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DR. ROBERTO MARKARIAN IMPLANTODONTISTA SITE

Dr Roberto Markarian – Implant Dentist and Dental Implant Specialist

Dr. Roberto Markarian, PhD CRO-SP 73583 (Technical Manager)

Knowledge, updating, experience, seriousness and transparency

Practice at Clinica Dentaria ImplArt

Meet Dr Roberto Markarian, implant dentist, creator and director of the ImplArt Dental Clinic. The ImplArt Dental Clinic is certainly one of the main centers of technology in aesthetic oral rehabilitation and implantology in Brazil. As a result of its know-how and high technology, the ImplArt dental clinic receives patients from all over the world who are looking for high technology and knowledge to carry out their dental implant treatment.

Clinical History

Our clinical director holds a doctorate in implant dentistry, a master’s degree in prosthodontics, and two specializations in dental implants and prosthodontics. In addition, he has completed several training courses in the field of dentistry, not only in Brazil, but also abroad.

He also actively participates in the sector’s main congresses and fairs, both national and international. He is a member of important institutions in dentistry and related fields, such as the ITI – International Team for Implantology, the ADA – American Dental Association, and the EAO – European Association for Osseointegration.

Dr. Roberto Markarian is enthusiastic and knowledgeable about the most advanced technologies applied to digital dentistry, such as computerized CAD/CAM systems, high-performance and aesthetic ceramics, state-of-the-art dental implants, 3D dental printers, as well as digital scanners for computerized molding. For this reason, since 2011 the Clinic has had computerized scanners and machines in its in-house laboratory to meet patient demand.

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

In the case of patients who have already had a dental implant and wish to have a new prosthesis, in the vast majority of cases we are able to identify the type of implant by evaluating the panoramic radiograph. This is due to the expertise of our clinical director, implant dentist Dr. Roberto Markarian.

Scientific History Dr. Roberto Markarian

Dr. Roberto Markarian graduated as a dental surgeon in 2001 from the USP School of Dentistry in São Paulo. While still a student, he carried out research into improving dental materials, particularly in the areas of dentistry, prosthodontics and implantology. As a result of this work, he received 5 awards in Brazil. He described his results in more than 30 scientific articles, which were later published in international journals.

In the meantime, he has taken postgraduate courses in prosthetics and dental implants and has become a researcher and assistant to the fixed prosthetics team at USP (São Paulo) and at the São Leopoldo Mandic College (Campinas), as well as teaching college students and dentists.

In the area of academic research, Dr. Roberto Markarian has been conducting courses and research in the area of implant dentistry since 1998, and in the area of digital dentistry since 2004. He also gives lectures and training courses on modern digital dentistry tools.

Clinical coordination and planning – Summary of academic titles

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
Clinical experience of more than 10,000 dental implants installed, thousands of dental reconstructions and complex case resolutions.
Accredited for the Straumann dental implant system, Switzerland – FUNDECTO USP – 2002
Accredited for the Ceraroot zirconia implant system, Spain – 2010
Clinical Research in Implant Dentistry at Harvard University, Boston, USA – 2011
CAD/CAM system training course Cerec Sirona, Germany – 2014
Member Academy of Osseointegration – AO (USA) – 2006
Member of the American Dental Association – ADA (USA) – 2011
He is a member of the ITI – International Team for Implantology, Switzerland – 2012
Member EAO – European Association for Osseointegration, Europe – 2017
Postgraduate in Advanced Oral Surgery for Implant Dentistry, APCD – 2003
Acting as a Judicial Technical Expert in the areas of Dentistry as well asAssistant Implantology
More than 30 scientific articles published in national and international journals
Technical consultant for the EsteticArt CAD/CAM computerized prosthetics laboratory in São Paulo
Ambassador of the company S.I.N. Implant System – Research and development of solutions in Digital Implant Dentistry (guideddental implants and computerized prostheses)

Dr. Roberto Markarian implantodontista especialista em implantes dentarios — *Dr. Roberto Markarian – Director ImplArt Dental Clinic*

Dr. Markarian’s Postdoctoral Research in Implant Dentistry

Title: Dental implant-abutment fracture resistance and wear induced by single-unit screw-retained CAD components after mechanical cycling, fabricated by four CAM methods, Univ SL Mandic – 2020.

Supervisor: Prof. Dr. Fabiana Mantovani Gomes França. There was an international scientific publication resulting from this work in JPD (Journal of Prosthetic Dentistry) 2021 (USA).

Dr. Roberto Markarian’s Doctoral Thesis in Implant Dentistry (PhD)

Title: SEM analysis of the adaptation of screw-retained unitary abutments fabricated by four CAD/CAM methods after mechanical cycling, Univ SL Mandic – 2017.

Advisor: Prof. Dr. Fabiana Mantovani Gomes França. There was an international scientific publication resulting from this work at IJOMI 2017 (USA).

Master’s Thesis in Prosthodontics (MSc)

Title: Biomechanics of force transmission to single implants as a function of prosthetic crown stiffness: photoelastic and dynamic analysis – USP School of Dentistry – 2005.

Advisor: Prof. Dr. Claudio Luiz Sendyk (FOUSP)

Dental Implants Specialization Monograph

Title: Evaluation of the All-on-4 (All-on-Four) technique for the installation of fixed prostheses on four implants with immediate loading – graftless technique for atrophied maxillae, USP School of Dentistry – 2008

Advisor: Prof. Dr. Francisco Fernando Todescan (FOUSP)

implantodontia especialista em implante dentario implantodontista — *Dr. Markarian giving a lecture on Digital Dentistry*

Congress Awards and Scholarships

1st Place in Group C5 of Panels at the 22nd Annual Meeting of the SBPqO-Pc179, Brazilian Society of Dental Research (2005).
1st Place in Scientific Panel, XXVI CUBO – Brazilian University Congress of Dentistry (2001).
2nd Place – Oral Presentation, XXVI CUBO – Brazilian University Congress of Dentistry (2001).
Scholarship – Removable Prosthesis, FOUSP (2001).
4th Place – Oral Presentation – Honorable Mention, XXIV CUBO – Brazilian University Congress of Dentistry (2000).
2nd Place – XXV de Janeiro Award for Encouraging Scientific Initiation, Academic Center XXV de Janeiro (2000).
Scholarship – Restorative Dentistry II, FOUSP (2000).
FUNDECTO Fellow – Scientific Initiation, FUNDECTO (1999).
Alternate student representative on the Dental Materials Department, FOUSP (1999).
Fellow PIBIC CNPq – Scientific Initiation, CNPq (1998).

Published articles and some scientific work by Dr. Roberto Markarian

MARKARIAN RA, GALLES DP, FRANÇA FBG. Dental implant-abutment fracture resistance and wear induced by single-unit screw-retained CAD components after mechanical cycling, fabricated by four CAM methods. Journal of Prosthetic Dentistry, 2021.

MARKARIAN RA, GALLES DP, FRANÇA FBG. SEM analysis of the adaptation of single-unit screw-retained CAD/CAM abutments after mechanical cycling. International Journal of Oral & Maxillofacial Implants 2018.

Evaluation of the marginal adaptation of single zirconia abutments customized by the CAD/CAM system: laboratory study. R MARKARIAN, EMF and Silva, R Manfro. Implant News 10 (3), 363-367, 2013.

