Tag: implantodontia

Root Canal or Dental Implant treatment?

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

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

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

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

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

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

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

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

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

tratamento de canal radiografia 50kb — Photo shows dental radiograph: Some radiographs make it possible to clearly see the need for root canal treatment, while others require a combination of clinical assessment, radiographs and the patient’s report

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

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

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

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

Is root canal treatment 100% guaranteed?

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

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

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

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

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

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

Biological dentistry and root canal treatment

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

When Dental Implants Are Necessary

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

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

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

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

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

Why Choose the ImplArt Clinic?

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

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

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

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

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

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

Topics: Root canal or dental implant?

ImplArt Dental Clinic

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

DR. ROBERTO MARKARIAN IMPLANTODONTISTA SITE

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

Dr. Roberto Markarian is a reference in dental implants and computerized dental prostheses in Brazil. As well as having more than 10,000 implants installed, he is a researcher who produces knowledge that is published worldwide in renowned scientific journals in the field of dentistry. He is responsible for promoting knowledge and high technology applied in all the treatments offered by the ImplArt Dental Clinic.

Root Canal or Dental Implant treatment? 5

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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

Dr Roberto Markarian - Implant Dentist and Dental Implant Specialist 8

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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.

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

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Types of Neodent dental implants

Neodent is a Brazilian company that manufactures and develops products and solutions for dentistry, such as titanium dental implants and related components. It has just launched the modern Zi white ceramic implant, an option for those looking for metal-free treatment.

Know the different types of Neodent Implants

Headquartered in Curitiba and with 23 branches throughout Brazil, it has been in the market for over 28 years and is part of the Swiss Straumann Group, which consequently guarantees the quality, origin and high technology of its products. It has an extensive range of dental implants, designed to offer primary stability and thus meet different needs and bone densities, with the possibility of screwed or cemented prostheses. Implant lines:

Drive
Titamax
Alvim
Facility
Ceramic Implant System
Connections available: Morse Cone, Hexagon and WS

Solutions for various types of bone density

Exclusive Neodent Technologies

Neopore surface

Technology that guarantees controlled and uniform roughness on the entire surface of the implant. In short, ideal surface roughness is what favors bone restoration around the implant.

Acqua surface

Hydrophilic surfacetechnology that allows the implant to wick better. This phenomenon is primarily important for promoting the integration of the implant with the body. The decision on which implant is best for your case will be made between you and your ImplArt dentist. The advantages and disadvantages of each system will be presented, taking into account the needs of each patient. It’s important to know that there are different types of implants, each with its own characteristics and healing time. If you have any questions, please contact us!

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implante de zirconia Pure Ceramic Straumann

Metal-free white zirconia dental implant

ImplArt Dental Clinic brings you another great novelty: the Zirconia implant, a highly biocompatible and resistant white ceramic.

The zirconia implant is a revolutionary innovation in the field of dentistry, offering an aesthetic and biocompatible alternative to traditional titanium implants. In addition to being metal-free, zirconia implants have a natural white color that resembles the root of the tooth, providing a more harmonious visual result, especially in aesthetic areas.

This advanced zirconia implant technology also offers benefits in terms of strength and durability, making it an excellent choice for patients looking for a functional and discreet solution for replacing missing teeth.

Zirconia implant features

Zirconia implants – all-ceramic

This is one of the most modern dental implants, PURE Ceramic, developed by the Swiss company Straumann. Straumann’s PURE Ceramic implants are made from totally resistant zirconia. It is the most modern dental implant available today, as it is the only non-titanium option, ideal for those looking for metal-free treatment.

Zirconia implant indications

Certainly, the absence of metals in its composition, the ivory shade (similar to the color of human tooth roots) as well as the absence of sparkling reflections, characterize this implant as an aesthetic alternative in cases where the patient has very thin or atrophied gums, especially when these conditions occur in the anterior region (the most visible part of the arch). It is therefore an excellent option for those looking for a dental implant treatment with the best aesthetics available.

