Full arch implant with zirconia and porcelain prosthesis
This technique eliminates the need to make large cuts and sutures in the gums, making the post-operative period easier and the recovery faster.
The surgical guide acts as a template with indications of where the incisions should be made to place the dental implants. The surgical guide is custom-made according to the patient’s CT scan images, using a 3D printing method.
CT makes it possible to analyze the bone volume of all regions of the maxilla and mandible in order to select the best distribution of implants. In this way, it is also possible to choose the most suitable implants, taking length and diameter into account.
Another advantage of computer-guided implant surgery is that it helps to avoid surgical accidents, such as hitting delicate structures like nerve pathways.
Photo of a surgical guide for guided implant surgery
The patient can leave the office with temporary teeth or with the mobile prosthesis they were already wearing over the implants until the definitive prosthesis is finished (in 3 to 6 months), or with an immediate load in up to 72 hours.
Immediate loading ranges from the guided implant surgery for placing the implants to the fixing of the fixed dental prosthesis, usually of the dental protocol type. The patient can quickly speak, smile and eat safely (the masticatory effort should progress little by little, according to the surgeon’s instructions).
Indications for a computer-guided implant surgery:
Any completely edentulous patient, whether recent or having worndentures for years, who has good bone availability is likely to be a good candidate for this technique.
Diabetic and/or hypertensive patients who generally have no indication for surgery or when it should be performed with caution due to bleeding. Computer-guided total implant placement surgery is, in principle, an excellent option for this patient, as bleeding is less with this technique.
– Very advanced bone atrophy makes it impossible, in principle, to place dental implants. In some cases, this problem can be solved with another technique, bone grafting.
The entire procedure is carried out with great peace of mind and safety. Computer-guided implant surgery represents a major advance in dental surgery and our team at the ImplArt dental clinic, led by Dr. Roberto Markarian – a doctor in dental implants and a specialist in prosthetics – has full command of the techniques.
To find out if you could benefit from this technique, our team needs to carry out a thorough assessment of your case. Contact us and make an appointment at the ImplArt dental clinic to see other cases and photographs. We will be happy to try to solve your problem.
Learn about the stages of treatment for full arch implant rehabilitation. A full dental implant is a treatment designed to rebuild a new smile when all the teeth in an arch or mouth have been lost. This type of treatment is also popularly referred to as a protocol prosthesis or All on four dental implants, the latter if it involves 4 implants.
The ImplArt Dental Clinic has extensive expertise in full-arch implant treatments, using the best materials to produce the fixed prosthesis for full arch implants in its own dental laboratory, using state-of-the-art computerized techniques. In this way, we offer our patients a choice of different types of dental implants, with different healing times. In addition, patients can choose between 5 different types of fixed prosthesis to be fitted over their implants.
The most modern prostheses today are made of zirconia and use a computerized system to create these highly resistant and aesthetically pleasing prostheses. In addition to zirconia prostheses, there is also the option of zirconia implants.
Most full arch implant cases follow the following treatment steps:
1 – An individual assessment of the case for full arch/full mouth implantation is carried out
Considering the patient’s general and oral health, the volume and quality of bone in the mandible/maxilla, aesthetics, gum shape, among other aspects. To assess bone volume, radiological examinations such as panoramic radiography and computed tomography will be requested.
This stage also verifies the need for bone grafting prior to implant surgery, as well as the need for medical supervision if the patient has pre-existing diseases that could interfere with the success of dental implant rehabilitation.
2 – Treatment proposal
Depending on the information collected and the patient’s expectations, we will present some alternatives for full arch implant treatment with different stages of treatment, techniques and possible materials. The recommended types of dental implant will be presented according to the patient’s case, and they will be able to choose according to their preference. Today there are very modern dental implants and healing times can take between 1 and 6 months, depending on the type. Implants from the Swiss brand Straumann are the ones with the shortest healing times.
For provisional prostheses for total implants. The ImplArt dental clinic takes digital impressions with intraoral scanners (without mass).
5 – Installation of full arch implants
Through simple and painless surgery, the implants that will support the fixed prosthesis are inserted. The surgery takes place in a doctor’s office and the patient can go home immediately afterwards. There are modalities with local anesthesia, or with intravenous sedation, if the patient prefers.
There is also the option of performing dental implant surgery using thecomputerized guided surgery technique.
This technique eliminates the need to make large cuts and sutures in the gums, making the post-operative period easier and the recovery quicker.
The surgical guide acts as a template with indications of where the incisions should be made to place the dental implants. The surgical guide is custom-made according to the patient’s CT scan images, using a 3D printing method.
