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protocolo dentario como é feito

Full Arch Implants: What is it, how is it done, how does it work?

The Full Arch Implants is a type of total fixed dental prosthesis that is indicated for people who have lost all their teeth in the same arch. It consists of 12 to 14 teeth attached to a single structure screwed onto 4 to 6 strategically placed dental implants.

A dental protocol prosthesis treatment provides a quick and efficient solution for oral rehabilitation, with surprising aesthetic and functional results that help restore the natural appearance of the smile and consequently improve self-esteem.

protese protocolo sobre implante total Full Arch Implants
Upper and lower Full Arch Implants with dental implants placed in the jawbone. The dental prosthesis is connected and secured to the implants using fixing screws.

Full Arch Implants: Indications for use

The Full Arch Implants is a treatment designed to enable oral rehabilitation for people who have lost their teeth and have considerable bone loss.

The Full Arch Implants is an innovative oral rehabilitation technique that can be indicated for a variety of cases in which tooth loss is extensive or total. Here are some scenarios in which implants with a prosthesis are often indicated:

  1. Total Edentulism (absence of all teeth): The Protocol Prosthesis is an excellent option for patients who have lost all their teeth in one or both dental arches.
  2. Severe tooth loss: When tooth loss is extensive and negatively affects the patient’s chewing function, aesthetics and quality of life.
  3. Compromised or Unrecoverable Teeth: If your remaining teeth are severely compromised due to tooth decay, periodontal disease or other problems, the Implant Protocol can be an effective alternative.
  4. Generalized Tooth Wear: Patients suffering from generalized tooth wear, whether due to bruxism or other conditions, can benefit from the Fixed Protocol to restore chewing function.
  5. Difficulties with Removable Dentures: Individuals who face challenges with traditional removable dentures that hurt, have difficulties with retention, stability and discomfort, can opt for the stability and fixation of Protocol Dentures.

Types of Full Arch Implants

Fun fact: Historically,Full Arch Implants treatment was invented more than 60 years ago by Dr. Branemark, a Swedish doctor who was also the inventor of the implant itself. At the time, he created a step-by-step procedure that is still followed today! and ends with the installation of a prosthesis made of acrylic (resin), which is the same material used in dentures.

However, Full Arch Implants treatment has evolved over time. Today, in addition to resin, we have more modern materials to make the protocol prosthesis, such as translucent zirconia, as well as zirconia with porcelain, and even metal-ceramic (porcelain), as options for those undergoing total implant treatment.

prótese protocolo o que é como é fixada
Full Arch Implants prosthesis: The prosthesis is attached to some dental implants that are previously placed in the bone. The final aesthetic can be customized, for example in this case, the patient wanted a small gap between the teeth (diastema).

How does the Full Arch Implants work?

The treatment goes through two stages, surgical and prosthetic. The surgical phase involves placing titanium implant pins in the bone (usually four to five in each arch). The healing of the implants takes between 2 and 4 months, depending on the type of implant chosen and the condition of the bone, as in cases of bone grafting the period can increase.

So the final deadline has to take into account the time taken for the implants + the time taken for the grafts to heal + the time taken to make the prosthesis.

That ‘s why the final treatment period varies from case to case, but on average a treatment is completed in 6 months.

Treatment with a protocol prosthesis is therefore carried out in two stages:

Step 1: How to install dental implants for full arch prostheses:

At this stage, the dentist performs surgery to insert the dental implants into the jaw bone. The number of implants needed varies according to the number of missing teeth and the quality of the bone. Dental implants are inserted in specific areas of the jaw or mandible, taking into account the patient’s bone quality.

Step 2: How the denture is fixed:

After osseointegration of the implants, which is the process of integrating the implants into the bone, the dentist takes a mold of the dental arch. Based on the impression, the prosthodontist makes the definitive dental prosthesis, which is fixed to the implants using screws. The advanced technique allows the prosthesis to be firmly fixed to the implants, giving the patient a feeling of security and naturalness, without gum pain.

See images of Full Arch Implants prostheses below

See below this treatment carried out in our clinic to replace an old complete fixed prosthesis. First, a test was carried out with a temporary dental prosthesis to check the appearance of the treatment. Secondly, a new fixed zirconia prosthesis was made over the patient’s previous implants.

Full Arch Implants 2
Stages in the design of the protocol prosthesis, using computerized technology. Above left, you can see the 3D design of the prosthesis. On the right, the dental prosthesis for the protocol is positioned on a printing machine in our dental laboratory. Below, the planned prosthesis is ready.
Full Arch Implants
Before and after photos: In the top two images we see the condition of the teeth before the treatment (the patient already had implants and only came to replace her old prosthesis with a new one). In the bottom images we see the final result of the dental protocol installed in the mouth after completion.

How the Branemark dental Full Arch Implants are made

The manufacturing of the protolo dental prostheses will be done in several stages, which mainly include:

Impressions: Digital impression of the mouth is carried out with the aid of intraoral scanners, or with traditional molds with putty. The images obtained are the basis for the computerized design.

Defining general volumes: In this phase, the patient’s lip volumes, tooth inclination, mouth corridor and vertical dimension are determined. Often these definitions are made on a wax plane, which allows you to sculpt and test as you wish.

Aesthetic testing of teeth: With the volumes of the prostheses defined, we set about selecting the teeth – their size, color, volume. These teeth are tested with wax or by means of 3D prototype prostheses that allow us to anticipate the final result and, of course, facilitate corrections.

Fabrication of the final prosthesis: The prosthesis goes on to the final steps, which may be acrylicization in the case of resin protocol prostheses, or the elaboration of structures + application of porcelain for zirconia or metal-ceramic protocol prostheses.

So the result is a piece that is completely customized to the needs of each patient, built with the participation of the implant dentist and the patient at every step, and the result is predictable (i.e. it’s not a surprise on the last day of treatment).

How the resin dental (Acrylic) Full Arch Implants works

The base of the acrylic prosthesis is made with a titanium reinforcement bar, a material that is biocompatible with the human body, does not cause rejection and has low allergenic potential. This reinforcement bar makes the protocol denture with its milled structure resistant, more delicate and comfortable.

The resin teeth are attached to this bar, as well as a layer of artificial gum that mimics the natural mucosa. The titanium-framed protocol prosthesis is attached to the implants, giving the wearer peace of mind when chewing, speaking and smiling.

Full Arch Implants
Schematic of a full arch prosthesis with its bar. When installed, there is no space between the protocol prosthesis and the gum.

The titanium bar gives the protocol prosthesis strength, while the resin coating gives the branemark prosthesis naturalness.

Rapid Implants and Prococolo Prosthesis in 72 hours with immediate loading

It is important to note that there is a way to make implants and prosthetic prostheses faster (*in some cases).

In immediate loading treatments, the prosthetic phase of installing the protocol prosthesis is carried out immediately after implant surgery (without waiting for the implants to heal).

In this procedure with rapid protocol implants, it is possible to install dental implants with technology that favors and accelerates the healing process, making it possible to install the prosthesis within 72 hours, the immediate loading technique. However, in the vast majority of cases, it is decided to wait until the recommended healing time to ensure greater safety and success of the procedure.

(*)The possibility of this treatment with rapid implants should be checked at your assessment appointment, when we will analyze your case in detail (this possibility is only confirmed after a careful assessment of your remaining bone).

Benefits of the fixed prosthesis

The fixed prosthesis offers a number of benefits for patients who have lost all their teeth, including:

  • Restoration of che wingfunction: The protocol prosthesis allows patients to chew food normally, without difficulty.
  • Improved aesthetics: The protocol prosthesis provides a natural and harmonious smile.
  • Stability: The protocol prosthesis is fixed, which guarantees stability and safety for patients.
  • Durability: The protocol prosthesis can last for many years, with proper care.

Contraindications to the Full Arch Implants

The Full Arch Implants are not indicated for all patients who have lost all their teeth. The main contraindications are:

  • Patients with systemic health problems: such as diabetes or osteoporosis, coagulation problems, recent cancer treatments, among others.
  • Patients with insufficient bone in the mandible or maxilla. However, this condition can in most cases be reversed by means of bone grafts that recreate the thinned bone.

Curiosity: We sometimes see outdated dentists discussing the weight of prostheses, but recent studies show that the weight of the prosthesis protocol does not contribute to treatment failure. This discussion has fallen into disuse, as zirconia and porcelain prostheses are not heavy either; it’s just a myth.

Conclusions

The Full Arch Implants technique is an effective and safe option for the oral rehabilitation of patients who have lost all their teeth. It offers a number of benefits, including the restoration of chewing function, improved aesthetics and stability.

