing in dental implants, we have all the support we can offer patients, and a wide range of implant types.

As we are a clinic specializing in implants, we have the knowledge and know-how to identify the most diverse types of implants in patients who may have already had their surgery elsewhere and don’t know which implant was used.

crown implant at Clinica Dentaria ImplArt - Specialist dental implant clinic
Clinica Dentaria ImplArt – Specialist dental implant clinic
implante osseointegração clinica odontologica ImplArt clinica especialista em implantes
Clinica Dentaria ImplArt – Specialist dental implant clinic

Do dental implants last forever? How is the osseointegration of the titanium dental implant?

As soon as the dental implant screw is placed, there is a phenomenon of progressive healing of the titanium surface with the bone, called osseointegration.

The osseointegration of the dental implant takes place through the formation of calcium on the surface of the implant, which occurs through delicate and complex biological and molecular phenomena. The healing time of the dental implant will depend on the type chosen, and will be confirmed by the implant specialist, implant dentist. Here you will have all the information you need for your implant, because we are a specialist implant clinic, with knowledge and vast experience in implant dentistry.

However, the time until the implant is sufficiently integrated can vary depending on a number of factors:

Healthy osseointegration is therefore responsible for the stability of dental implants and fixed dental prostheses, offering patients the security and comfort to chew, speak and smile. External factors such as smoking and poor oral health can hinder implant osseointegration.

It is certainly expected that the dental implant will last forever, i.e. once osseointegration has taken place, in healthy patients, it should remain integrated into the bone.

protese protocolo
Zirconia protocol prosthesis, available at Clinica Dentaria ImplArt, implant specialist clinic

Advantages of dental implants

The experience of having fixed teeth with implants is far superior to using an uncomfortable mobile prosthesis. A tooth implant will receive the fixed prosthesis, and will also not require frequent or specific maintenance.

In the case of total implants, the brushing technique should be improved according to the instructions given by the dentist specializing in dental implants. Dental implants can be recommended for almost anyone who suffers from missing teeth, whether a few teeth or all the teeth in an arch.

However, each implant case needs to be assessed individually in order to plan the most appropriate treatment. However, the good news is that ImplArt is a specialist dental implant clinic that has the expertise and knowledge of the most modern techniques to solve missing teeth.

We have the experience to solve the most difficult cases of oral rehabilitation, using surgical or prosthetic techniques. See examples of before and after with osseointegrated implants at ImplArt, a clinic specializing in implants.

single implant
Example photos of screw-retained porcelain crowns for dental implants. Super natural result thanks to new materials and advanced digital dentistry techniques, ImplArt specialist clinic

Single tooth implant – one tooth

Single-tooth implants have great advantages and should be used whenever possible, preferably with same-day surgery if there is bone in the same place as the tooth extraction.

  • Neighboring teeth remain intact
  • The new crown is attached directly to the implant, which makes it possible to floss like a natural tooth
  • Excellentaesthetic and functionalresults
  • Ease of treatment, as the prosthetic components are prefabricated
  • 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.

Partial dental implant – several teeth

Losing multiple teeth can affect your ability to chew, as well as the beauty of your smile. Certainly the best option for replacing several teeth is the placement of dental implants and the fixing of a dental prosthesis.

Partial dental implants are recommended for people who have lost some teeth in between or in the same area of the mouth. A partial implant treatment is a much more efficient alternative to a conventional bridge.

Fixed prostheses on dental implants offer better aesthetic results compared to removable prostheses, dentures, and are important for preventing bone resorption and preserving oral health.

zirconia total prosthesis on implants
Photo with dental implant of all teeth – In this case a translucent zirconia prosthesis made in our in-house prosthesis laboratory

Dental implants for all teeth – total or complete

Total dental implants are recommended for people who have lost all their teeth. The loss of all teeth usually occurs due to periodontal disease or a combination of caries and inadequate oral hygiene.

There are strategies for replacing the teeth of an entire arch with a fixed prosthesis (also known as a protocol prosthesis) or a removable prosthesis (overdenture), but fixed prostheses are the most commonly used.