On the same day or after a few days. This is one of the most important stages of treatment. The prosthesis can be fixed or removable, depending on the case. The preference is for a fixed temporary prosthesis, unless this is technically impossible.
This first provisional prosthesis for total implants does not always meet all the requirements of aesthetics and function because it is made under adverse conditions, such as pre-existing teeth that make molding difficult. If necessary, we will make new prostheses.
7 – Waiting period
It takes between one and six months for the implants to integrate into the bone (osseointegration) and for the gums to heal.
The first image shows the proof of the zirconia structure in the mouth, and the second shows the finished prosthesis with porcelainand a thin layer of artificial gum
8 – Start of the definitive prosthesis for total implants
If the implants are hidden under the gums, the first step is reopening surgery. This is a simple procedure that aims to expose the implants in the mouth. Then molds are made.
9 – Studies for the definitive prosthesis
For total implants, the aim is to find out which characteristics will be important in order to obtain the best aesthetics and functionality. When the characteristics of the final prosthesis are discussed, the color of the teeth, the shape of the teeth, the volume of the prosthesis and whether or not artificial gums are needed will be defined. The patient takes part in this process and will be able to see the stages of the treatment beforehand, as well as the final aesthetics. The dental implant prosthesis can be made of Zirconia, Porcelain or Resin, each with different characteristics, and the patient’s choice is made right at the start of treatment, so that planning is already carried out in anticipation of the definitive prosthesis.
10 – Delivery of the total implant prosthesis
With the approval of the patient and the dentist, the protocol prosthesis is then given as completed and all stages of the proposed treatment have been fulfilled.
11 – Total implant control and maintenance
Once all the treatment stages have been completed and the protocol prosthesis has been delivered, the patient should return every six months for a check-up and cleaning. Every twelve months we will request a panoramic radiograph to monitor the case internally. Even though the patient has had implants and, in many cases, has had all their natural teeth removed, they should still visit the dentist regularly every 6 months.
Dr. Roberto Markarian is a reference in dental implants and computerized dental prostheses in Brazil. As well as having more than 10,000 implants installed, he is a researcher who produces knowledge that is published worldwide in renowned scientific journals in the field of dentistry. He is responsible for promoting knowledge and high technology applied in all the treatments offered by the ImplArt Clinic.
The loss of multiple teeth can certainly affect your ability to chew, as well as the beauty of your smile. The best option for replacing multiple teeth is certainly the placement of a multi-tooth implant, i.e. the placement of several implants and the attachment of a dental prosthesis. A multi-tooth implant can also be called a total implant or a protocol prosthesis.
How to do several implants at the same time.
Fixed prosthesis or implants with several teeth provide good chewing ability and aesthetics
It is certainly recommended that implant surgery be carried out as soon as possible after tooth loss. This prevents bone atrophy (progressive bone loss) from occurring. Implants for 3 teeth, 4 teeth or more have some advantages over other types of treatment.
Advantages of multi-tooth implant rehabilitation
Neighboring teeth remain intact
The prosthesis is attached to the implants, offering comfort and safety for the user to chew, smile and speak
Ease of treatment, as the prosthetic components are prefabricated (approximately six sessions)
Not affected by cavities and infiltrations
In specific cases, it is possible to place the provisional prosthesis immediately after implant placement (immediate loading)
The installation of the implant prevents or stops the bone atrophy that normally occurs after tooth loss.
zirconia_protese_total_40kbExamples of some cases of implantation of all teeth carried out at ImplArt
Implants with 3 teeth, 4 teeth or more have some advantages over other types of treatment with removable prostheses. As an alternative to placing several implants, we only have techniques that use common removable prostheses, without the use of implants. However, the indication is made after evaluating each case.
Should I have several teeth implanted or wear dentures?
Multi-tooth dental implants are an alternative to conventional dentures for those who have lost many or all of their teeth. They consist of placing metal pins, usually titanium, in the jawbone or maxilla, which serve as a support for fixed dental prostheses. These prostheses can be made of materials such as porcelain or zirconia, which mimic the appearance of natural teeth.
Multi-tooth dental implants have many advantages over conventional dentures, which are supported by the gums and can come loose or cause wounds. That’s why we’ve listed some of these advantages below:
Aesthetics, comfort and safety: Dental implants are more natural, comfortable and safe than dentures, which can move or fall out. They allow the patient to smile, speak and chew with more confidence and without fear of losing the prosthesis.