In addition to the resin prosthesis, called a acrylic fixed prosthesis, or acrylic prosthesis, you can also have a zirconia protocol prosthesis , which allows all the work to be done by computer. All these treatments are offered at ImplArt Dental Clinic.

The ImplArt dental clinic carries out this treatment with the help of the most modern computerized systems. Make an appointment with an implant dentist and find out more about the dental implant treatments at the ImplArt dental clinic. Come and visit us. We’ll be happy to welcome you, with a complete analysis made by our Head dentist Dr Markarian.

Full Arch ImplantsAgende sua consulta agora por WhatsApp

root analog implant 5

Root Implant Analog (RIA): Concepts, Benefits and Scientific Evidence

The Root Analog Implant (RIA) is an innovative approach in implant dentistry that aims to replicate the anatomy of the natural tooth root. Unlike conventional implants with a standardized shape, IARs are customized to fit precisely into the patient’s dental socket immediately after tooth extraction.

This technique seeks a replacement that is more biologically compatible with the original anatomy, while at the same time seeking efficient osseointegration and adequate aesthetics, providing a more natural solution for tooth replacement, says Dr. ROBERTO MARKARIAN, a specialist in implant dentistry.

Introduction: What is the Root Analog Implant (RAI)?

The Root Analog Implant (RAI) concept is well documented and refers to customized implants that mimic the shape of the natural tooth root. These implants are designed to be placed immediately after tooth extraction, using technologies such as cone-beam computed tomography (CBCT) and CAD/CAM to create accurate three-dimensional models of the root of the tooth to be replaced.[1-6] The concept of the Root Analog Implant (RIA) is well documented.

Principles and Fundamentals of Root Analog Implants (RAI)

The main feature of IARs is their ability to faithfully imitate the shape and size of the original tooth root. This customization is possible thanks to the use of advanced technologies such as cone beam computed tomography (CBCT) and CAD/CAM systems, which allow for the creation of tailor-made implants. The preferred material for manufacturing these implants is zirconia, due to its high biocompatibility and superior mechanical properties, however IAR implants can be manufactured using printing techniques for biocompatible metals such as titanium.

custom implant roor analog implant
Example of a custom implant manufactured by Metal Printing (Titanium)Source: Mangano et al 2012 [9]

Differentiating the Customized Implant Root Analog (IAR) from Conventional Implants

  • Shape: Conventional implants have a standardized shape, while IAR implants have a more anatomical design.
  • Load distribution: Root Analog Implants (RAI) seek to minimize the stress on the bone caused by the threads of common implants and better distribute the masticatory force along the alveolar bone.
  • Adaptation to existing bone: The use of IAR can reduce the need for bone grafts, as the implant adapts better to the local anatomy.

Advantages of Root Analog Implants (RAI)

Root-like implants aim to improve aesthetics and functionality while minimizing bone removal and trauma during implant placement. Studies indicate that these implants can offer acceptable clinical results, although the survival rate may vary depending on the material and manufacturing technique used.[1][4] In addition, the biomechanics of root analog implants show promising behavior in dissipating masticatory load, compared to conventional implants.[5]

IARs offer several advantages over conventional implants:

  • Perfect fit: Because they are customized, they fit exactly into the dental socket, eliminating the need for additional drilling or bone grafts.
  • Superior aesthetics: Zirconia has a color similar to that of the natural tooth, avoiding the gray discoloration that can occur with titanium implants.
  • Less Invasive Procedure: Immediate placement after extraction reduces the need for additional surgery and speeds up recovery time.
  • Lower risk of peri-implantitis: The absence of threads and the smooth surface of IARs reduce the accumulation of bacterial plaque, reducing the risk of peri-implant infections.
root analog implant
Example of clinical application of IAR. Above, the fractured tooth that was removed. Below, on the left, a comparison of the implant produced with a conventional implant. On the right, the IAR installed in the patient. Source: Pirker et al 2011 [8]

Materials and Technology in Root Analog Implants (RAI)

The Root Analog Implant (RAI) has benefited from advances in digital technologies, including:

  • CAD/CAM (Computer Aided Design and Manufacturing): Allows customized implants to be created based on the patient’s anatomy.
  • Cone Beam Computed Tomography: Ensures more precise planning, allowing the implant to be inserted in more favorable regions.
  • Advanced Materials: Zirconia has been explored as an alternative to titanium in the manufacture of these implants, due to its high biocompatibility.

Clinical Indications for a Root Analog Implant (RAI)

The Root Implant Analog (RIA) is recommended for:

  • Patients who need greater primary stability.
  • Cases where the preservation of cortical bone is essential.
  • Regions with limited bone where the use of conventional implants would require grafting.

IAR implants are particularly suitable for patients looking for less invasive treatments with shorter recovery times.

According to Dr. Roberto, the lower invasiveness is due to the fact that no additional drilling is required to place the anatomical implants. Common implants require drilling into the bone to place the implant, which is screwed in. However, IAR anatomical implants adapt perfectly to the hole that is left after tooth extraction (dental alveolus).

During this installation, the implant is placed under pressure inside this hole, without requiring any additional bone wear. In this way, it will adapt perfectly to the anatomical hole, closely resembling the shape of the old tooth.

IAR root analog implant
3D design of the root analogue implant. Sup L: Root shape extracted from CT scan. Sup R: Design of the IAR implant. Lower: Finalized design for production of the customized implant. Source: Al Moziek et al [7]

Scientific Evidence on Customized Implant Root Analogues (IAR)

Recent clinical studies show that IAR implants have a similar or higher success rate than conventional implants. A meta-analysis published in the Journal of Oral Implantology indicated that:

IAR implants are especially recommended for patients looking for less invasive treatments and shorter recovery times.

Our Clinical Director, Dr. Markarian, points out that the application of digital scanning techniques in the manufacture of prostheses on IAR implants can improve the precision of prosthetic adaptation and reduce biomechanical complications.

IAR root analog implant
This historical follow-up of the evolution of IAR root analogue implants was published in a scientific article by Pour et al 2019 [10]. We can see that experiments were carried out with a variety of formats, materials and manufacturing techniques.

Conclusion: The Future of Root Analog Implants (RAI)

Root Analog Implants (RAI) represent a promising and scientifically supported approach to modern implant dentistry. With the use of advanced technologies and a more anatomical design, this technique is proving to be a viable alternative for improving the distribution of masticatory forces, reducing peri-implant bone loss and increasing the long-term success rate.

It is important to note that, despite the potential advantages, the root-like implant technique still requires more long-term clinical studies to evaluate its effectiveness and success compared to traditional implants.[2][6] The technique is also used to evaluate the efficacy and success of root-like implants.

Therefore, these anatomical implants are not available for use in most countries, including Brazil. At our ImplArt Clinic we are always on the lookout for new developments and as soon as they are regulated in Brazil we will start using them. Stay tuned!

Written by: Dr. ROBERTO MARKARIAN. Master’s and Doctorate in Dentistry. Technical manager of the ImplArt Clinic.

References

1.Custom-Made Root Analog Immediate Dental Implants: A Prospective Clinical Study With 1-Year Follow-Up. Akkoyun EF, Demirbaş AE, Gümüş HÖ, Alkan BA, Alkan A. The International Journal of Oral & Maxillofacial Implants. 2022 Nov-Dec;37(6):1223-1231. doi:10.11607/jomi.7198.

2. Immediate Nonsubmerged Custom Root Analog Implants: A Prospective Pilot Clinical Study. Moin DA, Hassan B, Wismeijer D. The International Journal of Oral & Maxillofacial Implants. 2018 Mar/Apr;33(2):e37-e44. doi:10.11607/jomi.6048.

3. Innovative Single-Tooth Replacement With an Individual Root-Analog Hybrid Implant in the Esthetic Zone: Case Report. Saeidi Pour R, Randelzhofer P, Edelhoff D, et al. The International Journal of Oral & Maxillofacial Implants. 2017 May/Jun;32(3):e153-e160. doi:10.11607/jomi.5562.

4.Root-Analogue Implants Compared to Forced Orthodontic Extrusion: A Retrospective Analysis of Clinical, Radiological and Esthetic Outcomes After Restoration. Böse MWH, Beuer F, Naumann M, et al. Clinical Oral Investigations. 2023;27(10):5875-5886. doi:10.1007/s00784-023-05198-6.

5.Dental Biomechanics of Root-Analog Implants in Different Bone Types.Tribst JPM, Dal Piva AMO, Blom EJ, Kleverlaan CJ, Feilzer AJ.The Journal of Prosthetic Dentistry. 2024;131(5):905-915. doi:10.1016/j.prosdent.2022.10.005.