In an all-tooth dental implant treatment, the pins are strategically distributed through the bone of the dental arch in order to provide sufficient support for the planned dental prosthesis.

ImplArt is a clinic specializing in dental implants carried out with computerized planning of guided total implant surgery. The fixed total implant treatment is capable of giving patients the incredible sensation of chewing and speaking safely and comfortably.

The fixed dental prosthesis attached to the implants should also improve the aesthetics of the patient’s smile, which ultimately improves their self-esteem.

immediate loading single implant

Immediate loading for dental implants

Due to scientific advances, it is now possible, in selected cases, to go into the office without teeth and leave at the end of the day with all your teeth fixed on dental implants (temporary prosthesis).

This technology, known as immediate loading, provides patients with great satisfaction due to its rapid results. In short, immediately loaded implants can be used in the following cases:

When can immediate loading be performed?

The dental implant technique with immediate loading can be performed when bone quantity and quality are normal and also when occlusal habits are favorable for the procedure so that there is no chewing overload on the site.

Therefore, the immediate loading technique depends on certain conditions in the patient’s dental arch and general oral health. These conditions are assessed individually during your consultation with the implant dentist.

The patient is never left without teeth during implant treatment. A temporary dental prosthesis is designed to offer greater comfort and aesthetics.

Different implant pin models can advance or delay healing and therefore the delivery of the definitive prosthesis. Discover the fastest implants currently available from the Swiss brand Straumann.

Total fixed zirconia and porcelain prosthesis
Total fixed zirconia and porcelain prosthesis

Fixed dental prosthesis on implants – types of materials

Implant treatment is the main form of aesthetic and functional rehabilitation for patients who have lost their teeth.

The absence of one or more teeth compromises chewing, speech and the aesthetics of the smile, so a fixed prosthesis on implants is capable of restoring the edentulous person’s security and self-esteem. In summary, rehabilitation basically goes through 3 relevant phases:

We therefore have a variety of materials that can be used to make a permanent dental prosthesis:

zirconia total prosthesis
Photo of complete oral rehabilitation with dental implants. The dental prosthesis was made with individual translucent zirconia teeth
fixed prosthesis in applied zirconia
1 – Internal zirconia structure. 2 – Prosthesis finished with porcelain

Pure porcelain fixed prosthesis for dental implants – Translucent zirconia (metal free)

It is a white ceramic structure called zirconia, covered with an aesthetic porcelain sculpted to the shape of the teeth.

It is therefore a new and technologically innovative material, as the prosthesis is completely designed on a computer and made with the help of electronic scanners and 3D printers. The zirconia fixed prosthesis is the material that offers the best aesthetic result because it does not contain metals in its composition.

Zirconia is a porcelain that has characteristics that are equally comparable to natural teeth, including shade, translucency and resistance.

all on 4
Photo with example of oral rehabilitation of all teeth in metal-porcelain (metalloceramics), carried out at Implart, a specialist in dental implants

Metal-ceramic prosthesis on dental implants (porcelain + metal)

This is a prosthesis with an internal metal structure (titanium, Ni-Cr or Cr-Co) and an aesthetic porcelain finish that is hand-sculpted in the shape of the teeth. The result is the strength and aesthetics of porcelain, which leaves the prosthesis with aesthetics and beauty similar to natural teeth.

Although it has a small disadvantage compared to pure porcelain prostheses (which is the possibility of a grayish line appearing at the level of the gums, if the patient suffers some gum recession over time, which can lead to an aesthetic compromise in the smile).

The porcelain prosthesis (ceramic protocol) has advantages over the resin prosthesis, such as better durability and resistance to wear, as well as no color changes over time.

metal-plastic resin prosthesis
Protocol dentures for all upper and lower teeth – Resin dentures

Fixed resin prosthesis on dental implant (resin + metal) – Acrylic

Also known as the Bränemark protocol prosthesis, this model has an internal metal structure and an aesthetic resin finish. The teeth are made of resin and you can choose the color, shape and size of the teeth.

However, this material has a disadvantage compared to previous ones, which is the possibility of color change (yellowing) over time. The choice of prosthesis material should be made jointly by the dentist and patient.

Watch the video on prosthetic materials for dental implants by clicking here.