Thus, by combining the use of a zirconia implant with a computerized porcelain dental crown, Emax 3D Pure Porcelain or Pure Zirconia, the patient can achieve natural aesthetics, without any presence of metals.

Pure Ceramic zirconia dental implant and other high-quality implants at ImplArt dental clinic

In addition, they have been developed with ZLA technology, similar to SLA, which favors and accelerates the osseointegration process, important for speedy treatment and the success of the implant, as well as its stabilization.

Above all, it is important to note that Straumann’s PURE Ceramic implants have undergone rigorous scientific research before being introduced to the market. Each implant is mechanically tested before being supplied to the dentist.

This quality is guaranteed by a world leader in scientific research and the development of solutions for implant dentistry.

ceramic dental implant white dental implant, zirconia implant — *Pure Ceramic zirconia implant applied in the anterior region*

white ceramic dental implant — *White ceramic implants indicated for anterior areas and cases of high aesthetic demand*

The Swiss company Straumann has been working in the field of implant dentistry, researching and developing dental implants, surgical instruments, prosthetic components and biomaterials for regenerating oral tissues since 1974. As a result, Straumann’s products and services are available in more than 70 countries and, of course, at the ImplArt Dentistry Clinic.

Implant dentist Dr. Roberto Markarian, director of the ImplArt dental clinic, is a member of the ITI – International Team for Implantology. This organization is linked to Straumann and brings together the world’s best specialists for the development of new products and techniques. So, if you have any questions about ceramic dental implants, please make an appointment or contact us. We’ll be happy to help you.

Metal-free white zirconia dental implant 23

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Zirconia implant: made of Straumann Pure Ceramic porcelain – In Brazil

The Pure Ceramic zirconia implant from the Swiss company Straumann is a highly resistant and aesthetic option for replacing a natural tooth. The dental implant is made of metal-free ceramic material and has a white color, which is more similar to the roots of natural teeth. With this implant, it is possible to achieve an aesthetic and functional result that is far superior to metal implants. In addition, zirconia is a biocompatible and anti-allergic material, which minimizes the risk of rejection or complications. Therefore, the Pure Ceramic zirconia implant is a great choice for anyone looking for a beautiful, healthy smile.

Why should you do your zirconia implant in Brazil

The dental zirconia implant combined with the use of a pure 3D zirconia crown is the complete combination for metal-free oral rehabilitation. This treatment is especially suitable for people seeking excellence in aesthetic results, both when choosing dental implants and prostheses. In addition, it can be used for those patients who want to avoid the use of metals due to an allergic condition.

This option is gaining more and more ground as many patients want to eliminate the use of metal in their arches, either out of preference or even medical restrictions. There are currently several types of implant, each with its own characteristics, making it easier to choose according to the patient’s wishes. Let’s find out more about this very modern white implant option, which has allowed one version of the implant to be made of titanium.

implante de zircônia biológico — Image of a Zirconia Implant freshly removed from its sterile packaging during surgery

Using a zirconia implant is an option in cases of allergies or major aesthetic needs

In addition to their natural color, Straumann Pure Ceramic implants have a surface developed with ZLA technology, similar to SLA, which favors and accelerates the osseointegration process, important for the success and stabilization of the implant.

The implant has the color of a natural tooth, because it has no sparkling reflections, and is very useful in cases of thin or atrophied gums. This makes it possible to obtain a natural-looking and aesthetically pleasing end result, especially for application in the anterior region (the most visible part of the arch).

Zirconia implant surgery images – photos

implante de zircônia instalado — Image of a newly installed zirconia dental implant in the upper jaw.

implante de zircônia odontologia biológica — Image showing the immediate post-surgical appearance after the placement of a zirconia implant for the premolar tooth.

In these images of a surgery carried out in our clinic with a zirconium dental implant, the aesthetic nature of the material can be seen. After initial gum healing, bone healing begins, which takes an average of 2 months. After this time, the porcelain crown can be fitted over the implant.