MARKARIAN, Roberto Adrian . New materials for implant dentistry and the choice of rehabilitation material. Implant News Perio News magazine, internet, Feb. 24, 2012.

MARKARIAN R.A., UEDA C., LAGANÁ D.C., SOUSA R.M., SENDYK C.L. Stress distribution after installation of fixed frameworks with marginal gaps over angled and parallel implants. Journal of Prosthodontics, v. 16, n. 2, p.117-122, 2007.

LOPES F.M., SENDYK C.L., DUARTE C.P., MARKARIAN R.A., ARANA-CHAVEZ V.E. Swine teeth as potential substitutes for in vitro studies in tooth adhesion: A SEM observation. Archives of Oral Biology, v. 51, p.548-551, 2006.

ADDED, N. ; RIZZUTTO, M. A. ; CURADO J ; FRANCCI CE ; MARKARIAN, RA ; MORI, M. . Trace elementary concentration in enamel after dental bleaching using HI-ERDA. Nuclear Instruments and Methods in Physics Research (Print) (Ceased 1983. Disbanded in 2: ISSN 0168-9002 Nuclear iInstruments & Methods in Physic, v. 249, p. 684-687, 2006.

FALLA-SOTELO FO, RIZZUTTO MA, TABACKNICKS MH, ADDED N, BARBOSA MDL,MARKARIAN RA, QUINELATO A, MORI M, YOUSSEF M. Analysis and discussion of trace elements in teeth of different animal species. Brazilian Journal of Physics, v. 35, n. 3B, p.761-762, 2005.

BARCELOS DP, MARKARIAN RA, PINTO EG, CHELLOTTI A, HADDAD AE. Evaluation of the applicability of Carrea analysis in deciduous dentition Rev Ib-Am Odontopediatr Odontol Bebê, v. 8, n. 41, p.62-66, 2005.

MARKARIAN RA, LIMA RG, SOUSA RM, SENDYK CLTitle: The influence of the prosthetic materials on load transfer to dental implants. Technology Meets Surgery 2005, CD-ROM

UEDA C, MARKARIAN RA, SENDYK CL, LAGANÁ DC. Photoelastic analysis of stress distribution on parallel and angled implants after installation of fixed prostheses Brazilian Oral Research, v. 18, n. 1, p.45-52, 2004.

RIZUTTO MA, ADDED N, TABACKNIKS MH, LIGUORI NETO R, ACQUADRO JC, MACHADO LP, VILELA MM, OLIVEIRA TRCF, MARKARIAN RA, MORI M. External PIGE_PIXE measurements at the São Paulo 8UD tandem accelerator. Nuclear Instruments and Methods in Physics Research B, v. 190, p. 186-189, 2002.

BALLESTER RY, MARKARIAN RA, LOGUERCIO AD Dimensional alteration of amalgam and gallium-based alloy Pesquisa Odontológica Brasileira, v. 15, n. 4, p.341-347, October to December 2001.

Dental Bleaching: Trace element concentration in enamel using particle accelerator. FRANCCI C, MARKARIAN RA, SPADA AE, NAKAMA R, MORI M, ADDED N, RIZZUTTO MA. International Academy of Dental Research, Honolulu, Hawaii – CD-ROM OF Abstracts, 2004.

Trace elements in human, bovine and swine dentin by PIXE. QUINELATO A, YOUSSEF F,MARKARIAN RA, YOUSSEF M, MORI M, RIZZUTTO MA, TABACNICKS MH, ADDED N, FALLA-SOTELO F. International Academy of Dental Research, Honolulu, Hawaii – CD-ROM OF Abstracts, 2004.

Analysis of trace element concentration in enamel after dental bleaching using particle accelerator. FRANCCI C, MARKARIAN RA, SPADA AE, NAKAMA R, MORI M, ADDED N, RIZZUTTO MA. J Appl Oral Sci, 12(sp. Issue):p.46, 2004.

Biomechanics of stress transmission to implants as a function of prosthetic crown stiffness – photoelastic analysis. MARKARIAN RA, SENDYK CL, LIMA RG, SOUZA RM. Brazilian Oral Research, 18(suppl):198 (pb333), 2004.

Evaluation of the elastic recovery of addition silicones in contact with astringent solutions. SILVA, MG, MARKARIAN RA, LISBOA MV, RODRIGUES-FILHO LE, MUENCH A. Pesq Odontol Bras, 17(2):199 (pb321), 2003.

Dissipation of stresses generated in the installation of suprastructures with marginal mismatches on parallel and angled implants. UEDA C, MARKARIAN RA, SENDYK CL. Pesq Odontol Bras, 17(2):255 (pc368), 2003.

Dissipation of stresses generated during installation and after loading of fixed prostheses on parallel and angled implants. MARKARIAN RA, SENDYK CL, UEDA C. Revista da Pós Graduação da FOUSP, 9(3):p.260 (PA41), 2002.

Dissipation of stresses generated during installation and after loading of fixed prostheses on parallel and angled implants. MARKARIAN RA, SENDYK CL, UEDA C, LAGANA DC. Pesq Odontol Bras, 16(suppl):60 (Ia222), 2002.

Comparison of the elemental composition of human and bovine tooth enamel using nuclear techniques. MARKARIAN RA, OLIVEIRA TRCF, M, MORI M, ADDED N, VILELA, MM, CAMPOS TN, RIZZUTTO MA, TABACNICKS MH, MACHADO LP, LIGUORI-NETO R. Revista da Pós Graduação da FOUSP, 8(3):p.276 (IC04), 2001.

Comparison between the elemental composition of human and porcine dental enamel using nuclear techniques. OLIVEIRA TRCF, MARKARIAN RA, M, MORI M, ADDED N, VILELA, MM, CAMPOS TN, RIZZUTTO MA, TABACNICKS MH, MACHADO LP, LIGUORI-NETO R. Revista da Pós Graduação da FOUSP, 8(3):p.276 (IC05), 2001.

Comparison between chemical elements of human and bovine tooth enamel.MARKARIAN RA, OLIVEIRA TRCF, M, MORI M, ADDED N, VILELA, MM, RIZZUTTO MA. Pesq Odontol Bras, 15(suppl):29 (I060), 2001.

Copper and strontium in healthy human, bovine and porcine enamel. OLIVEIRA TRCF,MARKARIAN RA, M, MORI M, ADDED N, VILELA, MM, RIZZUTTO MA. Pesq Odontol Bras, 15(suppl):29 (I062), 2003.

Hybrid layer: effects of dentin treatment with glutaraldehyde and/or sodium hypochlorite on microleakage of composite resin restorations in bovine teeth.MARKARIAN RA, BALLESTER RY, LOGUERCIO AD. Revista da Pós Graduação da FOUSP, 7(suppl):p.18 (47), 2000.

Microleakage in healthy teeth. MARKARIAN RA, BALLESTER RY. Revista da Pós Graduação da FOUSP, 6(3):p.303, 1999.

Study on Mycroleakage in salutary teeth. MARKARIAN RA, BALLESTER RY. Academy of Dental Materials Annual Meeting Abstracts, Banff, Canada, 1998.