Do dental implants hurt or not?

The dental implant procedure is easier than you might think and doesn’t hurt a bit! Due to advances in techniques, dental implant surgery today is less invasive, avoiding excess tissue damage, pain and discomfort.

During the surgery, the patient feels no pain because it is performed under local anesthesia. In addition, ImplArt uses techniques that reduce discomfort during surgery and make the recovery period more peaceful.

Some of the techniques that ImplArt Odontologia performs include computer-guided dental implant surgery, all-on-4 total implants, and less painful anesthesia. In short, it avoids unnecessary cuts and damage to bone and gum tissue.

ImplArt also uses Piezosurgery surgical ultrasound, which cuts through hard tissues such as bone and preserves soft tissues such as gums, nerves, membranes and blood vessels.

In this way, the system allows the surgeon greater surgical precision and better visibility during surgery, as well as avoiding risks in the dental implant. See more photos of work carried out at ImplArt by clicking here.

The best brands and types of dental implants

There are several brands and models of dental implants available in Brazil, and for each application there is an ideal model. At ImplArt we use certified materials.

Come in for a consultation and we’ll find out which implant is best for you. See below for interesting articles on some types of tooth implants:

Are you afraid of dental implants?

Believe me, dental implant surgery is easier than you might think and there’s really nothing to be afraid of.

Dentistry has come a long way with the use of less invasive techniques to offer patient comfort and, above all, ImplArt has incorporated today’s most effective techniques into its practice to minimize any discomfort.

ImplArt is always in line with the latest developments in the world of dentistry. It uses advanced techniques to ensure that its patients have a quiet, minimally invasive, comfortable and painless surgery.

Get to know our resources and see that it’s worth doing your aesthetic and functional oral rehabilitation with dental implants, without fear.

Humanized treatment with a dental implant specialist and care for those who need teeth implanted

Fears and phobias of dentists usually stem from previous bad experiences. Examples include previous treatments that were poorly carried out, without respect for the patient’s needs or painful treatments.

ImplArt has a great deal of experience in dental implants, as well as dealing with people’s expectations and fears in this regard. Over the years, we have received many people who were terrified of undergoing dental implant surgery, as well as the aftermath.

We are ready to listen to your needs in implant dentistry and oral rehabilitation

At the end of the treatment, benefiting from modern techniques and humanization, it is common to see a reduction in the patient’s phobias and even a cure for the fear ofdentists(odontophobia). We affirm that the advantages of good oral health and an aesthetic smile are well worth it.

ImplArt’s team of dental implant specialists is committed to welcoming and understanding all the needs, fears and traumas that people bring with them. Don’t let fear stop you from enjoying the benefits of a fixed prosthesis on implants.

We are ready to help you with your case and restore masticatory function and the aesthetics of your smile!

computerized guided implant surgery
Computer-guided implants are available at our clinic

Guided dental implant surgery – less invasive and faster

Computer-guided implant surgery is a technique that makes it possible to carry out the procedure in a way that is less invasive and therefore more comfortable and painless. In addition, guided surgery favors a faster recovery in the post-operative period of dental implants.

In order to plan the case, the patient undergoes a CT scan. The 3D images from the CT scan, combined with a digital mold of your mouth using an intraoral scanner, are used to make a plastic guide.

This implant with surgical guide acts as a template with the exact indications where the implants should be positioned according to the bone volume.

In this way, unnecessary cuts in the gums are avoided in most cases. This certainly means a lot of comfort for the patient in the post-operative recovery, as well as faster surgery.

Deep sedation for implant surgery

Sedation is a technique indicated for those who are very afraid of the dentist, afraid of feeling pain, as well as the noise of the motor, the needle, blood, etc. It allows the patient’s level of consciousness to decrease during the surgical procedure.

But sedation does not affect the ability to breathe and respond to physical stimulation and verbal commands. An anesthesiologist applies a sedative drug intravenously before the procedure.

The patient then falls asleep, but is continuously accompanied by the doctor and monitoring devices as the surgery takes place. In practice, it’s like a deep, relaxing sleep for the patient.