6.Accuracy of Preemptively Constructed, Cone Beam CT-, and CAD/CAM Technology-Based, Individual Root Analogue Implant Technique: An in Vitro Pilot Investigation. Moin DA, Hassan B, Parsa A, Mercelis P, Wismeijer D.Clinical Oral Implants Research. 2014;25(5):598-602. doi:10.1111/clr.12104.

7. Al Moziek et al Success and survival rates of immediate anatomic zirconia implants: a prospective clinical and radiographic evaluation. Braz J Oral Sci. 2023;22:e239183.

8. Pirker et al 2011 Immediate, single stage, truly anatomic zirconia implant in lower molar replacement: A case report with 2.5 years follow-up. IJOMI 2011 40(2) 212-216.

9. Mangano et al 2012. Custom-made, root-analogue direct laser metal forming implant:a case report. Lasers Med Sci.DOI 10.1007/s10103-012-1134-z.

10. Pour et at 2019. Historical development of root analogue implants: a review of published papers. British Journal of Oral and Maxillofacial Surgery. DOI: 10.1016/j.bjoms.2019.01.021

The title image was adapted from : https://en.wikipedia.org/wiki/Root_analogue_dental_implant

Total Implantation . Implantation of all teeth

Total dental implants can be implanted in both the mandible (lower arch) and maxilla (upper arch), although there are important anatomical differences that interfere with the planning of dental implant surgery. Fixed prostheses on dental implants can be made of Zirconia, Pure Zirconia, Porcelain(metal-ceramic), as well as Resin, called a protocol prosthesis. This type of implant treatment for all teeth, also called a total dental implant with protocol, allows patients to regain their smile and chew.

Dental implant surgery is currently a fairly straightforward operation, carried out in an office or hospital environment, with hospitalization for the patient’s comfort. Implants make it possible to replace missing teeth even in large areas of the arch, including in patients with all their teeth compromised by periodontal disease.
They can also be used in patients with bone loss, who may need bone grafting before or during the installation of the dental implant.

It is important to note that there are currently different types of dental implants, and the most modern ones, cone morse implants, allow for faster healing.

*Read more about how dental implants are done: How are dental implants done? How to get a dental implant ?

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Total Implantation . Implanting all teeth step by step

With regard to the end result, the aim is to obtain fixed dental prostheses that will remain supported on the implants. This will allow the patient to regain their masticatory function and aesthetics.

Of course, as protocol prostheses are screwed onto dental implants, the result is a very efficient dental prosthesis for chewing, as well as excellent aesthetics and comfort.

It is therefore a much better solution than a removable prosthesis, as it provides excellent fixation and stability. In the upper arch, the total implant has the added advantage of completely uncovering the palate (roof of the mouth), which improves patient comfort.

Unlike removable prostheses (dentures), which cover the roof of the mouth to allow them to be fixed and make it difficult to perceive the taste of food, prostheses on implants are thin and occupy only the region of the dentition, leaving the rest of the mouth free, similar to the situation found when there are natural teeth. Currently, the most modern materials are the Zirconia protocol and the porcelain protocol on a total implant.

*Learn more about dental implants All on Four: 8 common mistakes to avoid when getting dental implants All on Four

Protocol prosthesis

This type of treatment is usually also called a Protocol Prosthesis. Although, from a technical point of view, this name is only used when the prosthesis is made of resin, the nomenclature is widely used to identify this treatment.

Visit the total implant photo gallery by clicking here

Read more frequently asked questions about total implants

See also this moving testimonial from a patient who had her whole mouth implanted.

Total Implantation .Examinations and planning

After radiographic examinations and a CT scan of the jaws, the dental implant specialist will be able to analyze the ideal planning for the case and thus indicate bone complements such as grafts to better prepare the bone if necessary.

The jaw bone (lower arch) is more rigid and resistant, so dental implants can be installed in most cases. The upper jaw bone, on the other hand, is less dense and delicate and has a more complex anatomy.

Certainly the proximity to the nose, the maxillary sinus cavities and the greater bone loss require further study.

Full Arch Implants
Full Arch Implants
Full Arch Implants
Full Arch Implants

Total Implantation . With or without Graft ?

If bone grafting is necessary, don’t be alarmed – it’s very common. Of course, dental grafting for full implants is not necessarily complicated, invasive or large. On the contrary, most of the time the bone graft for a full arch implant is simple, small and restricted to the position of the implant.

Less invasive implant surgery: in our clinic we use current concepts of minimally invasive surgery for dental implants, which make the procedure faster and offer greater comfort during the procedure and especially during the healing phase of the dental implant.

Computer-guided implant surgery: this is a type of dental implant surgery offered at our clinic that is planned by computerized scans of the jaws.

For example, computed tomography, in conjunction with a digital mold of the arch (scanner), generates guides for the quick and safe positioning of implants. Click here to learn more about guided surgery for total implants.

Full Arch Implants
Total Implantation . Implantation of all teeth
Full Arch Implants
Total Implantation . Implantation of all teeth
Full Arch Implants
Total Implantation . Implantation of all teeth
Full Arch Implants
Total Implantation . Implantation of all teeth
Full Arch Implants
Total Implantation . Implantation of all teeth
Full Arch Implants
Total Implantation . Implantation of all teeth
Full Arch Implants
Total Implantation . Implantation of all teeth
Full Arch Implants
Total Implantation . Implantation of all teeth
Full Arch Implants
Total Implantation . Implantation of all teeth
Full Arch Implants
Total Implantation . Implantation of all teeth
Full Arch Implants
Total Implantation . Implantation of all teeth
Full Arch Implants
Metal-ceramic prosthesis
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Total Implants . Protocol Prosthesis and other types

Certainly the most common prosthesis for implanting all the teeth in a full arch is the so-called protocol prosthesis. This is a resin prosthesis with a metal reinforcement bar inside.

Over time, however, more modern ways of making complete implant prostheses have emerged. At the ImplArt Dental Clinic, we offer more technological implant materials, which are completely made on our premises and in our own dental prosthesis laboratory (see more):

If you have any questions, please make an appointment or contact us and make an appointment with our clinical director, Dr. Roberto Markarian, an implant dentist. We will be happy to assist you. The ImplArt Dental Clinic has a modern structure to serve patients and highly specialized professionals.

implantodontista
Total Implantation . Implantation of all teeth

Text written by DR. ROBERTO MARKARIAN – CRO-SP 73.583
Founder and Director of the ImplArt Dental Clinic – Dr. Roberto’s Linkedin profile

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.

  • Post-Doctorate in Implant Dentistry – Univ SL Mandic (Campinas-SP) – 2020
  • PhD in Implant Dentistry – Doctor of Implant Dentistry, Univ SL Mandic – 2017
  • Dr. Roberto Markarian Specialist in Dental Implants at USP (Implant Dentist) – 2008
  • Specialist in Prosthodontics (Prosthodontist ) by the CFO – 2006
  • Master in Prosthodontics, USP – 2005
  • Graduated as a Dental Surgeon from USP (São Paulo) – 2001
  • Member of the Clinical Staff of Hospital Alemão Oswaldo Cruz
Full Arch ImplantsAgende sua consulta agora por WhatsApp

Perfect Smile with Aligners or Braces and Dental Implants

The combination of aligners or braces and dental implants is essential to ensure a complete, functional and aesthetic smile. When a tooth is lost, neighboring teeth tend to move and occupy the empty space, causing misalignment, incorrect bite and even chewing difficulties. Without proper replacement with an implant, this movement can compromise the tooth structure and even cause bone loss.

Orthodontic treatment, especially with innovative solutions such as Invisalign, repositions teeth precisely, correcting misalignment and creating the right space for a dental implant. The implant replaces the lost tooth permanently, restoring aesthetics, chewing function and preventing further tooth displacement.

At ImplArt Dental Clinic, this integration is carried out with state-of-the-art technology and a highly qualified multidisciplinary team, guaranteeing long-lasting and personalized results for each patient. In this article, you will understand how implants and orthodontic appliances can guarantee a harmonious, functional and long-lasting smile.

braces and implants in combined treatment
Braces and dental implant treatment combined to reposition teeth and re-establish bite

Why Integrate Braces and Implants?

The absence of a tooth directly affects oral health and the harmony of the smile. Therefore, treatment with braces will allow for better alignment of the teeth, whether for treatment with implants, dental crowns or even dental contact lenses.
Integrating braces and implants treatment offers many benefits:

1. Braces and Implants: Correct Replacement of Lost Teeth

Without adequate replacement of the missing tooth, neighboring teeth tend to lean in and occupy the empty space. Orthodontic treatment realigns these teeth, preparing the site for insertion of the dental implant.