MARKARIAN RA, SENDYK CL, LIMA RG, SOUZA RM. Biomechanics of stress transmission to implants as a function of prosthetic crown stiffness – photoelastic analysis. PANEL. 21st Meeting of the Brazilian Society for Dental Research, Águas de Lindóia, 2004.

MARKARIAN RA, UEDA C, SENDYK CL. Dissipation of stresses generated by the installation and application of fixed prostheses on implants with marginal misalignments. PANEL. 21st International Dental Congress of São Paulo, São Paulo, 2003.

MARKARIAN RA, UEDA C, SENDYK CL, LAGANÁ DC. Dissipation of stresses generated during installation and after loading of fixed prostheses on parallel and angled implants PANEL. 21st Meeting of the Brazilian Society for Dental Research, Águas de Lindóia, 2002.

MARKARIAN RA, UEDA C, SENDYK CL. Dissipation of stresses generated during installation and after loading of fixed prostheses on parallel and angled implants PANEL. 20th International Dental Congress of São Paulo, São Paulo, 2002.

MARKARIAN RA, SENDYK CL, UEDA C. Dissipation of stresses generated during installation and after loading of fixed prostheses on parallel and angled implants PANEL. 3rd APCD International Congress on Osseointegration, São Paulo, 2002.

MARKARIAN RA, OLIVEIRA TRCF, MORI M, ADDED N, VILELA MM, CAMPOS TN, RIZZUTTO MA, TABACKNIKS MH, MACHADO LP, NETO RL. Comparison of the chemical composition of human and bovine tooth enamel using nuclear techniques. PANEL. 26th Brazilian University Congress of Dentistry, São Paulo, 2002.

OLIVEIRA TRCF, MARKARIAN RA, MORI M, ADDED N, VILELA MM, CAMPOS TN, RIZZUTTO MA, TABACKNIKS MH, MACHADO LP, NETO RL. Comparison of the chemical composition of human, bovine and porcine tooth enamel using nuclear physics. ORAL PRESENTATION. 26th Brazilian University Congress of Dentistry, São Paulo, 2002.

MARKARIAN RA, OLIVEIRA TRCF, MORI M, ADDED N, VILELA MM, CAMPOS TN, RIZZUTTO MA, TABACKNIKS MH, MACHADO LP, NETO RL. Comparison between the chemical composition of human and bovine tooth enamel using nuclear physics. PANEL. 53rd Annual Meeting of the SBPC, Salvador, 2001.

MARKARIAN RA, LOGUERCIO AD, BALLESTER RY. Hybrid Layer: Effects of dentin treatment with glutaraldehyde and/or sodium hypochlorite on microleakage of composite resin restorations in bovine teeth. PANEL. 8th FOUSP Research Meeting, São Paulo, 2000.

MARKARIAN RA, BALLESTER RY. Microleakage in healthy teeth. PANEL. 19th International Dental Congress of São Paulo, São Paulo, 2000.

MARKARIAN RA, BALLESTER RY. Microleakage in healthy teeth. PANEL. 7th FOUSP Research Meeting, São Paulo, 1999.

MARKARIAN RA, BALLESTER RY. Microleakage in healthy teeth. PANEL. Academy of Dental Materials annual meeting, Banff, Alberta, Canada, 1998.

Click here to see Dr. Roberto Markarian’s full Lattes CV

Click here to see Dr. Roberto Markarian’s curriculum vitae on Google Scholar

So make an appointment with Dr. Roberto Markarian, implant dentist, and get to know Clinica Dentaria ImplArt. We will be delighted to welcome you!

Learn more about the career of Dr. Roberto Markarian, implant dentist

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What are bone grafts?

Bone grafts are techniques to supplement the bone lost in the patient’s jaw. They can be performed simultaneously with the insertion of the dental implant, or require a healing period. Each indication will depend on an analysis of the patient’s case. But rest assured, today’s bone grafting techniques are very modern and painless for the patient. The results are certainly worth it because dental implants are the best solution for restoring missing teeth!

Know everything about dental bone grafts

Bone grafts are used to reconstruct the area that has lost height or thickness

In some cases, it is not possible to place dental implants without first doing bone grafts. People who have lost one or more teeth due to accidents or extractions always think about reconstructing their dental arch in order to smile without embarrassment and for this, dental implant placement is certainly an excellent option.

When people lose their teeth and don’t replace them immediately, they experience bone resorption. As a result, the bone in the area becomes thinner and taller, or has defects in its shape. In the upper jaw, the size of the maxillary sinus can increase, which in principle prevents implants from being placed. In addition, with tooth loss, expressions become limited, the mouth shrivels, chewing becomes difficult and speech can also be altered.

In this way , bone grafting serves to rebuild enough structure to allow the implant to be made, restoring the lost volume to the atrophied bone. For this technique, the dentist can use the patient’s own bone material, taken from the mouth (for small reconstructions) or taken from other sites, such as the hip bone (iliac) and skull cap (for large extensions).

There are different bone grafting techniques, each with its own particularities

In the case of smaller, more common grafts, the bone grafting procedure can be done in the office using local anesthesia. For larger areas, the surgical intervention is performed in a hospital by a larger, multidisciplinary team under general anesthesia. The patient does not lose teeth while the bone graft heals.

It is also possible to use a xenogenous bone graft crystal, when the bone comes from animals (freeze-dried bovine bone – Genox or Bioss), human bone from bone banks (bone transplant) or synthetic vitreous materials (synthetic hydroxyapatite). However, the most easily regenerated material is bone graft taken from the person themselves (autogenous bone).

Types of bone graft materials

The procedure can be carried out in fragments or as a block. Many people are afraid of undergoing a bone graft, but in fact the procedure can be very simple. All the materials are biosecure and undergo strict controls to prevent contamination.

Smaller bone grafts are non-invasive and can be used to supplement the bone around a newly placed implant. However, in people who have lost their teeth many years ago, larger bone grafts may be necessary. ImplArt’s philosophy is to avoid bone grafts and has mastered alternative techniques such as:

Short implants
Implant + simultaneousgraft
All on four” technique for full arches
Inclined implants
Surgeries with surgical ultrasound (piezo)

Bone loss: causes

Bone loss can occur for a number of reasons, but the most common is tooth loss or extraction without immediate replacement. When a person loses their teeth, the body resorbs the bone in the maxilla or mandible because it understands that the bone no longer has a function (which was to provide support for the teeth). This loss is progressive and over the years the person has little bone volume in terms of height and width, which at first makes it difficult to place dental implants.

Maxillary sinus lift or sinus lift

A sinus lift is a surgical procedure for bone grafting in the posterior region of the upper jaw. The aim is to increase the amount of bone in height so that a longer dental implant can be placed.

When a person loses one or more teeth in the upper arch, there is a loss of bone in height and the maxillary sinus shrinks (fig.1). The procedure is carried out in this way: First, a small opening is made in the gum in the lateral region of the bone defect (fig.2).

A variable amount of bone regeneration precursor material is then placed inside this opening (figs.3,4). The surgery is quick and usually takes no more than 30 minutes with an experienced surgeon. Bone regeneration takes between 4 and 9 months (fig.5), and then the implants are placed (fig.6), but radiographic examinations are carried out beforehand to check the progress of bone regeneration.