Most of the time, there are no memories of the procedures. The patient only wakes up when the procedures are finished, and the doctor continues to monitor their recovery until they can walk out of the room.

The sedation procedure with a dental implant specialist becomes simple, as well as comfortable for the patient, because when they wake up all the work has already been done. Read more about sedation.

There is another form of gas sedation (nitrous oxide), which we do not use at ImplArt. In our experience, gas sedation is very superficial and is not effective for patients who are truly “afraid”.

* Don’t confuse sedation with general anesthesia. General anesthesia is much more complex and can only be done in hospital.

day clinic implart

Dental Day Clinic with dental implant specialist – Faster treatments

The Day Clinic or Dental Spa is a type of intensive treatment offered at Implart, a specialist in dental implants. Among other advantages, it is suitable for those who are afraid of dental implants and want a quick dental implant treatment. In a Day Clinic, the patient can arrive at the office without teeth and leave with a dental implant and temporary prosthesis on the same day (in selected and favorable cases).

Intensive treatment is a great relief for those who are afraid of implants, because they spend less time in the dental implant specialist’s office in order to solve their problem. However, the most important thing is to carry out as many procedures as possible in the shortest possible time.

ImplArt is a modern specialist clinic with a complete structure for this purpose. Digital dentistry techniques, computerized molds and fabrication of teeth, our own laboratory and trained staff speed up treatment.

Below are photos of some of the treatments carried out at the ImplArt Clinic, which specializes in implants

The photos are of cases of Zirconia protocol prosthesis, upper protocol prosthesis, lower protocol prosthesis, computerized dental crown.

Check out the photos of the implant treatments below and see the transformations! If you’d like to see even more cases, visit our Photo Gallery by clicking HERE.

Price and value of dental implant treatments and dental aesthetics │ Dental implant value and average price with dental implant specialist

We often receive calls, emails and messages from people asking about the prices or values of dental treatments, especially dental implants and prosthetic protocols.

However, we always try to explain that the value and price can only be answered through a dental consultation with a specialist in dental implants, an implant dentist. The ImplArt Dental Clinic specializes in dental implants and takes this matter very seriously.

How much is a dental implant? Do I find out the cost at the appointment?

There are two main reasons why values are explained live:

  • The first is that the Code of Ethics of the Federal Council of Dentistry prohibits dentists from providing consultations online – not in person. Nor can dentists advertise the price of dental treatment online, let alone the cost of dental implants. The practice of posting average prices on websites constitutes serious misconduct before the Dental Council.
  • Secondly, complex dental treatments such as implant dentistry can only be indicated after a careful assessment of the patient. It often happens that patients think they need teeth implanted, but in reality they first need braces, bone grafts or different types of dentures. Of course, different plans will lead to different values and prices.

What can influence treatment with a dental implant specialist?

There are numerous factors that influence the planning of a treatment. There are also various options for materials and techniques that influence the composition of a budget. In addition, a treatment that may be suitable for one person may not be the most appropriate for another.

An implant dentist is a professional who specializes in dental implants and is qualified to plan and carry out dental implants, as well as giving the necessary recommendations to keep teeth beautiful and healthy throughout life.

At Clínica Odontológica ImplArt, a clinic specializing in dental implants, we believe that dental treatment goes far beyond a simple monetary value.

There are important factors that influence the perception of value or cost-benefit, such as the health and well-being that healthy teeth provide, improved self-esteem and patient comfort during procedures.

In addition to the price, the relationship of trust between patient and dentist and our empathy for the patient are important, as they often bring with them anxieties, expectations, fear of implants, as well as trauma from previous experiences. How much does your smile cost you?

Clinica Dentaria Implart
ImplArt Dental Clinic – specialist dental implant clinic

What is the first consultation with a dental implant specialistlike ? Is there a charge?

Yes, we charge for the first consultation. The patient will be assessed by the clinic’s director, Dr. Roberto Markarian, a specialist in dental implants, who has extensive experience in treatments for functional and aesthetic oral rehabilitation, with dental implants as well as dental prostheses.

If necessary, the patient may be asked to undergo some radiological examinations in order to help with diagnosis and treatment planning. For your convenience, some of the main dental tests can be carried out within the specialist clinic (at a separate cost).