➡️ Find out more about our implant treatments:
👉 Dental Implants at ImplArt Dental Clinic Specializing in Dental Implants

2. Braces and Implants: Preventing Bone Loss

The lack of stimulation in the area of the missing tooth causes bone resorption. The dental implant is integrated into the bone, preserving bone density and preventing changes to the facial structure.

3. Braces and implants: Bite correction and chewing function

Misaligned teeth compromise bite and chewing. Braces reposition the teeth, while dental implants complete the chewing function.

➡️ Understand how digital technology helps in this process:
👉 Blunt dental implant and computer-guided surgery

4. Braces and implants: Aesthetics and confidence restored

The combination of aligning teeth and replacing missing teeth with zirconia implants results in a natural, harmonious smile.

➡️ Learn about the benefits of new types of dental implants:
👉 New types of dental implant

The Role of Invisalign in Preparing for Dental Implants

Invisalign is a transparent, comfortable and effective orthodontic aligner, ideal for preparing the smile for the placement of dental implants. It corrects the position of the teeth discreetly and efficiently, creating the necessary space for the installation of the dental implant.

Advantages of Invisalign for Integration with Implants

  • Discretion and Comfort: Almost invisible aligners, which do not interfere with aesthetics during treatment.
  • Removable: Facilitates oral hygiene and food consumption.
  • Digital Planning: Allows you to visualize all the stages of the treatment before it even begins.

➡️ Learn more about how Invisalign can transform your smile:
👉 Top questions about Invisalign treatment in São Paulo

Full Arch Implants
Braces and implant treatment: Invisalign to align and implants to replace missing teeth

Zirconia Implants: The Best Aesthetic Option

Zirconia implants are the ideal solution for patients looking for aesthetics and biocompatibility. As well as being metal-free, these implants offer a more natural appearance, especially in the anterior region of the mouth.

Benefits of Zirconia Implants

  • Superior Aesthetics: Natural appearance without the risk of metal exposure.
  • Biocompatibility: Totally safe and hypoallergenic.
  • High durability: Superior resistance to wear and fractures.

➡️ Learn more about our zirconia implant treatments:
👉 Metal-free white zirconia dental implant

zirconia is the best material for dental implants
Zirconia implant and zirconia prosthesis the ultimate combination

Zirconia Implants and Prostheses: The Perfect Aesthetic Solution

Zirconia implants, offered at the ImplArt Clinic, are the most modern and aesthetic solution for rehabilitating smiles. This metal-free material provides natural, long-lasting results.

Benefits of Zirconia Implants:

  1. Natural Aesthetics: The white color of zirconia resembles natural teeth, without metallic interference.
  2. High Biocompatibility: Ideal for patients looking for safe and hypoallergenic materials.
  3. Durability and Resistance: Highly resistant material, guaranteeing a long service life.

In addition, dentures made with zirconia are customized for each patient, ensuring a perfect fit and a natural appearance.
👉 Types of dental prosthesis materials

Digital Planning: Integrating Orthodontics and Implantology

At the ImplArt Clinic, the use of advanced technology, such as the 3D scanner, 3D digital tomography and guided surgery, allows for integrated planning between Invisalign and the implants. This process guarantees precision at every stage of treatment.

“The integration of orthodontics and dental implants is essential for restoring not only the aesthetics but also the full functionality of the smile. Aligning teeth precisely and repositioning implants at the right time guarantees long-lasting results and significantly improves patients’ quality of life.”
– Dr. Roberto Markarian, specialist in implant dentistry and clinical director of the ImplArt Clinic.

dental implant surgery
Perfect Smile with Aligners or Braces and Dental Implants

Planning stages:

  1. Initial Assessment: Clinical and digital analysis with Dr. Roberto Markarian, implantologist and director of the ImplArt Clinic, to understand the patient’s needs.
  2. Coordination between specialists: Orthodontists and implant dentists work together to align teeth and fill spaces.
  3. Precise execution: With digital technology, implants are optimally positioned to ensure functionality and aesthetics.

The ImplArt Clinic uses the most modern technologies to integrate orthodontics and implants precisely and safely. These include:

  • 3D Computed Tomography: Complete assessment of bone and tooth structure.
  • Digital Planning and Guided Surgery: Precise definition of implant positioning.
  • Digital Prosthesis Laboratory: We make prostheses with a perfect fit and incomparable aesthetics.

➡️ See how we apply cutting-edge technology to our treatments:

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Why Choose the ImplArt Clinic?

The ImplArt Clinic is a reference in personalized treatments that combine orthodontics and implantology. We offer:

Schedule your personalized assessment to find out more about our solutions:
👉 Contact us

IMPLART CLINIC
Perfect Smile with Aligners or Braces and Dental Implants

Conclusion: Complete Smile with Orthodontics and Dental Implants

The integration between orthodontic treatment and dental implants is essential to guarantee an aesthetic, functional and long-lasting smile. The use of Invisalign to align the teeth and create the appropriate space for the placement of zirconia implants is the complete solution for those seeking excellence in oral health.

At the ImplArt Clinic, we combine cutting-edge technology, specialized professionals and personalized service to transform smiles and improve the quality of life of our patients.

👉 Book your appointment today and start your transformation

ImplArt Dental Clinic

⭐The ImplArt Dental Clinic is located in São Paulo and welcomes patients from all over the world. If you would like to know more about our treatments, ask questions about root canal treatment, dental implants in São Paulo, and schedule an appointment 📲WhatsApp(11) 3262-4750.

DR. ROBERTO MARKARIAN IMPLANTODONTISTA SITE
Perfect Smile with Aligners or Braces and Dental Implants

Text written by DR. ROBERTO MARKARIAN – CRO-SP 73.583
Founder and Director of the ImplArt Dental Clinic – Dr. Roberto’s Linkedin profile

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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root canal or dental implant treatment

Root Canal or Dental Implant treatment?

When faced with serious dental problems, such as infections or severe decay of a tooth, the question arises: should you opt for root canal or dental implant treatment? According to Dr. Roberto Markarian, implant dentist and director of the ImplArt Clinic, the choice depends on a careful evaluation, considering factors such as the integrity of the tooth, general oral health and the technological options available.

The good news is that there are resources that allow you to visualize the dental situation beforehand and thus guide the initial course of action to be adopted. Even so, it’s important to bear in mind that the treatment may be altered if, during the process, a root fracture or more severe dental impairment than initially anticipated is identified.

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Root canal or dental implant? When root canal treatment is the best option

Root canal treatment is indicated when the pulp of the tooth has been compromised but its structure can still be preserved. This procedure is ideal for eliminating infection, restoring functionality and maintaining the natural tooth. According to Dr. Roberto Markarian, preserving the natural tooth whenever possible offers important advantages:

  • Dental Proprioception: Natural teeth have periodontal ligaments that allow them to feel chewing forces, something that is lost when using implants.
  • Maintaining Gingival Anatomy: Preserving the tooth helps to maintain the aesthetic harmony of the surrounding gums, facilitating a more natural restoration.
  • Possibility of placing crowns: After a successful root canal treatment , the tooth can receive a high-quality crown, guaranteeing functionality and aesthetics.
root canal or dental implant treatment
Root Canal or Dental Implant treatment?

Is it possible to be 100% sure about saving a tooth with an X-ray alone?

Some of the most common questions patients ask when deciding between root canal treatment or dental implants are: can you be absolutely sure that the tooth will be saved just by looking at the X-ray? Or even: is it possible to know for sure whether or not the tooth needs root canal treatment just by looking at the X-ray?

According to Dr. Roberto Markarian, implant dentist and director of the ImplArt Clinic, dentistry is not an exact science and, as in any area of health, it is not possible to offer 100% guarantees on results because we are talking about an organism. Although radiography is an essential tool for diagnosis, allowing the professional to assess the integrity of the root, the presence of infections and other structural conditions, it does not reveal all the details of the case. Microscopic fractures or conditions that are not visible on the scan can influence the success of the treatment and require the specialist to change their approach.

“Our mission as health professionals is to use the best available resources, such as advanced imaging exams and modern techniques, to offer the best possible prognosis,” says Dr. Markarian. At the ImplArt Clinic, we combine clinical experience with cutting-edge technologies to increase the chances of success in every procedure, whether it’s root canal treatment or the placement of dental implants.

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Photo shows dental radiograph: Some radiographs make it possible to clearly see the need for root canal treatment, while others require a combination of clinical assessment, radiographs and the patient’s report

Professional experience makes a difference when it comes to root canal treatment or dental implants

Of course, the dentist’s experience and knowledge are fundamental. In addition to radiographic analysis, it is necessary to clinically assess the tooth, the extent of the damage, possible hidden fractures, and the health of the surrounding tissue.“Our commitment is to act responsibly and offer the best alternatives available to preserve the tooth whenever possible, with a focus on long-lasting, high-quality results,” adds Dr. Markarian. Therefore, if there is a possibility of preserving the tooth, root canal treatment is the first option. Only secondly, if it is not possible to keep it, or even if irreversible damage to the tooth is identified, do we opt for extraction and a dental implant in the same surgery.