Materials used in bone grafts

Nowadays we have a variety of materials that can be used for bone grafts in the maxillary sinus:

Bovine freeze-dried bone – Genox
Autogenous bone (from the person)
Synthetic hydroxyapatite (bone precursor)
Bone bank homologous bone (bone transplant)
Synthetic vitreous materials – Bioss
Grafts with biological stimulators such as fibrin (PRF), platelets (PRP), or bone proteins (BMP)

Studies show that all materials are favorable for this type of graft, depending only on the surgeon’s preference.

enxerto_osseo_antes_e_depois_41kb — Bone Graft Before and after

radiografia_enxerto_osseo_antes_depois_42kb — Bone Graft Before and after – X rays

The ImplArt Clinic has experience in various grafting techniques

Dr. Roberto Markarian, coordinator of Clinica Dentaria ImplArt, is an experienced dental implant specialist with thousands of implants installed. Due to his extensive clinical and surgical experience, he has been able to carry out countless cases of rehabilitation without the need for bone grafting and which had been indicated for grafting by other specialists.

Each case is assessed individually during a consultation. If you have any questions about the price of treatment, values or planning, please contact us or schedule a consultation 📲WhatsApp(11) 3262-4750. Bone grafts are different from gum grafts in terms of techniques and objectives.

Read all about bone and gum grafting

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Zirconia is the most modern material for protocol prostheses on dental implants

Zirconia is the most modern material for dental prostheses today, even for full arch implant prostheses. Zirconia is an advanced ceramic material, considered super realistic, which has become increasingly well-known in dentistry in recent years, especially for prostheses on dental implants.

It is also called Monolithic Zirconia, as it is made from a solid block of Zirconia that is shaped into a dental prosthesis using a modern computerized system. In the ImplArt Clinic’s digital prosthesis laboratory, impressive robotic arms, present in modern milling equipment, are responsible for sculpting the prosthesis design previously drawn up on the computer.

It’s certainly a very modern system that allows you to achieve aesthetically superior results in a more agile, fast and precise way.

This set of factors certainly makes Zirconia the most modern material for full arch prostheses, fixed prostheses and dental crowns.

Below is the result of a treatment with a Zirconia full arch prosthesis for a patient who came all the way from the United States to undergo treatment at the ImplArt Clinic.

What are the characteristics of the Zirconia prosthesis?

There are several reasons why zirconia is the most modern material for making dental prostheses:

Aesthetics: Zirconia prostheses are highly aesthetic and can be customized to mimic the natural appearance of teeth, with a translucency similar to that of tooth enamel. In addition, Zirconia does not fade or discolor over time, which guarantees a long-lasting aesthetic result.
Biocompatibility: Zirconia is a biocompatible material, which means that it doesn’t cause allergic reactions or inflammation in the patient’s soft tissue or bone. This is especially important for prostheses on dental implants, where the integration of the implant with the bone is crucial to the success of the treatment.
Resistance: Zirconia combines beauty and resistance, which guarantees its long-term durability. It has a high resistance to fracture and wear, which is important for dental prostheses that need to withstand chewing and the forces of the mouth.
Precision: Zirconia can be manufactured with high precision in our digital prosthetics laboratory thanks to CAD/CAM (Computer-Aided Design/Computer-Aided Manufacturing) technology. This guarantees a precise fit and a restoration that fits perfectly with the dental implants and adjacent teeth.
Hygiene: Zirconia is a material that does not accumulate plaque, which means it is easier to clean and keep hygienic than other denture materials.

In short, Zirconia is a modern and advanced material for protocol prostheses on dental implants, offering a unique combination of aesthetics, biocompatibility , strength, precision and hygiene. Of course, it’s important to remember that the choice of prosthesis material must be assessed on a case-by-case basis by the dentist, taking into account the individual needs and characteristics of each patient. But don’t worry, this will be covered in your initial consultation with the clinical director of the ImplArt Dental Clinic, Dr. Roberto Markarian, implant dentist.

Total implant with zirconia protocol prosthesis, how does it work?

Total implant treatment, also known as“all-on-four” or “all-on-six”, is a technique in which dental implants are installed in the mouth to support a complete prosthesis that replaces all the teeth in a dental arch. This type of treatment is especially useful for patients who have lost most or all of their teeth, as it allows for a complete restoration of chewing function and aesthetics. It is certainly a rehabilitative treatment, as it allows the patient to get rid of the use of removable prostheses, the old dentures.

The full arch implant prosthesis is a fixed prosthesis on dental implants that can be used to replace all the teeth in an arch. The prosthesis is fixed to the implants with screws or cemented into position, and can only be removed by the dentist for maintenance. The fixed implant prosthesis is a great option for patients looking for an aesthetic and functional restoration, as it is comfortable, durable and offers a natural appearance.

protocolo zirconia dentaria camada porcelana translucida 50kb — Detail of a Zirconia fixed prosthesis on a dental implant, considered the most modern material.

Zirconia is the most modern material for protocol prostheses on implants

Zirconia is a material widely used in dental implant protocol prostheses due to its aesthetic properties, resistance and biocompatibility. Zirconia complete arch prostheses are a more advanced option compared to other materials such as acrylic, as they offer a more natural appearance and greater durability. In addition, Zirconia is highly resistant to stains and abrasion, which means that the prosthesis can maintain its color and shape over time.

The Zirconia full arch prosthesis also allows for a more precise fit and a more comfortable adaptation, thanks to CAD/CAM (Computer-Aided Design/Computer-Aided Manufacturing) technology, which allows for more precise and personalized manufacturing of the prosthesis. This means that the Zirconia protocol prosthesis can be perfectly adjusted to the dental implants and the space available in the patient’s mouth, providing an ideal aesthetic and functional restoration.

In addition, we should mention that the use of these 3D resources allows the entire treatment to be carried out without the old putty molds, which were so uncomfortable and became obsolete with the arrival of Zirconia. In this way, the entire treatment is carried out using a 3D digital scanner, which is the starting point for designing the new smile.

In summary, the Zirconia protocol prosthesis is an excellent option for patients who need a complete restoration of the dental arch, offering a natural appearance, durability and comfort, as well as precision of fit and ideal adaptation. Undeniably, all these characteristics make Zirconia the most modern material for protocol prostheses, dental crowns or fixed prostheses.

impressora 3d ultracraft chairside pro 47kb — Zircônia é elaborada mediante moderno sistema de projeto computadorizado

Zirconia Bridges at ImplArt Dental Clinic

The ImplArt Dental Clinic specializes in implant dentistry and dental prostheses, and offers advanced and personalized treatments for its patients. The Zirconia full arch prosthesis is one of the treatments offered by the clinic, using high quality materials and advanced technology. We always strive to offer modern, metal-free dental treatments.

At the ImplArt Dental Clinic, the Zirconia protocol prosthesis is made by a team of experienced and qualified professionals who use modern techniques and state-of-the-art equipment to guarantee the precision and quality of the treatment. The Clinic has a multidisciplinary team led by PHD Dr. Roberto Markarian, an implant dentist. It is made up of specialist prosthodontists, trained to provide complete and humanized care.

