The post and core is an important part for installing a prosthetic crown to replace a tooth that has been badly destroyed, usually as a result of decay or fractures. In cases where it is possible to preserve the root with root canal treatment, the core is installed inside the root to support the prosthetic crown.
The core is the internal reinforcement part of a dental crown
This is an important stage in providing support and strength to the porcelain dental crown. See more about dental core materials. If the crown were installed without a core, the prosthesis would probably not be able to withstand the masticatory effort and consequently its duration would be shorter.
See also this article on our blog which talks a little more about root canal treatment, core and porcelain crown. Today, the reinforcement core (dental post) can be made from various types of materials: from metal to zirconia, fiberglass and carbon fiber.
The choice of material depends on a number of factors, such as the location in the dental arch and the masticatory load that the crown will be subjected to.
The metal core is considered more resistant (especially suitable for the most hidden and used area of the arch), while zirconia is considered more aesthetic because it is white (suitable for the most visible area, i.e. the front of the arch).
The prosthetic crown can be made from two different materials: resin (plastic with a metal core) or porcelain (with a metal or aesthetic core). Porcelain is more resistant and aesthetic than resin.
In some cases, root canal treatment is performed to preserve the root;
The root and tooth are prepared to receive the core;
When made of metal, the impression is taken directly inside the root;
When in zirconia, the post is cemented into the root;
A core mold is taken to prepare the prosthetic crown. At ImplArt, this mold can be made conventionally (with putty) or digitally using intraoral scanners;
The crown is installed on the core;
The duration of the procedure varies, as it depends on the complexity of each case. For some people it can be carried out in a Day Clinic.
Advantages of the technique:
The dental crown restores chewing ability as well as the aesthetics of the smile;
The appearance of this type of prosthesis is very similar to natural teeth, so it is indistinguishable when fitted;
Your smile will be beautiful and complete again, free of unsightly spots such as cavities, metal restorations, absences, etc;
The roots are protected and healthy;
Dentures are very durable, but they may need to be replaced after a few years. This need is verified during regular visits to the dentist’s office.
In cases where teeth are weakened and it is no longer possible to rebuild the tooth with a crown, dental implants are recommended. If you have any questions, please make an appointment or contact us. We’ll be happy to help you.
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.
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.
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
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.
Total Implants . Protocol Prosthesis and other types
Certainly the most common prosthesis for implanting all the teeth in a full arch is the so-called protocol prosthesis. This is a resin prosthesis with a metal reinforcement bar inside.
Over time, however, more modern ways of making complete implant prostheses have emerged. At the ImplArt Dental Clinic, we offer more technological implant materials, which are completely made on our premises and in our own dental prosthesis laboratory (see more):
If you have any questions, please make an appointment or contact us and make an appointment with our clinical director, Dr. Roberto Markarian, an implant dentist. We will be happy to assist you. The ImplArt Dental Clinic has a modern structure to serve patients and highly specialized professionals.
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.
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.
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.