The best types of dental crowns to complement these ceramic implants are the Pure Porcelain Crown, and the translucent zirconia crown, both made in our in-house dental laboratory.

The zirconia implant: Straumann Pure ceramic has been extensively tested and proven

The Straumann Pure ceramic implant was subjected to rigorous scientific research before being introduced to the market. Each implant is mechanically tested before being delivered to the dentist. This quality can only be guaranteed by a world leader in scientific research and the development of solutions for implant dentistry.

Straumann has been researching and developing dental implants, surgical instruments, prosthetic components and biomaterials for oral tissue regeneration since 1974. Straumann’s products and services are available in more than 70 countries.

implante de zirconia straumann pure neodent zi 2 — Image of the types of zirconia implants currently available in Brazil. We have the Straumann Pure Ceramic zirconia implant and the Neodent Zi implant available.

What is the healing time for zirconia dental implants?

The recovery period for the Straumann Pure zirconia implant can vary, depending on several factors, including the patient’s oral health and the type of procedure performed.

After implant surgery, the gums around the implant site need time to recover. This usually takes two to four weeks, but can vary according to the patient’s individual response.

In addition, the process of osseointegration, which is when the bone fuses to the implant, is a crucial part of recovery. Specifically for the Straumann Zirconia implant, osseointegration can occur between 2 and 6 months, while in the case of the ZI implant (Neodent) it can take 3 to 6 months to fully integrate.

Remember, each case is unique and recovery time can vary. It is always important for us to examine the patient in order to offer personalized advice.

Conclusion

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

We are among the clinics that use the most Zirconia Dental Implants in Brazil today, so we are used to carrying out such treatments.

If you have any questions, please make an appointment or contact us. We’ll be happy to help you.

Zirconia implant: made of Straumann Pure Ceramic porcelain - In Brazil 29

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Specialist dental clinic – Dental implants

A dental implant is a titanium or all-ceramic pin, in the case of Straumann‘s ceramic implant, which is surgically placed in the bone and has the function of replacing the root of a lost tooth. A fixed prosthesis is installed over the dental implant, which has the function and appearance of a tooth. It is a modern, simple treatment that aims to bring comfort to the patient.

The Implart Dental Clinic is a dental clinic specializing in dental implants, and therefore has the most modern options for those who need oral rehabilitation.

There are currently several types of fixed prosthesis on implants, including modern 3D computerized pure Zirconia crowns and Cerec porcelain, to be installed on dental implants. In this way, they use innovative computerized resources with 3D intraoral scanners and milling machines to create more precise and aesthetically natural prostheses.

Quality of life and self-esteem back with dental implants

What is a dental implant?

Treatment with dental implants aims to restore masticatory function as well as the aesthetics of the smile, which certainly gives people back their quality of life and self-esteem. After the dental implant is placed, its surface interacts with the bone, a phenomenon called osseointegration.

In short, it is responsible for the stability of fixed dental prostheses, offering the wearer security and comfort when chewing, speaking and smiling. This experience is completely different from using a mobile prosthesis, the so-called dentures, which for example can cause discomfort, move around and even hurt.

Dental implants: who can have them?

In principle, dental implants are indicated for almost all people who suffer from the absence of one, some or all of the teeth in an arch. Each person is assessed individually to determine the most suitable treatment.

The good news is that the ImplArt Dental Clinic, as an implant clinic, has the expertise and knowledge of the most modern surgical techniques to deal with almost all situations of missing teeth, even in people who have little bone volume. For these cases, there are short implants from the Swiss brand Straumann.

The new Standard Plus Short (SPS) implants from Straumann Implantes are the shortest pins available on the market (they are only 4mm long) and are indicated for patients who, for whatever reason, find themselves with limited bone availability.

Single implant, partial implant or total implant

A single tooth implant is used to replace a tooth that has been lost, usually due to an accident, root fracture, unsuccessful root canal treatment or decay. This tooth can almost always be replaced quickly using the immediate loading technique.