Treatment begins with a careful assessment of the patient’s oral condition and the choice of the best type of implant for each case. This is followed by implant surgery, where the implants are placed in the patient’s mouth. After a period of osseointegration, in which the implants integrate with the bone, the Zirconia protocol prosthesis is installed.

The prosthesis is manufactured using CAD/CAM technology, which allows for a precise fit and ideal adaptation. The zirconia used in the prosthesis is of high quality, resistance and aesthetics, guaranteeing a long-lasting and natural result. The prosthesis is fixed to the implants with screws or cemented in position, providing optimum stability and security.

ImplArt Dental Clinic offers complete treatment follow-up, with regular maintenance appointments and oral hygiene care. The clinic’s team of professionals is always on hand to answer questions and provide personalized, high-quality care.

ImplArt Dental Clinic is certainly an excellent option for those looking for advanced and personalized treatment in Zirconia protocol prostheses. The clinic has an experienced multidisciplinary team, advanced technology and high-quality materials. In addition, the Clinic offers a complete and excellent treatment for its patients, such as ceramic implants or zirconia protocol prostheses and dental contact lenses.

Even if you’re far away, it ‘s possible to plan your dental implant surgery at the ImplArt Clinic remotely! The first step is to get in touch and schedule your initial consultation, which, if you’re far away, can be done online. Contact us for more information!

Content on Zirconia prostheses

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Find out more about treatments at Clinica ImplArt

To find out more about the treatments at Clinica Dentaria ImplArt, visit our photo gallery of our treatments, click here!

See more about our treatments on Instagram https://www.instagram.com/clinicaimplart/
Our videos on YouTube: https: //www.youtube.com/@ImplArtImplanteseestetica
Check out our Pinterest page: https: //br.pinterest.com/implante/

Dr. Roberto Markarian, implant dentist

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 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

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Dental Implants for Dentures – Acrylic Bridge

The Branemark prosthesis is a technique developed in 1969 by the Swedish doctor Bränemark with the aim of oral rehabilitation (Dental Implants for Dentures) with dental implants for people who have lost their teeth. It is currently indicated for people who lost their teeth many years ago and therefore have little bone volume (advanced bone resorption).

In these people, mobile prostheses, dentures (normal, partial and dentures) often become loose and cause discomfort and insecurity. In this way, a fixed prosthesis on implants certainly brings much more peace of mind and comfort to the wearer. Treatment with the Bränemark protocol consists of two stages: surgery with implants and prosthetics at intervals of four to six months for the mandible and maxilla. This interval is necessary for the correct healing of the dental implants.

The material used for protocol prostheses can be resin, and its technical name is metal-plastic. In this case, the prostheses can come in two versions: Resin with national teeth or Resin with imported teeth. In this second option, we can consider teeth with more natural aspects, and more resistant to wear and acquiring stains from food. However, the most modern materials today are zirconia protocols and porcelain protocols on total implants.

Topic related to Dental Implants for Dentures in Brazil

Why should I have Dental Implants for Dentures?

The Dental Implants for Dentures is a modern option for patients who have lost all their teeth. It is anchored by screws to several implants, providing greater stability and chewing efficiency. In addition, treatment brings with it a number of benefits. Here are several of them, which you can consider if you’re thinking of having a protocol prosthesis:

Chewing efficiency: Because it is screwed onto several implants, the Dental Implants for Dentures prosthesis offers greater stability and chewing efficiency than other solutions such as removable prostheses. The prosthesis does not fall out and can only be removed by the implant dentist in the clinic.
Easy adaptation: The Dental Implants for Dentures prosthesis is known for its easy adaptation and general use.
Durability: The resin acrylic prosthesis is durable and will restore your bite for several years. However, it may be necessary to replace the prosthesis in the future if the materials wear out.
Aesthetic results: A branemark bridge prosthesis can provide a natural aesthetic result, giving patients back their self-esteem and confidence to smile.
Freedom: Prostheses give patients more freedom and also improve their self-esteem.
Less pain and frequent bruising of the gums: Protocol-type dentures can reduce the occurrence of frequent pain and cuts in the gums. This is because the prosthesis does not rest against the gums and is not mobile, so it does not cause sores.
Ease of cleaning: Full arch acrylic implants are easy to clean. There are appropriate instruments for cleaning your fixed teeth. The full resin implant prosthesis has a smoother texture and accumulates less plaque than ordinary removable prostheses and dentures.
Cost: Resin bridges usually require a lower investment than the second option, porcelain, or even zirconia. In addition, maintenance, when necessary, is not expensive.

What’s the difference with plain ceramic (metal) or zirconia metal-ceramic prostheses?

Metal-ceramic prostheses, known as porcelain, differ from metal-plastic prostheses, known as resin or acrylic prostheses, in terms of their resistance and aesthetic results. Porcelain surpasses resin because it offers long-term patient comfort, since it is much more resistant to wear and tear and remains the same over the years as the day it was installed, in terms of color and tooth shape. Translucent Zirconia, on the other hand, allows computerized methodologies to be used to plan and execute full-arch prostheses. In addition, its resistance and aesthetic results are superior to any other, making it the most modern material option available in dentistry today.

Metal-ceramic prostheses: the internal structure is made of titanium alloy while the aesthetic coating is made of dental porcelain. Despite what it may seem, these materials are very light and resistant.

Zirconia is the most modern technology for making fixed prostheses on implants. For full-arch dental implants we have Translucent Zirconia and Zirconia with porcelain applied.

Dental Implants for Dentures images – photos of real cases

See below for examples of our Branemark Acrylic Prosthesis clinical cases. We have our own in-house dental laboratory capable of carrying out the treatment more quickly, safely and with the highest quality.

At the ImplArt clinic we have already carried out thousands of treatments with full-arch dental implants. Come and see our work!

Porcelain dental prosthesis after removal of all teeth before and after

Dental protocol prosthesis intraoral aspect and free palate — Porcelain dental prosthesis after removal of all teeth before and after

Dental Implants for Dentures prosthesis and total implant with immediate loading

Nowadays, with the advances made in dentistry, in some cases it is possible to implant in 72 hours using immediate loading. First, four, five or six implants are installed, distributed over the entire arch. They are then left to rest (heal) for four months. After this period, the acrylic prosthesis is fixed onto the implants. For this treatment with immediate loading, there is a need for clinical indication, so that the success of the treatment is not compromised.

Do Dental Implants for Dentures last forever?

The longevity of a fixed bridges for dental implant can be influenced by several factors, including the patient’s oral hygiene and the type of prosthesis used.

The implant pin/screw, which is made of titanium and acts as the root of the tooth, has the potential to last a lifetime. This is due to its ability to integrate with the jaw bone, a process known as osseointegration.

However, the dental prosthesis, which is the artificial tooth placed over the implant, may need to be replaced over time, as they wear down with use and chewing, in the same way as natural teeth. Dental prostheses are generally made of acrylic, zirconia or porcelain, and their durability can vary. For example, a resin prosthesis can last up to 10 years, while a porcelain or zirconia fixed prosthesis (all on 4) can last up to 20 years.

It is important to note that the longevity of the dental implant can also be affected by the patient’s general oral health. Good oral hygiene and regular visits to the dentist for check-ups and maintenance are essential to maintain the health of the implant and prosthesis.