If you already have previous exams, bring all the recent ones (up to 1 year old) to your appointment, as they will be of great help.

My dentist doesn’t charge for implants, why do you?

We follow the rules of the CRO, the Regional Council of Dentistry, which specifies that dental services cannot be free, in the same way as medical consultations. Certainly, the culture in dentistry is changing and the number of dentists who charge for consultations is growing.

The dentist specializing in dental implants, implantodontist, who will be treating you has completed university studies and takes frequent postgraduate courses. Their time is valuable, as it is in other health professions. We also need to clarify that there is no such thing as a free dental implant.

Even in places where tooth implants are done at low cost, such as courses for dentists, the patient pays less, but there is always a price to pay.

Do you accept any dental plans that cover dental implants at ImplArt, a specialist in dental implants?

We are a clinic specializing in dental implants, used to receiving the most complex cases in dentistry.

However, we do accept plans for the reimbursement or free choice system. There are companies that offer their employees this system, in which they will later receive the amounts paid. In this way, we offer all the support that patients with dental plans may need to request reimbursement.

Most dental plans don’t offer cover for dental prosthesis, implants or aesthetic procedures, which are precisely the focus of our specialist clinic. However, we are able to offer the support that patients may need to request reimbursement for their dental treatment.

Read more frequently asked questions about dental implants

Dr. Roberto Markarian implantodontista especialista em implantes dentarios
ImplArt is a clinic specializing in implants. We have experienced implant specialists such as Dr. Markarian, our clinical director.

Dr. Roberto Markarian – Implantodontist – Specialist in dental implants

Dr. Roberto Markarian, an implant dentist, is the creator and coordinator of the ImplArt Odontologia dental clinic, one of the main technology centers and clinics specializing in dental implants, especially in aesthetic oral rehabilitation and implant dentistry in Brazil, located in the Paulista Avenue region in São Paulo-SP.

He holds a doctorate in implant dentistry, a master’s degree in dental prosthetics, two specializations in dental implants and dental prosthetics, as well as training courses in the field of dentistry, both in Brazil and abroad.

He is also a member of the ITI – International Team for Implantology, an organization linked to Straumann that brings together the world’s best specialists for the development of new products and techniques. Learn more about Dr. Markarian ‘s academic career and technical scientific knowledge by clicking here.

Conclusion on implants at the ImplArt Clinic

Designed by the Moran & Anders architectural firm, the ImplArt Clinic has modern facilities to serve patients in comfort. It should be noted that the Implart Dental Clinic is a dental implant clinic specializing in oral rehabilitation. It therefore offers the most modern materials and treatments to make your dental implant treatment safe, comfortable and fast. Also, for those who live far away, we can do a preliminary online consultation and plan your dental implant surgery remotely. Get in touch with us!

ImplArt Dental Clinic, Clinic specializing in dental implants

Clínica odontológica ImplArt é especialista em implantes dentarios. Localizada na região da Avenida Paulista
ImplArt Dental Clinic’s privileged location, clinic specializing in dental implants – Avenida Paulista – SP

Watch more dental implant videos by clicking here

Cerec 3D – Emax Cad crowns

Emax Cad crowns are prostheses used in oral rehabilitation and dental restoration to cover, protect and strengthen teeth that have been extensively damaged by decay or root canal treatment.

Ceramic crowns in Emax Cad

Developed by the German company Ivoclar, the technical name of the Emax material is lithium disilicate and it has the ability to offer high aesthetics and high resistance.

all on 4
Raw material blocks for Emax CAD computerized dental porcelain

Dissilicate porcelain is classified as a glass porcelain, or glass-ceramic, with diverse applications for dental prostheses on teeth and implants, contact lenses, porcelain blocks, individual crowns on structure. In other words, these are applications for single teeth or up to 3 teeth. For larger dental prostheses, we use other types of dental porcelain, such as translucent dental zirconia.

emax cerec implart crowns
Digital emax crowns guarantee the best aesthetic results

EMAX crown applications

Dental crowns can also be placed on dental implants to replace missing teeth. They can be made from different materials such as temporary resins, but the main one is Emax Cad ceramic. What are the main advantages of the Emax Cad crown?