Watch the video below where Dr. Roberto Markarian talks about the benefits of extracting a tooth and placing an implant on the same day.

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This approach demonstrates the importance of relying on a specialized professional, using the best practices and technologies to guarantee the most effective treatment for each patient, whether for root canal treatment or dental implants.

Is root canal treatment 100% guaranteed?

We know that root canal treatment is the last resort to save a tooth and therefore there is always a chance of failure. We must remember that although it is possible to evaluate radiographic examinations, we are talking about a health treatment whose planning may change over the course of the treatment and the next step is extraction followed by a dental implant.

See the image below for an example of a particular case in which the X-ray alone could have led to uncertainty about the diagnosis. However, the combination of the clinical assessment(swelling, pus), the patient’s report ( pain after accidentally biting a bone) and the X-ray made it possible to identify that there was a fracture in the area, culminating in the indication of simultaneous extraction and dental implantation.

dental fracture
Photo shows a tooth that was removed because it had a crack. Radiographically, the case could be mistaken for a root canal, but root canal treatment would not solve the problem because bacteria would be lodged in the cracked area.

Can I insist on a root canal?: Cases where a root canal doesn’t solve the problem

Root canal or dental implant? Even with technological advances, there are situations in which root canal treatment or retreatment doesn’t solve the problem. Root fractures, for example, can make the tooth unfeasible, making it necessary to remove it and consider alternatives such as dental implants.

Therefore, in the vast majority of cases it is not a choice between root canal treatment or dental implants, but a necessity. That’s why it’s essential to trust the professional in charge of the treatment, so that he or she can be sure of the best course of action.

Biological dentistry and root canal treatment

The current trend of biological dentistry, which is very widespread today, does not recommend root canal treatments on the grounds of toxicity. However, this claim still lacks scientific proof. Studies show that treatment, when carried out with biocompatible materials and modern techniques, is safe. At the ImplArt Clinic, we use the best practices to offer safe, long-lasting results and we value the patient’s well-being.

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When Dental Implants Are Necessary

In cases where the tooth cannot be saved, dental implants are the definitive solution. The ImplArt Dental Clinic is a pioneer in technologies such as the use of zirconia prostheses and digital implant planning, detailed on our advanced dental implants page.

However, according to Dr. Roberto Markarian, “the implant, no matter how good, will never be superior to the natural tooth in terms of biology and functionality.” Some considerations about implants include:

  • Loss of Proprioception: Implants have no periodontal ligaments, eliminating the ability to perceive masticatory forces.
  • Need for Aesthetic Planning: To achieve optimal results, careful planning of the gingival anatomy around the implant is necessary

Therefore, whenever possible, the ImplArt Clinic chooses to preserve the tooth. Dental implants are only indicated when there are no other alternatives to save a severely compromised tooth.

*Want to know more about how long it takes to recover from a dental implant? Go to: How many days rest after a dental implant?

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Root Canal or Dental Implant treatment?

Why Choose the ImplArt Clinic?

The ImplArt Clinic is a benchmark in high-quality dental treatment in Brazil and worldwide. Our differentials include:

  • The team is led by Dr. Roberto Markarian, a renowned specialist with extensive experience in implant dentistry;
  • Use of state-of-the-art technology, such as 3D digital planning and biocompatible materials;
  • Personalized service for each case, focusing on aesthetic and functional results.
  • A complete structure, equipped with high technology for patient care.

We receive international patients looking for excellent treatments, which reinforces our position as a reference dental clinic in dental implants and computerized prostheses in Brazil.

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Conclusion: Keep Natural Tooth with root canal treatment or dental implant?

Whenever possible, preserving the natural tooth is the best option, bringing biological and aesthetic benefits. However, in cases where this is not feasible, replacement with high-tech dental implants, such as those offered by Clínica ImplArt, may be the ideal solution.

Today there are very modern resources for your treatment, with various types of dental implant and types of dental crown available at the ImplArt Clinic. If you still have doubts or would like an assessment, contact our team and make an appointment to restore your smile with health and confidence.

ImplArt Dental Clinic

⭐The ImplArt Dental Clinic is located in São Paulo and welcomes patients from all over the world. If you would like to know more about our treatments, ask questions about root canal treatment or dental implants, or schedule an appointment 📲WhatsApp(11) 3262-4750.

DR. ROBERTO MARKARIAN IMPLANTODONTISTA SITE
Root Canal or Dental Implant treatment?

Text written by DR. ROBERTO MARKARIAN – CRO-SP 73.583
Founder and Director of the ImplArt Dental Clinic – Dr. Roberto’s Linkedin profile

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.

Full Arch ImplantsAgende sua consulta agora por WhatsApp

painless dental implants

Painless Dental Implants: Technology Makes Your Implant Surgery More Comfortable

For many people, fear of pain is one of the main reasons they put off dental treatments such as dental implants. However, with the latest technological advances, procedures have become much more comfortable, safer and faster, allowing painless dental implants surgery. Today, with methods such as digital planning using 3D tomography and computer-guided surgery, pain is no longer an obstacle for those looking to restore their smile. In this article, you will understand how these innovations are revolutionizing dental implant treatment and why the ImplArt Clinic is a benchmark in the field.

Why Are People Afraid of Dental Implants?

The fear of pain is still common and is often associated with past dental experiences or a lack of knowledge about the new technologies available. Fortunately, modern dentistry has evolved significantly, offering much more patient-friendly and comfortable solutions.

Among the new trends for pain-free dental implant treatment are fast-healing implants. These implants have nanotechnology on their surface, which speeds up the osseointegration process and further increases the chances of successful implant treatment.

Want to better understand what a dental implant is and how it works?
*Access our complete guide: How does dental implant treatment work?

Straumann Slactive dental implant
New trends: dental implants with nanotechnology

Modern Technologies for painless dental implants

Traditional dental implant techniques have given way to more sophisticated methods that prioritize safety and comfort. At the ImplArt Clinic, we use up-to-date implant technologies that stand out in the dental market, with the aim of offering pain-free dental implant surgery:

  • Digital planning by 3D tomography: This modern technology allows the dentist to visualize the patient’s entire anatomy in high resolution, ensuring greater precision in implant planning and reducing possible complications.
  • Computer-guided surgery: Provides a faster, safer and more predictable procedure, minimizing cuts and, consequently, post-operative discomfort.
  • Conscious sedation: For patients seeking total comfort, we offer sedation during the procedure, eliminating the sensation of pain and reducing anxiety, allowing dental implant surgery to be carried out painlessly.
  • Electronic anesthesia: This modern feature allows the dreaded “little prick” of anesthesia to be much lighter and more comfortable for the patient
  • Digital smile planning: With this technique, which involves an intraoral scanner to design a dental crown, fixed prosthesis or protocol prosthesis, the prosthetic stage is much more comfortable. The prostheses are produced by means of a modern computer graphics system, without the old mass moldings.

*Learn more about these innovative techniques: Guided surgery for dental implants

Find out more about the zirconia implant and the modern CAD/CAM Pure Zirconia Crown, made using a modern computer graphics system.

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The Benefits of a Painless Dental Implant Procedure

As well as making treatment more comfortable, these technologies bring a number of benefits to patients:

  1. Fasterrecovery: Less invasive procedures reduce tissue trauma, promoting faster healing.
  2. Less post-operative discomfort: The use of modern techniques minimizes swelling, pain and the need for medication.
  3. High precision in aesthetic results: Advanced materials, such as zirconia, provide a natural appearance and excellent durability, guaranteeing fixed teeth that truly resemble natural ones.

*To find out more about the high-quality materials we use, visit: High-performance dental implant prostheses.

Why choose the ImplArt Clinic for your dental implant?

Located in São Paulo, the ImplArt Clinic combines professional expertise with the latest technologies to provide a unique and personalized experience for its patients. Our team is always up to date with the latest trends in dentistry, guaranteeing excellent results and full satisfaction.

In addition, ImplArt offers a state-of-the-art infrastructure with modern equipment and a humanized service designed to transform fear into confidence and discomfort into peace of mind.

*Make an appointment to find out how we can transform your smile: Contact us.

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Conclusion: Painless Dental Implants are a Reality

Thanks to technological innovations, the fear of pain is no longer a barrier for those who need a dental implant. At the ImplArt Clinic, we are committed to offering high-quality treatments, prioritizing the well-being and comfort of our patients and aiming to offer patients pain-free dental implant surgery.