Preservation of bone against resorption: Dental implants preserve the bone structure of the mouth, preventing the atrophy that occurs after tooth loss. Bone atrophy can cause problems such as gum resorption, changes to the shape of the face, difficulty adapting dentures and the loss of other teeth.
Improved chewing function: In addition, dental implants allow for better chewing, speech and taste perception. Conventional dentures can interfere with chewing, making digestion and nutrition difficult. They can also hinder speech, causing noises or difficulty in pronunciation. In addition, they can cover the palate, reducing taste sensitivity.
Durability and resistance: Dental implants are considered to be more durable and resistant to cavities and infiltrations than dentures. They are made of materials that do not wear out or deteriorate over time. They are also easier to clean, as they don’t need to be removed for cleaning.
Conclusions on getting several teeth implanted at ImplArt Dentistry Clinic
With over 15 years of experience and thousands of implants installed, hundreds of cosmetic dentistry cases solved, and thousands of satisfied patients as a result. We are led by the expertise of our clinical director, implant dentist Dr. Roberto Markarian. With all our know-how , we are able to offer the most modern single-tooth implant techniques, total implants and modern contact lenses, as well as zirconia prostheses.
Get in touch with us, and schedule your evaluation appointment for implantation of several teeth, or other treatments, 📲WhatsApp (11) 3262-4750. We’re on hand to carry out your single-tooth, full-tooth or multi-tooth implant treatment and help you make a change in your life!
Text written byDR. ROBERTO MARKARIAN – CRO-SP 73.583 Founder and Director of the ImplArt Dental Clinic.
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.
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:
Intraoral examinations to determine current dental conditions. The examinations mainly involve casts to analyze the arch, X-rays and CT scans.
Digital panoramic radiography and computed tomography make it possible to observe general oral conditions and a detailed analysis of the bone and adjacent structures such as nerves, maxillary sinuses and teeth. These examinations can be carried out at ImplArt Odontologia (at a separate cost).
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.
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.
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.
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.
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.
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!
Rapid (immediate) loading is possible thanks to scientific advances. Today it is possible, in selected cases, to enter the office without teeth and leave at the end of the day with all the teeth fixed on dental implants with immediate loading. This technology gives patients great satisfaction due to the rapid results.
The rapid loading technique can be indicated for a single tooth or for all teeth.
Indications for immediate rapid loading dental implants
The dental implanttechnique with immediate loading can be carried out when bone quantity and quality are normal and also when occlusal habits are favorable for the procedure to be carried out so as not to overload the site with chewing.
Therefore, the immediate loading technique depends on certain conditions of the patient’s dental arch and general oral health. The conditions, planning requirements and feasibility of the implant with immediate loading are assessed individually in consultation. Not all cases can be immediately loaded.
Therefore, the dental implant technique with immediate loading can be indicated for the following cases: people with a completely toothless lower arch, a full arch with a few teeth, single or individual teeth in the anterior region of the mouth, and in some cases fixed prostheses on a few teeth, depending on the region. In all cases and situations, the main course of action is to consult your dentist and carry out a full assessment to determine what and how will be done.
Only this assessment can determine whether an immediately loaded dental implant is indicated or whether another rehabilitation procedure would provide a better result. The technique is not always used in all cases, as it depends on the patient having some specific and favorable conditions that are assessed in consultation.
We must therefore plan your case carefully in order to achieve the expected success. The procedure aims to install a temporary prosthesis immediately after the implants have been placed. The time it takes to make the final prosthesis will be discussed with the dentist and varies from case to case.
If your concern is to complete your dental implant treatment as soon as possible, you can use fast-healing implants. The Swiss company Straumann is responsible for producing the most modern dental implants that allow rapid healing. Under ideal conditions, without bone grafting and good locking, these implants normally heal in between 1 and 2 months. So if your concern is time, opt for Straumann implants. These implants can be used for single implants or total implants.
The type of dental crown or type of prosthesis to be used in your treatment should certainly also be evaluated, in order to shorten its execution time. If possible, opt for computerized crowns or prostheses. These modern prosthesis models use 3D tools that speed up the execution time and offer greater quality and naturalness. This includes the Translucent Zirconia Prosthesis, the single zirconia crown or the fixed zirconia prosthesis. As well as the Cerec porcelain crown.
At the ImplArt dental clinic, we have all the structure to carry out your procedure with peace of mind, so come in for an assessment and we’ll analyze whether your case can be solved with this technique. Contact us by WhatsApp (11) 3262-4750, we’ll be happy to talk to you and answer any questions you may have.