  • High resistance and durability;
  • Very aesthetic look, similar to a natural tooth;
  • Range of blocks with different colors and types of resistance for different uses;
  • Minimally invasive restorations;
  • It can be made using the metal-free technique (no metal in the internal structure). This makes the crown look translucent and much more aesthetic in bright environments.
emax crowns
The digital emax crown is milled by robotic machines in the blue phase, when the material is still soft. The material is then crystallized at over 700 degrees to achieve the final color. On the right, it has received the final polish that guarantees the smoothness of the structure and final pigmentation (even in black light environments).

Emax porcelain crowns in digital dentistry – how are they made?

ImplArt Odontologia is equipped with the modern Cerec 3D system with CAD/CAM technology, which simulates and digitally plans the treatment right through to making the Emax Cad ceramic crowns. The system is complete and consists of three units:

all on 4
ImplArt has the most up-to-date version of the Cerec system milling machine. This German technology allows us to produce metal-free crowns, restorations and dental lenses much faster and with greater detail.
emax ceramic crowns 3d printer
Complete oral rehabilitation of the lower arch using emax computerized porcelain

Read more: After a dental implant, can I place the tooth on the same day?

When the milling is complete, the piece undergoes a sintering process at approximately 850°C and acquires high strength, shade and translucency. The CEREC 3D system certainly speeds up treatment, even allowing it to be carried out and finalized in Day Clinic planning.

With it, it is possible to make crowns and restorations that are very precise and customized to the needs of each case. Contact us and make an appointment to find out if your case could benefit from this technique.

We’ll be happy to solve your problem in our specialized clinic. We also offer translucent zirconia crowns, a new type of dental porcelain that is even more resistant than Emax.

Dental prosthesis price

We often receive messages from people wanting to know the price of dentures, especially fixed dentures on dental implants. We would like to answer this question quickly, but we try to explain that these questions can only be answered in person after a dental consultation.

Let’s go. It’s important to note that dental prosthesis prices can vary depending on the type of prosthesis, the complexity of the case and the materials used. In addition, the placement of a fixed prosthesis on dental implants also requires a careful assessment of the patient. It is therefore necessary to make an appointment for a dental consultation so that a professional can analyze your specific case and provide an accurate quote. Remember that oral health is fundamental and investing in a suitable prosthesis can benefit your quality of life.

Dental prosthesis price

Price and value of dentures

Firstly, it is necessary to have a consultation with the dentist, either in the office or via TeleOdontology. Secondly, dental treatment can only be indicated after a careful assessment of the patient.

There are many variables that influence the planning of a treatment. In the same way, there are several options for materials and techniques that impact on the composition of a budget. What’s more, a treatment that may be suitable for one person may not be the most appropriate for another.

Thirdly, it is primarily important that the person is assessed by a specialist dentist. Often the patient thinks they have a dental problem and believes that a particular treatment may be the solution, but in the professional view the most appropriate treatment may be something else.

The dental surgeon is qualified and trained to look at oral health in general. They also provide guidance and recommend the necessary procedures to keep teeth beautiful and healthy throughout life.

We at ImplArt believe that dental treatment goes far beyond a simple monetary value

There are important factors that influence acost-benefit ratio, such as the health and well-being that healthy teeth provide. In addition, there are other immeasurable aspects: the improvement in self-esteem, the patient’s comfort from the beginning to the end of treatment, the relationship of trust between patient and dentist, the professional’s empathy with the patient’s feelings…

Patients often bring with them anxieties, expectations, fear of the dentist, as well as trauma from previous negative experiences. So how much do you think a smile is worth?

zirconia fixed total prosthesis for implants made at ImplArt

Common questions about Prosthodontics price:

Is there a charge for the first consultation?

Yes, there is a charge for the first consultation. The patient will be assessed by the clinic’s director, Dr. Roberto Markarian, who has extensive experience in treatments for functional and aesthetic oral rehabilitation, with dental implants as well as dental prostheses.

If necessary, the patient will have to undergo some radiological examinations to help with the diagnosis and treatment planning. For your convenience, some of the main radiological examinations can be carried out within the clinic (at a separate cost).