Always thinking about patient comfort, the success of their treatment and providing pain-free dental implant surgery, here at the ImplArt Clinic, our clinical director, implant dentist Dr. Roberto Markarian uses the technique of simultaneous extraction and dental implantation, in the same surgery, whenever possible. This certainly allows for more comfort for the patient, who undergoes fewer surgeries throughout their treatment. See our clinical director’s explanations of the reasons for extracting the compromised tooth and implanting it in the same surgery.

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Don’t put off your smile any longer! Discover what modern dentistry can do for you. Book your appointment now: Dental implants – Learn all about dental implants.

ImplArt Dental Clinic

⭐The ImplArt Clinic is located in São Paulo and welcomes patients from all over the world. If you would like to know more about our treatments, dental implants, ask questions or schedule an appointment 📲WhatsApp(11) 3262-4750.

DR. ROBERTO MARKARIAN IMPLANTODONTISTA SITE
Painless Dental Implants: Technology Makes Your Implant Surgery More Comfortable

Text written by DR. ROBERTO MARKARIAN – CRO-SP 73.583
Founder and Director of the ImplArt Dental Clinic – Dr. Roberto’s Linkedin profile

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.

Full Arch ImplantsAgende sua consulta agora por WhatsApp

Fixed dental prosthesis in pure 3D translucent zirconia

Among the latest material options for making a fixed prosthesis for a full arch implant, total implant or protocol prosthesis, we now have an innovative technique full of advantages: 3D pure translucent zirconia. Zirconia is currently the most modern material for both full and partial dental implant prostheses. It is also the most suitable material for dental crowns on single implants or fixed prostheses.

Zirconia dentures combine beauty and strength

Pure zirconia is also known as cubic zirconia, translucent zirconia, monolithic zirconia and black zirconia. It is currently considered the most modern and resistant material for making dental crowns.

Dental prostheses made from this material are fixed onto dental implants previously placed in the upper or lower jaw.

In order to offer patients the most modern treatments, the ImplArt dental clinic has once again innovated by pioneering the best European technology (Austria) to manufacture 3D zirconia dental prostheses in its own laboratory.

Its modern manufacturing allows treatment to be carried out using 100% computerized techniques, with complete digital planning of the case. This means more comfortable treatment for the patient, much more predictable, and above all, faster.

Translucent Zirconia
The translucent zirconia protocol prosthesis is completely white and contains no metal inside. As a result, the colors and shapes are more beautiful and natural.

Planning 3D zirconia implant/prosthesis treatment

For a complete treatment with dental implants, there must first be an extensive conversation between the dental surgeon and the patient. The definition of the total treatment takes place in 3 stages:

  • 1- Firstly: Planning the surgical and prosthetic aspects of the all-tooth or partial implant case. First of all, the patient’s needs are studied, with a clinical assessment and radiological examinations, so that the case can be planned precisely before it is carried out.
  • 2- Secondly: Performing the surgery to install the dental implants. At this point, a temporary transition prosthesis for the full arch should also be installed.
  • 3- Thirdly: Preparation of the final dental prosthesis. Once the implants have healed, the long-awaited making of the complete prosthesis begins, according to the material chosen by the patient at the start of their treatment.
Gumless dental zirconia prosthesis.
Zirconia dental prosthesis without gums. In some cases it is possible to make a zirconia dental prosthesis without the pink gum layer. In an acrylic dental protocol this would not be possible.

Not all protocol prostheses are the same and made of acrylic!

The choice of implant prosthesis material

Nowadays, you can choose from a variety of materials for fixed prostheses on implants (dental protocols). In the past, there were only metal-ceramics (metal structure and porcelain exterior) and acrylic (resin), made by hand.

Today, ImplArt is able to offer patients options with extreme resistance and superior aesthetics, such as computer-engineered translucent zirconia. In this sense, each type of prosthetic material can have an impact on the patient’s treatment in terms of price, preparation time and the final aesthetics of the total implant.

Therefore, in this article, we will explain the most modern model of fixed prosthesis on implants: the computerized translucent zirconia prosthesis, as well as its advantages and characteristics.

What is 3D dental zirconia? Zirconia is a white material that has the strength of a metal

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Zirconia dental prosthesis being designed on a computer, with a photo of the face superimposed. This gives us additional information about the lips, skin and gum colors, the shape of the teeth and the final appearance of the smile.

Types of zirconia prosthesis for dental protocols

Today there are three types of dental zirconia to better perform protocol prostheses on implants (fixed dental prostheses), namely :

  • 1. milky whitezirconia structure (lower volume), together with applied porcelain overlay (higher volume)
  • 2. 3Dtranslucent zirconia prosthesis (larger volume), i.e. with a small application of porcelain on the outside of the teeth (smaller volume)
  • 3.3D monolithic pure zirconia prosthesis (full volume) with make-up, so no additional porcelain applied
zirconia prosthesis being manufactured
The aesthetics of aesthetic zirconia fixed prostheses are unbeatable. Notice how translucent the material is and how beautiful and natural it looks.

What does the 3D translucent pure zirconia implant prosthesis look like?

In this type of zirconia prosthesis, there is only a small porcelain overlay on the structural part of the prosthesis. In short, the entire final process of making the monolithic zirconia prosthesis is done by computer programs and robotic machines( Digital Dentistry).

Therefore, we are sure that the fittings will be perfect, the anatomy will be that of natural teeth, and the colors will be realistic.

zirconia and translucency prosthesis
Dental zirconia protocol. Note that there is a small layer of translucent porcelain on the outside of the tooth to give it more shine, better color and more translucency. The rest of the prosthesis is solid and made of pure zirconia that has been tinted to match the natural color of the tooth and gums. The holes will be closed after the fixed prosthesis has been installed.

Advantages of the 3D zirconia protocol prosthesis

In contrast to metal as a structure, the main advantages of translucent zirconia are its biocompatibility, excellent aesthetics and extreme resistance. Zirconia, with the white structural part of the dental prosthesis, undeniably enhances the natural cosmetic characteristics of porcelain.

In fact, dental zirconia is exceptionally strong and durable as a base. So much so that the use of small portions of porcelain over this translucent zirconia structure provides complementary aesthetics for the complete implant.

In addition, zirconia is a super biocompatible and anti-allergenic material and is also used in white dental implant posts.

zirconia dental prosthesis internal structure
The structure of the zirconia dental prosthesis is white and, at this stage, not yet colored or shiny. In the next phase of the prosthetic work in our dental laboratory, the piece will come to life with the pigmentation of teeth and gums. The final colors depend on the consensus between the person’s taste and the dentist’s opinion. However, you can virtually choose any color from the available range. The most commonly used shades for porcelain zirconia teeth are B1, A1, BL4, A2, B2. For the gums, we try to follow the color of the patient’s natural gums, with the most common colors being STG4, STG5 and STG8.
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Work on applying layers of ceramic. In the end, all the natural aspects of the teeth and gums will be reproduced, imitating their tones, textures and translucency.

Read more: Aesthetic cores for dental crowns

zirconia fixed dental prosthesis
Zirconia prosthesis with aesthetic ceramic application, ready to be installed on the implants

Superior aesthetics of 3DZirconia

Dental zirconia can be custom-made in such a way that it resembles the enamel and gum tissues, thus optimizing the aesthetic result.

Translucent dental zirconia is undeniably the best material for fixed prostheses on implants, as it offers translucency, naturalness and strength as a result.

First of all, it should be noted that the zirconia protocol prosthesis makes no noise when chewed, is not heavy, nor does it damage dental implants, and certainly not opposing teeth.

Translucent dental zirconia is a material that above all does not change color, does not stain and therefore does not wear out with use.

multlayer zirconia crowns
Observe the natural anatomical details of the finished porcelain and zirconia fixed dental prosthesis. This work is done in our in-house digital dental laboratory.

How are 3D translucent zirconia dentures made?

The ImplArt Clinic has all the infrastructure to make your zirconia fixed prosthesis in its own laboratory. Here’s how it works: a zirconia dental prosthesis is manufactured using computerized processes, starting with the milling of a solid block of zirconia.

Above all, because it is a CAD-CAM (computerized) job, your dental project is stored in our laboratory, so the original project can be printed again quickly, should the need arise.

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Dental prostheses: versions with or without artificial gum are possible (but it depends on an examination to check feasibility). 1-Without gum layer; 2-Light gum layer; 3-With gum layer.

Maintenance of fixed 3D translucent zirconia dental implants

First and foremost, zirconia is extremely resistant and is certainly the strongest material for dental use. As such, its resistance is superior to porcelain and, of course, resin.