Conclusion

The Dental Implants for Dentures is made from a metal bar to which the resin teeth are fixed. With the Bränemark protocol, patients who have previously been ashamed of their smile due to dental problems and whose self-esteem has been affected can smile normally again, since their phonetic ability, chewing and swallowing improve and provide a better quality of life. If you have any questions, please contact us or book an appointment with our team.

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See other work done with resin

Resin onlays

Direct composite resin veneers

Resin restorations

Resin dental recontouring

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Morse-Fit: benefits of dental implant connection

What is a Morse-Fit (cone morse) dental implant?

Today there are various types of dental implants, including the morse-fit implant connection. But what does this mean? To understand what a morse-fit dental implant is, you first need to understand what an implant connection is. That way, we’ll show you why the morse-fit implant is the most modern implant available today. Dental implants from the Swiss brand Straumann have a morse-fit platform. Neodent also offers implants of this design.

A dental implant is a device that is surgically placed in the bone and has a function very similar to that of a tooth root. Just above the implant, the dentist places a dental crown or fixed prosthesis to fulfill the function of the teeth. In addition to the type of implant connection, there are also differences in the composition of the implants. There are therefore implants made of titanium and ceramic implants, white implants made of zirconia.

To make the union between implant and tooth, there needs to be an interface and this piece is called an abutment. The way the abutment is placed on the implant is known as the implant connection or prosthetic connection.

morse-fit Implant

coroa pilar implante 50kb — Schematics of Morse-fit implants

There are different implant connection models, the main ones being external hexagon, internal hexagon and the advanced morse-fit system. Here, at the Implart dental clinic, we will present all the implant options suitable for your case during your initial assessment with our implant dentist.

Morse fit is a prosthetic connection system in which the implant has a conical central core. There is evidence that this format has several benefits over others. We’ll get to know them shortly.

Benefits of morse-fit implants over other types of connection

The morse-fit technique has a number of advantages and favors the dentist’s work for a more efficient and comfortable rehabilitation. See other advantages:

The conical shape preserves the bone crest, reducing the chances of bone loss, as this model is placed at bone level (below the bone).
Promotes bone stability which helps preserve peri-implant tissue.
The intermediaries used in morse-fit implants allow bone and gum to fill the space between the prosthesis and the implant, creating an ideal seal and preserving the bone.
The designed conical seal prevents bacteria from migrating to the implant. The design prevents bacterial colonization on the implant (peri-implantitis).
Studies have shown that the conical shape of the morse-fit implant connection is the best option for using the immediate loading technique due to the greater mechanical stability and performance of the abutment, and the favoring of osseointegration (the process of integration between implant and bone).
What’s more, these implants allow for faster healing and therefore a shorter implant treatment period

The morse-fit implant is the best option for the surgical and prosthetic phases, and performs best over time. Here are some more advantages:

The model makes it possible to plan computer-guided implant surgeries.
Excellent frictional retention as well as reduced gaps between the abutment and the inside of the implant prevent displacement. The space reduction increases the contact area of the interface, offering greater resistance than other internal connections.
The model favors the distribution of physiological forces around the peri-implant tissues
It favors the aesthetic result of the treatment, as the dividing line between abutment and implant is easier and more discreet. In addition, the gums regenerate better with morse-fit implants.
Its angulation makes it easier to remove the implant, should this be necessary, while preserving bone and gum tissue.

implante cone morse 50kb — The union between the morse-fit implant and the prosthetic parts is more stable and durable, preventing bacterial infiltration and infection of the gums and bone around the dental implant (peri-implantitis).

The main brands of morse-fit dental implants, national or imported, SIN Implant System, Neodent, and the Swiss Straumann, are available at Clinica dentaria ImplArt. Also, for those who live far away, we can make a preliminary online consultation and plan your dental implant surgery remotely.

If you have any questions about morse-fit implants, crowns and dentures, it’s best to consult an implant dentist. So get in touch with us or book an appointment with the specialized team at the ImplArt Dental Clinic.

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5 Biggest Risks for Dental Implants

Are there any risks for dental implants? We’ll find out about 5 of them in this article. Dental implants are a more up-to-date, modern and low-risk alternative for tooth replacement than a fixed prosthesis on teeth or a removable prosthesis, the old dentures.

The technique for inserting dental implants is very safe, with an estimated 92% chance of success in non-smoking patients with good health and healthy habits. There are several types of dental implants available today, the most modern of which is the metal-free ceramic implant, an excellent option for those looking for metal-free implant treatment.

The single tooth implant, or total dental implant, is used to replace the root of one or more missing teeth and will serve as a support for an artificial tooth called adental prosthesis or dental crown.

Know more about the risks and dangers of dental implants

Crucial to the success of the procedure is the thorough planning of the implant surgery and the choice of specialist professionals who are qualified to carry out the dental implant surgery. This increases the chance of success of this important treatment, and therefore the chances of any complications are minimal.

So rest assured that you can enjoy all the benefits that this rehabilitative and safe treatment offers patients. The implant-supported prosthesis is made to resemble the person’s other natural teeth and also offer similar chewing strength.

Oral rehabilitation with dental implants is usually the best option for re-establishing the patient’s aesthetic and chewing functions, a treatment called total dental implantation.

But in very few cases, there can be some risks with dental implants. Here are the 5 main risks of dental implants:

1 – Risk of implant breakage

Patients who grind or clench their teeth (bruxism) can exert a lot of force on the implants, with an increased chance of breakage or fracture of the implants or the parts that make up the implant prostheses.

Patients who bruxism also increase the risk of loosening the screws that fix the implant crown. When this happens, the patient reports that the implant is “soft”. However, we mustn’t confuse the prosthesis becoming loose with the implant pin coming loose from the bone (which is much more serious).

Most commonly, when the problem is just the loose implant tooth, the patient feels no pain, while when the implant is lost there is always pain. If the implant fractures or comes loose from the bone, it must be replaced, starting the dental implant process all over again.

Check complete PODCAST about 5 biggest risks for dental implants:

Is it the dentist’s fault that my implant fractured?

There are several factors to consider, some of which would be the material of the prosthesis, the number and positioning of the implants, correct surgical technique, material of the dental implant, type of prosthetic components chosen, type of prosthetic connection chosen.

Assuming that the professionals are working to do their best, it’s rare that there will be any negligence in this regard. What really counts is the willingness of the patient and the professional to start again, perhaps trying to improve or perfect one of the strategies.

riscos do implante dentário — Apresentação das partes do implante dentário: implante (no osso), pilar + coroa dental (dente artificial)

2 – Inflammation in implants and risks

Inflammation can occur in a dental implant, manifesting itself as pain, swelling, pain when chewing, bleeding, and even the formation of pus in the implant. Please note that in any area of medicine where an artificial part is used inside the human body, there can be an adverse reaction of rejection.

This rejection phenomenon can occur in relation to the dental implant or an associated material such as a bone graft or a protective membrane. Bacterial infection can also occur in the implants, which can even prevent bone integration.

one of the risks of dental implants is peri implantitis — The implant on the left in the image has inflammatory bone loss, while the implant on the right has a normal bone level

That’s why all treatments at ImplArt begin with a thorough oral cleaning, as well as the removal of any infectious diseases such as cavities and periodontal disease. The patient will only have implant surgery if their mouth is clean and their oral health is good.