If you already have previous exams, bring all the recent ones (up to 1 year old) to your appointment, as they will be of great help.

My dentist doesn’t charge, why do you?

We follow the rules of the CRO, the Regional Council of Dentistry, which specifies that dental services cannot be free, in the same way as medical consultations. The culture in dentistry is changing and the number of dentists who charge for consultations is growing.

The dental surgeon who will be attending you has studied at university and takes frequent postgraduate courses. Their time is valuable, just as it is in other health professions.

Does ImplArt cover any dental plans?

At the moment we don’t accept dental insurance or any type of plan. Most dental plans don’t offer cover for dental prostheses, implants or aesthetic procedures, which are precisely the focus of our clinic. However, we do accept plans for the reimbursement system or free choice.

There are companies that offer their employees this system, in which they later receive the amounts paid. There is some bureaucracy involved, but we can help. If you have any questions, please contact us through one of the channels below or make an appointment!

Immediate loading – Indications and planning

The topic of implants with immediate loading has always been very present when it comes to dental implants. The term is related to pressure, i.e. loading on the newly installed implant, therefore immediately after surgery. It is important to note that the decision on whether or not to perform immediate loading on the implant should be made by the implant dentist. Assuming that this is the main desire of all patients, it is the implant dentist who must certainly assess the conditions conducive to the use of this technique.

Currently, implant surgery is studied beforehand by the implant dentist (dental implant specialist) through the patient’s panoramic X-ray and CT scan. It is therefore possible to assess whether the patient has favorable bone conditions for the use of this technique. However, it is at the time of implant surgery, by locking the implant, that it is possible to guarantee that the immediate loading technique can be carried out. In this way, the professional can also change the technique used to make the prosthesis if the necessary implants are not locked during surgery. Although the bone structure is studied beforehand through examinations, it is only during surgery that the real bone situation can be gauged.

How is immediate loading surgery with dental implants performed?

Surgery is performed to install dental implants in the jawbone. The surgery should take place like a conventional dental implant surgery. Prior to the surgery, plans are made for an immediate temporary prosthesis, so that the patient will never be without teeth. There are prerequisites for using the installed implant:

  • Sufficient torque (greater than 35 N.cm)
  • Long implant (longer than 11 mm)
  • Implant with sufficient diameter: Larger than 3.75 mm
  • Planning a prosthesis compatible with the implant‘s ability to withstand forces
  • Sufficient number of implants
  • Good distribution of implants in the arch
  • Patient without bruxism symptoms
  • People without symptoms of diseases that compromise tissue and bone healing (e.g. diabetes)
  • Non-smoking patient (smoking greatly reduces the chance of implant success)
immediately loaded implant
Immediate loading means that the implant will be loaded with the crown as soon as it is inserted. In practice, loading occurs with the placement of the tooth, which will transmit the force of chewing through the implant to the bone.

This means that not all cases are good for immediate loading. Sometimes, only during implant installation will we be able to tell if the implant has met the requirements for immediate loading. Therefore, in some cases immediate loading can be aborted to allow the implant to heal in a conventional way (between 3 and 6 months).

If the surgery goes well, you can then start on the provisional or even definitive prosthesis, which requires molds and measurements of the arch. Immediate loading is usually carried out with a temporary prosthesis and, after the implants and gums have healed (between 3 and 6 months), the definitive prosthesis is made.
Watch the video below where we show the total implant surgery and the installation of the protocol prosthesis.

YouTube video player

Although it is possible to carry out the treatment with the definitive material initially, we consider it better to make a temporary prosthesis, as the gums must swell and the bone changes shape during the initial three months of healing after surgery.

Best material for fixed prostheses

Currently, the most modern material for fixed prostheses is zirconia. Zirconia is a biocompatible material in line with the biological dentistry trend, which seeks to avoid the use of metals in dental treatments. It is also highly resistant and can be designed using computer graphics, which gives a much more natural aesthetic result compared to other types of dental prosthesis materials.

If you have any questions, please contact our team.

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como é feito um implante dentario
Immediate loading - Indications and planning

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