Maintenance for a zirconia prosthesis involves a visit to the dentist every 6 months for prophylaxis, in order to monitor oral health in the same way as recommended for all other patients.

The risk of the prosthesis fracturing is, above all, very rare, due to a characteristic of the material.

With regard to the color and shape of the teeth, these remain unchanged over time, making the material an excellent choice for its durability and, above all, long-term aesthetics.

It is always important to remember that, once treatment is complete, you should visit your dentist every 6 months for prophylaxis and to monitor the results of your treatment.

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medo de implantes

Fear of dental implants – Resources available at ImplArt

Many people feel scared at the thought of going to the dentist. Many people are afraid of dental implants, believing that they will feel a lot of pain with the dreaded little motors and needles of anesthesia. Others experience nausea or motion sickness during treatment, especially when an instrument touches their mouth or tongue. Be aware that implant surgery is now very simple and quick.

Understand why there’s no reason to be afraid of implants at ImplArt

But believe me, the reality is that dental implant surgery is easier than you might think and there really is nothing to be afraid of. Dentistry has come a long way with the use of less invasive implant techniques to offer comfort to the patient and ImplArt has incorporated the most effective current techniques into its practice to minimize any discomfort. In addition, there are several types of implant that can make treatment faster and more comfortable.

Differencia Clinica Dentaria ImplArt for those who are afraid

ImplArt is always in line with the latest developments in the world of dentistry. First and foremost, 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 having your aesthetic and functional oral rehabilitation without the fear of dental implants.

Humanized treatment helps tackle dentist phobia

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, and treatments that involved pain.

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.

In this way, we have seen how most patients respond very well to the humanized treatment we offer, which allows us to gradually rehabilitate the patient so that they can overcome their fears and limitations.

We are ready to listen to your needs, fears and your historywith dentists

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 of dentists (odontophobia). We affirm that the advantages of good oral health and an aesthetic smile are well worth it.

ImplArt’s entire team is committed to welcoming and understanding all the needs, fears and traumas that people bring with them. Don’t let fear of the dentist 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!

Efficient pre-anesthesia helps in odontophobic cases

At ImplArt we use a much more efficient pre-anesthetic than the old “ointment”. It promotes a much deeper numbness of the region even before receiving the internal anesthesia.

painless anesthesia at the dentist in são paulo, afraid of implants

Juvapen electronic anesthesia – anesthesia almost without pain

With Swiss technology, Juvapen electronic anesthesia offers more comfort and precision in anesthetic applications. It is an electronic syringe in which the dentist informs the dose of anesthesia to be applied.

In this way, the amount of medication will be precise and applied very slowly and gently, considerably reducing any discomfort. In normal dental anesthesia, which is done by hand, the dentist injects the anesthetic liquid more quickly.

In fact, that’s what causes the pain, not necessarily the needle. According to surveys, 87% of the patients interviewed thought that electronic anesthesia was less or not at all painful than manual injections.

Deep intravenous sedation puts the phobic patient to sleep

Sedation is a technique indicated for those who are very afraid of dentists, 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 at the time of 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 monitored by the doctor and monitoring devices. 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 procedure 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 actually “afraid of dental implants “. Only in extreme cases of panic on the part of the dentist will treatment need to be carried out under general anesthesia in hospital.

*Do not confuse sedation with general anesthesia. General anesthesia is much more complex and can only be done in a hospital.

Day Clinic Odontológico – Faster treatments help patients who have difficulty going to the dentist

The Day Clinic or Dental Spa is a type of intensive treatment that, among other advantages, is suitable for those who are afraid of dental implants. 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 dental implants, because they spend less time in the 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. At ImplArt we have a modern and complete structure for this purpose.

Digital dentistry techniques, computerized molds and fabrication of teeth, our own laboratory and trained staff speed up treatment.

Read more: Do dental implants hurt?

Read more: Dental implant surgery?

computer-guided implant surgery for pain-free surgery, afraid of dental implants

Guided dental implant surgery makes implants faster and less invasive

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 surgical guide acts as a template with the exact indications where the thinner 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.

Learn more about guided implant surgery

Watch the guided dental implant surgery video

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Fear of dental implants - Resources available at ImplArt
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Fear of dental implants - Resources available at ImplArt
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Fear of dental implants - Resources available at ImplArt
no need to be afraid of implants, the results are worth it
Fear of dental implants - Resources available at ImplArt
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Fear of dental implants - Resources available at ImplArt
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Fear of dental implants - Resources available at ImplArt
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Fear of dental implants - Resources available at ImplArt
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Fear of dental implants - Resources available at ImplArt
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Fear of dental implants - Resources available at ImplArt

Dental implant testimonials from patients who are afraid of implants or dentists

Are you in any doubt that dental implant surgery can be easier than you think? Read below some of the testimonials about dental implants from people who have had the procedure at ImplArt and have consequently had their smiles and lives transformed:

“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 in fact I’ve always avoided appointments as much as possible… Then I came across the IMPLART clinic and this sedation technique. It was very easy to have the treatment this way… 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

“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.”

Adriana Cardoso

“Implart has changed my life. It changed the way I smile and interact with people. I now have much more confidence in myself, my self-esteem has grown.I thank them for all their care and I say to anyone who is going to start treatment: you can trust them, because they are serious and their work is very good. ”

Eliana Fagundes

“First world dental clinic… Dr. Roberto is highly competent and gives us all the security we need when deciding to have an implant or more complicated surgery on our teeth.

Valerie Hair

“I recently finished my treatment. I had Swiss implants and a porcelain prosthesis. I would like to praise the work of Dr. Roberto and all the qualified professionals in his team.These people work seriously and responsibly. ”

Sebastião Melo

“I’ve finished my treatment and I really like the result. As for the service, I can only praise all the professionals, receptionists, doctors and directors. Implant surgery with Dr. Roberto is always a pleasure.The doctors who attended me were all very competent and attentive. ”

Antonio Paulo T. de Almeida

“I thank and congratulate Dr. Roberto Markarian and his entire team for their competence, professionalism, ethics and respect. You have given me back the will to smile.”

Eva Bastos, São Paulo-SP

“I’ve been a patient of the ImplArt clinic for a few years now. When I met Dr. Roberto Markarian at the evaluation appointment, he explained the treatment very clearly. I just have to say thank you for getting to know this clinic, which took very good care of me, excellent professionals, I was always attended to promptly throughout my treatment. Today I can smile. Congratulations to Clinica ImplArt and Dr. Roberto Markarian”.

Shirlei Gonçalves

“I had a traumatic experience in a treatment at another clinic, then I went to ImplArt and thank God, they were able to solve every situation that the previous implant had caused me, I learned the lesson the hard way, when you are going to do any procedure, research very well before, I met ImplArt through the website itself and the reviews were great, and I’m really here giving my evaluation, note 1000″

Ivone Balbina

ImplArt dental implant testimonial video

If you’re afraid of dental implants and still have questions about the surgery or the price of dental implants, get in touch with our team and make an appointment. Please note that Clinica Dentaria ImplArt is located in São Paulo, in a privileged area, next to Avenida Paulista. We receive patients from all over the world, whether for individual dental implants, total implants, protocol prostheses, contact lenses or dental crowns. So get in touch and find out how to plan your visit! We at the ImplArt Dental Clinic are here to help you!

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How do I get a dental implant?

Many people want to know how to get a dental implant. The installation of dental implants is certainly a very simple procedure. In the case of single implants, it shouldn’t take more than 30 minutes to place.

How to get a dental implant if I’m afraid of surgery. What should I do?

In general, there is only mild discomfort after an implant has been placed and you’ll be able to work the next day. So you don’t need to worry about the details of how to get a dental implant.

However, it’s important to note that there is little innervation for pain in the bone, with only the gums providing sensitivity (which is easily controlled with medication). If necessary, conscious sedation can be used to reduce anxiety. Read a full article on why you shouldn’t be afraid of implants.

bone-integrated dental implant is the fixation of the implant in the bone, implants

What are osseointegrated implants?

They are a new generation of implants introduced in the 1960s, but which have only now reached a degree of universal acceptability. Osseointegrated implants are made of titanium or all-ceramic and are placed in toothless areas. They are able to perform masticatory and functional functions in a similar way to natural teeth.

It is usually carried out in two stages: firstly, the insertion of the implant – a more extensive operation – and secondly, a few months later, the placement of devices that will support the prostheses. These can be made within a short period of time after this second stage.