This is possible even if the patient doesn’t have all their teeth yet. When the prostheses on implants are finished, we teach the patient how to properly clean the dental implant. This correct hygiene is very important and certainly contributes to the chances of success of the dental implant.

antes e depois reabilitacao oral protese metaloceramica 50kb — *Inflammation in implants leads to aesthetic, gum and bone problems*

3 – Risk of facial nerve damage

If the surgery is not well planned, with the use of CT scans and other imaging tests for mapping, damage to the jaw nerve can occur during dental implant surgery. In the area at the back of the mouth in the lower arch, there is a nerve that can be very superficial, especially if the patient has been without teeth for many years.

In patients with advanced periodontal disease, bone loss can also put the nerve at risk due to its proximity. To reduce the risk of nerve damage and paresthesia, the implant dentist will carry out imaging tests. The most commonly requested exam is a panoramic X-ray, but a cone beam CT scan helps to measure the bone and plan the implant.

Computer-guided surgery – reducing risks

To minimize the risks even further, we can perform computer-guided partial or total implant surgery, which offers little invasiveness and allows for perfect positioning of the dental implant, with no room for error.

Crooked or poorly positioned implants can have poor bone integration or even rejection. It is not in all cases that we are able to recover the patient from oral nerve damage or poorly placed implants.

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Depending on the severity of the problem, an injury to the jaw nerve can lead to sequelae such as numbness in the jaw or loss of sensation in the tongue or to the sensation of tastes (gustation).

At the ImplArt dental clinic, 100% of cases are operated on with a CT scan, which can be done in our own radiology center.

implante cirurgia guiada total 50kb — *Guided implant surgery reduces the risk of dental implant positioning errors*

4 – Risks in the bone around the implants

Bone loss can occur in an implant that has suffered infection while healing in the bone. In addition, in cases where immediate loading is carried out, i.e. a temporary or permanent tooth is placed in position immediately after surgery, there is a greater risk of bone and implant loss.

This is because the newly placed dental implant does not yet have a mature attachment to the bone and needs to rely exclusively on its mechanical locking into the bone in order to fix itself. Most of the time, if the indication and technique are correct, immediate loading works well.

But in cases of immediate failure, the consequences can be serious, for example leading to major bone loss in the area. There are more advanced dental implant models that have improvements to the fit of the tooth and also in the chemistry of the surface so that healing in the bone occurs faster and more efficiently.

Today we have dental implants that allow you to have a permanent tooth in 1 month! Get to know the dental implant models with the best advances, such as Straumann implants, Neodent cone-morse implants (national), SIN implants (national).

dental implant risks — *Implant shapes and models have to do with clinical indications*

5 – Increase in risk factors – patient health and habits

There are risks to the success of implant treatment that don’t depend on the professional or the materials used, but on patient factors. Failure to clean the teeth,smoking and diabetes increase the chance of problems with the dental implant.

In this article, we only discuss the RISKS in dental implants, however the success rates of dental implants are very high, especially for current implant dentistry techniques performed by a dental implant specialist.

Dental implants are an excellent treatment if they are well indicated, planned and executed.

Come and see our work! The ImplArt Dental Clinic has been dedicated to implant dentistry and oral rehabilitation for 18 years. We are located in São Paulo, Brazil.

Text written by DR. ROBERTO MARKARIAN – CRO-SP 73.583 – updated on 26-08-2024
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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What is dental implant surgery like?

Dental implant surgery is not a complicated process. Certainly, with current techniques, it’s a common procedure with no unforeseen problems. Implant surgery can take as little as half an hour in the simplest cases, is done in the clinic, in the implant dentist’s own office, with local anesthesia and the patient feels no pain.

Here at the ImplArt Clinic, we get a lot of questions from patients, especially about how dental implants are done in practice. So, to answer this and other questions about implant surgery, we’ve prepared this article to answer all your doubts about the treatment.

What is the best dental implant?

Today there are various types of dental implant with different technologies and healing times. There are even implants that heal in 30 days, called fast-healing implants, such as the Slactive implant, from the Swiss company Straumann, which is a fast-healing dental implant. In addition to this implant, there is the option of the ceramic implant, the only zirconia implant available on the market that is titanium-free and more biological, making it an excellent option for those who don’t want to have metals installed in their mouths.

This ceramic dental implant option has been increasingly sought after at Clinica Dentaria Implart by patients who want metal-free implant treatment.

Dental implant surgery can also be performed with intravenous sedation, for those patients who have a phobia of dentists, or even for those looking for extra comfort.

How to do a dental implant procedure

Is it dangerous to have dental implants? Dental implant surgery is a more straightforward procedure than you might think

Dental implant surgery is a safe procedure, and increasingly has more modern resources to make it faster and more comfortable. Here at Clinica Dentaria ImplArt, we have modern systems and expertise.

Here’s a step-by-step guide to the implant procedure:

Step 1 – The procedure consists of making a small incision in the gum in order to expose the bone bed. The dentist needs to have good access to the area in order to install the implant correctly. If the dental implant surgery is performed with a Surgical Guide, it will be a blunt dental implant surgery
Step 2 – Small drills are then used to perforate the bone. The process is carried out in such a way as to progressively expand the cavity so that it can receive the implant of the size selected by the dentist.
Step 3 – The implant is then inserted into the cavity and given a protective cap.
Step 4 – The area is sutured, or in cases of Guided Surgery, the surgery is completed without the need for stitches.

Are you afraid of dental implant surgery?

Find out what resources are available at the ImplArt Dental Clinic so that you can have a very smooth surgery.

Watch the video below explaining how dental implant surgery is performed:

Como é a cirurgia de implante dentário - dente unitário - Clínica em São Paulo - SP

In the classic implant treatment, the pin is surgically fixed into the bone and then the gum is sutured. The site is left to rest for around one to six months, depending on the type of implant used. The implant screw remains inside the bone tissue and must therefore undergo the osseointegration process, protected from chewing forces and food residue.

Shortly after the waiting period, a small cut is made in the gum and then the implant receives a piece called a healer, this process is called reopening. The implant cap can remain exposed in the mouth while the implant heals. Afterwards, the healer is removed without anesthesia (because it is not necessary), and a metal abutment is adapted to receive the prosthesis.

Recovery from dental implant surgery / after dentalimplants?

During the rest period, the patient can use a temporary prosthesis for day-to-day activities. This also helps prevent bone resorption, which would require the use of bone grafts in the future. In some selected cases, the implant can be inserted without cutting, through a small circular opening made in the gum.

This greatly favors the healing of the area as well as patient comfort. Implant surgery should be performed by a dentist specializing in implant dentistry, who certainly has the experience and knowledge in the field to determine the best treatment for each patient. In order to have a good post-operative period, people who undergo this procedure should follow the dentist’s instructions, take care of their oral hygiene and avoid smoking, which can compromise the success of dental implant treatment.

After dental implant treatment, it is always important to carry out cleaning and prophylaxis every 6 months, as a way of looking after the results achieved and monitoring oral health.

Get in touch with us to schedule your appointment or ask any questions you may have. We at the ImplArt Dental Clinic are here to help you!

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Implant all your teeth individually one-by-one with confidence

The main indication for implant treatment of all individual teeth is when the patient is close to losing all their teeth but has preserved bone.

Placing individual dental implants is an effective solution for restoring oral function and aesthetics. It also allows patients to regain the ability to chew and speak properly. It is important to note that the process of placing implants and individual teeth (one by one) requires detailed assessment and planning, taking into account the patient’s oral health and bone structure. It is therefore essential that a specialized professional carries out the procedure safely, to ensure the success of the treatment. There are currently several types of titanium implants to choose from, as well as zirconia implants.

Implantation of all the individual teeth is the technique that fixes a crown to each of the implants distributed throughout the arch.

However, this is a very advanced technique in implant dentistry and its indication and feasibility need to be examined by the implant dentist, who must determine whether the patient is a good candidate for implants of all the individual teeth. In principle, these are the basic requirements for implanting all individual teeth:

Have abundant bone (no bone loss)
Having a preserved amount of gum compared to natural teeth
In an open smile, the patient cannot show the gums

In this technique, each missing tooth will be replaced with an implant post + an individual dental crown. However, this is only possible in certain cases, please contact us.

Because of the bone and gum loss that usually occurs as a result of tooth loss, the result of the gingival appearance of a dental implant treatment of all individualized teeth is different from that of a natural dentition, and also bolder.

The main change in the shape of the gums after losing a tooth is that the gums become flat, without the arches that characterize a natural set of teeth. However, if your smile is very open, it will be necessary to make a prosthesis with a layer of artificial gum to simulate the appearance of normal gums. Read more about gum characterization in dentures.

Frequently asked questions about dental implants one by one:

Can I do a bone or gum graft to increase the bone/gum volume first to allow for an implant of all the individual teeth?

Yes, but even if there is a volume gain in these tissues, the shape of the gums will not be the same as those of a natural set of teeth (arch shape). This is because in all cases of tooth extraction there is a small loss of volume in the bone in the area, which cannot be recovered even by performing a bone graft or gum graft.

Grafting in these cases will not recover all the lost gingival volume but will only allow implants to be placed. The rest of the lost tissue will need to be replaced with dental prostheses.

What are the contraindications to implanting all individual teeth?

Very open smile that shows off the gums
Bone loss in thickness or height, because the bone has to be perfect
Regions with gum defects, as the gums must be perfect for the individualized implant.
In these cases, the aesthetics of the teeth would not look good using implants one by one.

Considerations on implanting all individualized teeth – splendid results

Because of the bone loss that occurs as a result of losing teeth without immediate replacement, it is most common for patients not to be able to have all their individual teeth implanted. However, it is possible to use a fixed prosthesis with individual teeth, which gives excellent results: a total implant with fewer distributed implants and a full-arch fixed prosthesis.

Can people who have lost all their teeth get implants? What about the gums?

Dentures may or may not have a layer of gum to simulate the appearance of natural teeth. The gum is not designed to make the prosthesis look ugly. Many patients are reluctant to use artificial gums in their dentures, as they think they look like dentures.

However, with advances in the techniques and materials used, the artificial gingiva of the prosthesis is able to reproduce the aesthetics and naturalness of natural gingiva reliably. The types of total implant prostheses are:

Acrylic resin (protocol prosthesis)
Porcelain (internal metal structure and porcelain finish – ceramic protocol)
Zirconia (internal structure in white metal-free zirconia, covered with porcelain – metal-free prosthesis)
Translucent Pure Zirconia – fully computerized prosthesis with greater resistance and naturalness
Immediate loading for the entire arch
Fixed denture on 4 implants (all on 4)

If you have any questions about the value and price of a dental implant, the best treatment, please contact our team or schedule an appointment with our specialized team. We at the ImplArt dental clinic would be delighted to hear from you!

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More about one by one dental implants

Tooth replacement in 1 month with rapid implants and DayClinic

Rapid tooth replacement with dental implants

It is possible to replace a tooth by installing a dental implant with a CAD/CAM-designed crown within 1 month, in selected cases. This is possible because the ImplArt Dental Clinic works with Straumann Slactive implants. They have surface technology that favors and accelerates healing and the biological interaction between implants and bone (osseointegration).

A case of root fracture, for example, would require a dental implant as soon as possible, along with extraction. Successful osseointegration is what guarantees the stability of the implant to support the prosthesis and the masticatory load over the years. With normal implants, osseointegration usually occurs between 6 and 8 months. With Straumann Slactive implants, this time can be reduced to 3 to 4 weeks.

*Learn all about implants: Dental Implants at ImplArt Dental Clinic Specializing in Dental Implants

Rapid tooth replacement with implants

Will I lose a tooth during implant healing?

During this healing period, the patient wears a temporary prosthesis so as not to be left without a tooth. In the meantime, our prosthetics laboratory carries out the digital CAD/CAM design and manufacture of the definitive prosthesis using 3D printers. The design begins with a digital mold that is taken using an intraoral scanner, an intraoral camera that captures precise images of the patient’s mouth.

See more about single-tooth implants: Single-tooth implants

tooth replacement with dental implant and CAD/CAM crown

From these three-dimensional images, it is possible to design a prosthesis with the perfect fit and shape for tooth replacement. The prosthesis is made using a 3D printer. It can be made of porcelain, a very resistant, aesthetic material comparable to natural human teeth, and with a metal or zirconia internal structure.

Some people prefer to come twice to our clinic in a stage protocol for Implants instead of coming only once. This happens because if you stay for the full length of the treatment, you need to stay at least one month in Brazil but instead, if you choose a stage treatment you can come normally for one week and go back home. Then, after a few months, when you have availability, you can come again for another week and finish your work.

Find out more about our digital prosthetics laboratory.

It is worth noting that the possibility of tooth replacement with implant installation, gum grafting or bone grafting, with the definitive prosthesis in just 1 month, is only possible in selected cases.

An assessment by our specialized team will determine this possibility taking into account certain characteristics, such as bone volume and general state of health (in general, as well as of the teeth and gums).

The patient’s age can also influence the planning of dental implants. The rapid installation of a dental implant with a permanent crown for tooth replacement restores chewing ability, smile aesthetics and confidence in speaking and smiling.

Alternatives to dental implants for tooth replacement

As an alternative to implants, we can use dental prostheses in some cases. Adhesive dentures are a way of replacing a missing tooth. The main feature of this prosthesis is that it is attached to neighboring teeth using metal fins and dental adhesive.

If you have any questions about tooth replacement with dental implants, treatments for bruxism or average prices, please make an appointment or contact us. We’ll be happy to help you.

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Dr. Roberto Markarian, implant dentist

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

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

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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 ?

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

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.

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.

Total Implantation . Implantation of all teeth 39 — Metal-ceramic prosthesis

Total Implantation . Implantation of all teeth 40 — Metal-ceramic prosthesis

Total implant and protocol prosthesis

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):

Zirconia prosthesis for total implants (metal-free total implants)
Fixed dentures with one tooth at a time
Ceramic protocol – (Porcelain prosthesis)
Prosthesis bars in lighter metals (Titanium bar)
Computerized execution (3D printers)
Rapid dental prostheses (Day Clinic)

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.

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

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