Today we have a wide variety of dental implants available in different lengths and diameters to meet many oral rehabilitation needs. There are even some with physical and chemical technology on the surface that favors and speeds up the osseintegration process, allowing implants and prostheses to be installed in up to 1 month.

replacing dentures with fixed implant prostheses made of zirconia, how to make an implant
Example of treatment to replace a mobile prosthesis with a fixed prosthesis on implants (zirconia prosthesis). The fixed prosthesis offers more comfort, beauty and security than a mobile prosthesis.

Are implants better than removable dentures?

Yes, dental implants are certainly better than dentures and removable prostheses (mobile bridges). They have similar functional capacity to fixed dental prostheses in cases of relatively small edentulous spaces.

But the choice of one treatment or another must be carefully analyzed by the professional according to the patient’s request, as the situations are very diverse and prevent discussion with fixed rules. However, in cases of total edentulism or posterior areas, the solution with implants is usually better from a functional point of view.

Read about replacing dentures with implants with fixed prosthesis

What are the chances of an implant working?

Long-term studies have shown that certain types of implants have success rates of over 90% for implants placed and success rates of over 97% for prostheses (because the loss of an implant does not necessarily mean the loss of the prosthesis, as it is supported by other implants).

However, this success rate is average and does not apply equally to all areas of the mouth. The failure rate in lower edentulous patients is close to 0% (zero percent) and in the posterior region of the maxilla, with less dense bone and after placing short implants (due to the maxillary sinuses), the rate can reach 33%. Read the full article on problems that can occur with implants.

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Dental implant and connected tooth (crown)

What’s so magical about titanium dental implants?

Titanium has been used in orthopedics for many decades. Simply put, titanium does not corrode when inserted into the human body and does not show immune rejection phenomena, in the same way as other metals in the same family, such as niobium for example.

The success of the technique is due to a good set of factors and the characteristics of titanium are undoubtedly positive, but on their own they do not guarantee the success of the procedure. Success depends, in short, on the planning of the surgical technique (which avoids overheating the bone), a healing period without the prosthesis being fitted, and the fitting of a suitable prosthesis.

This implant protocol has details that cannot be overlooked, and a competent professional who is well trained in the technique can achieve excellent results.

Is there a guarantee of success when getting a dental implant? Can I get rejection?

In principle, a high success rate is a good guarantee, but in biological processes there is always a certain amount of imponderability. There is no possibility of absolute certainty of success, but due to the aforementioned rates, the discomfort of surgery is much less than the benefit of having a fixed prosthesis. Even in cases of failure, the procedure can be redone after some time.

I have a tooth with a small infection. One dentist says to do surgery on the root and leave the crown as it is. Another thinks it’s better to get an implant. The price difference is huge. Which would be better?

Both alternatives are good, depending on the indication. The first option would be indicated in cases where the root is in good condition. The second would be the best course of action in cases offractured roots, lesions or cavities, i.e. the tooth needs to be extracted in its entirety and then replaced with a dental implant and fixed prosthesis.

Nowadays there is a tendency to opt for implants because we know that the treatments last a long time and have predictable results. This way, the cost/benefit of the treatment certainly pays off.

How long does a dental implant last? What is its lifespan?

It can be said that in 95% of cases, if dental implants are not lost within the first two years of use, they are likely to last for most of the patient’s life.

total zirconia fixed implant prosthesis at ImplArt in sao paulo av paulista

Are dental implants aesthetically pleasing?

It depends a lot on the system used and the local conditions. Aesthetics have improved a lot in recent years. Remember: however good the implant and the professional, a dental implant is still a prosthesis, i.e. the replacement of natural teeth with artificial ones. Excessive expectations of implants are common, but they are usually followed by a certain amount of frustration.

In many cases, the aesthetic solution is only acceptable. The best reasoning is functional: the implant is far superior to other prosthetic procedures and in the absence of teeth, it is certainly the best that can be achieved.

Should I go back to the dentist after implants and dentures?

From the outset, patients must be aware that they are a fundamental part of the success of the treatment. They must commit to maintaining proper oral hygiene and attend check-ups for professional cleaning of the prosthesis and even for radiographic examinations to monitor the implants inside the bone.

Isn’t it overkill for the dentist to order a CT scan to analyze the bone?

No, especially in the upper arch. A detailed study using computed tomography avoids surprises, especially those in the previous question.

Will chewing ability improve after implants?

Implants have much better functional results than dentures or removable prostheses. Patients who have been wearing dentures for a long time feel a significant difference when implants are fitted.

Do I get sensitivity when I chew if I have a dental implant?

A healthy dental implant doesn’t have any kind of sensitivity or pain when chewing. The sensation of having a dental implant must be imperceptible.

enxerto em bloco

If there isn’t enough bone, are there ways to increase the amount of bone available?

Yes, in the maxillary area, surgeries can be performed to augment the ridge and/or lift the maxillary sinus, taking bone from the chin, the ramus of the mandible or the iliac crest. In this way, the bone grafting technique can be used to correct small defects (powder bonegrafting ) and large defects (block bone grafting).

Read more about bone grafting here. In the mandible, deviation of the inferior alveolar nerve can also be performed, but the possibility of post-operative sequelae greatly reduces its indication.

Because it’s a foreign material, are there any risks of rejection or contamination with viruses, for example? How is an implant sterilized?

No rejection occurs , as titanium is an immunologically inert material. As for contamination, when it does occur, it’s usually through surgery and not due to flaws in the implant manufacturing process. Any of the methods normally used to sterilize implants – gamma radiation or gas – offer total safety.

Can implants be placed in people who are pre-disposed to plaque?

Yes, those with a predisposition to plaque and periodontal disease can have implants, as long as the process is controlled and there is a commitment to oral hygiene after rehabilitation, including regular visits to the dental office for professional cleanings.

fixed implant prosthesis total zirconia replacement of all teeth

How much do dental implants cost?

The price of any dental treatment can only be determined through a face-to-face consultation in which many aspects specific to each person will be assessed. Oral rehabilitation with dental implants is not a standardized procedure that is the same for everyone.

Each case has its own particularities and must be answered with specific procedures before calculating a price. We at ImplArt Odontologia would be delighted to receive your visit so that we can better understand your case! If you have any questions, please contact us through one of the channels below.

Do dental implants make the metal sensors at the bank or airport beep?

In the vast majority of cases, the dental implant is not detected by the metal sensor at the bank or airport. However, we have heard reports of sensors beeping when the dental prosthesis is made of metal. However, today we have options for metal-free dentures that don’t carry this risk, such as zirconia dentures.

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Straumann SLA Roxolid Swiss implants

Straumann’s SLA Roxolid Swiss implants are made from a high-performance metal alloy consisting of 85% titanium and 15% zirconium. Together, these two metals form a material with superior strength to pure titanium implants .

The best dental implants in the world now

The surface of Straumann SLA Swiss implants

They have shown excellent long-term results, with documented success rates. In addition, it has excellent osseointegration capacity. Roxolid SLA implants have a reduced length and diameter, so they can be an option for dental implant treatment in patients with reduced bone volume and who are therefore unable or unwilling to undergo a bone grafting procedure.

The Roxolid dental implant is highly resistant and also has options for shorter sizes and reduced diameters. Advantages of Roxolid swiss implants:

  • Faster healing and therefore less post-operative discomfort. As a result, osseointegration is expected within 2 months.
  • Small-diameter and/or short Swiss implants are mainly an option for patients who need small but strong implants.
  • Indicated for patients with reduced bone volume or other defects. It is therefore an alternative for some patients who have an indication for a bone graft procedure.
  • Thanks to the technology that favors osseointegration, the dentist is able to predict the results.
  • Highly resistant implants with smaller size options
  • Smaller implants help protect vital structures and vascularization
  • Better adaptation in small spaces

Read frequently asked questions about dental implants

Roxolid’s swiss implants indications:

  • Unit prosthesis: rehabilitation of just one tooth in the anterior and premolar regions
  • Partial (partial prosthesis): bridge supported by two implants
  • Fixed or removablefull-arch prosthesis
  • Suitable for patients with limited vertical bone availability in the posterior region
  • Eventually, it may be an indication for patients in whom the bone augmentation procedure is considered complex.
  • Patients with reduced interdental space
  • Patients with thin alveolar ridge
  • Support for screwed or cemented crowns

Read more: What is the recovery time for dental implants?

straumann swiss implants with roxolid surface
Swiss Straumann implants are considered the best in the world

The Swiss company Straumann has been researching and developing dental implants and related products since 1974. Straumann’s products and services are available in more than 70 countries, and of course at the ImplArt Clinic.

Dr. Roberto Markarian, implant dentist and clinical director of ImplArt, is a member of the ITI – International Team for Implantology, an entity linked to Straumann that brings together the world’s best specialists for the development of new products and techniques.

If you have any questions, please contact us through one of the channels below or schedule an appointment.

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