It is recommended that this tooth replacement be done as soon as possible to prevent bone loss, as losing a tooth and not having a dental implant can lead to bone loss and the movement of neighboring teeth, which can be aggravated by the absence of a tooth .

Advantages of single tooth implants:

Neighboring teeth remain intact
The new crown is attached directly to the dental implant, which makes it possible to floss like a natural tooth
Excellent aesthetic and functional results
Ease of treatment, as the prosthetic components are prefabricated
Unaffected by caries and infiltration
It is possible to place a temporary crown immediately after implant placement (immediate loading)
The installation of the implant prevents or stops bone resorption.

Losing multiple teeth can affect your ability to chew, as well as the beauty of your smile. The best option for replacing several teeth is undoubtedly to have dental implants fitted and a dental prosthesis fixed.

Partial implants are recommended for people who have lost some of their teeth. This treatment is a much more efficient alternative to a conventional bridge, as it offers better aesthetic results (there are no metal staples) and prevents bone resorption.

Total implants are recommended for people who have lost all their teeth. The loss is usually due to periodontal disease and inadequate oral hygiene. The implants are strategically distributed throughout the dental arch – ImplArt carries out the computerized planning of the guided total implant surgery.

The total implant treatment is able to bring the patient the incredible sensation of chewing and speaking safely and comfortably, as a fixed prosthesis that doesn’t move or hurt. The prosthesis will typically have a layer of artificial gum, but there are cases where the prosthesis can be made without the gum.

The presence or absence of gingiva in the prosthesis depends on various factors such as the resulting final aesthetics, bone and gum loss in the area, technical feasibility and dentist/patient preference.

Immediate loading – Rapid loading for implants

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

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

Immediate loading for total implants (replacement of dentures with all teeth fixed)
Immediate loading for several teeth (usually teeth or tooth roots with periodontal disease, badly decayed teeth or old dentures)
Or immediate loading for a single tooth (mainly in the anterior region)

The dental implant technique 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. These conditions are assessed individually during a consultation.

Fixed implant prosthesis – types of materials

Implant treatment is the main form of aesthetic and functional rehabilitation for patients who have lost their teeth. The absence of one or more teeth compromises chewing, speech and the aesthetics of the smile, so a fixed prosthesis on implants is capable of restoring security and self-esteem to the edentulous person.

Rehabilitation basically goes through 3 relevant phases: the placement of dental implants, the healing phase (in which the patient uses a temporary prosthesis) and the finalization with the fixing of a definitive prosthesis on implants. We have a variety of materials that can be used to make a dental prosthesis:

Pure porcelain dentures (metal free)

It is an opaque white ceramic structure called zirconia, covered with an aesthetic porcelain sculpted to the shape of the teeth. It is a new and technologically innovative material, as the prosthesis is completely designed on a computer and made with the help of electronic scanners and 3D printers.

It is the material that offers the best aesthetic results because it does not contain metals. Porcelain has very similar characteristics to natural teeth, including shade, translucency and strength.

metal ceramic total prosthesis for dental implants

Metal-ceramic dentures (porcelain + metal)

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

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

However, it has advantages over resin prostheses, such as better durability and resistance to wear, as well as no color changes over time.

Acrylic Resin (resin + metal)

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

This material has one disadvantage compared to the previous ones, which is the possibility of color change (yellowing) over time. The choice of prosthesis material should be made jointly by the dentist and patient. Watch the video on prosthetic materials for dental implants:

Do dental implants hurt?

The dental implant procedure is easier than you might think! Advances in techniques mean that dental implant surgery today is less invasive, avoiding excess tissue damage, pain and discomfort.

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

One of the techniques is that ImplArt Odontologia performs computer-guided dental implant surgery. This avoids unnecessary cuts and damage to bone and gum tissue, even with full arch all on 4 implants.

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

This system allows the surgeon greater surgical precision and better visibility during surgery.

Read about fractured teeth may need urgent replacement with dental implants

Learn more about prostheses, implants and treatments for the elderly

Read about dental implants for pregnant women

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

We often receive calls, emails and messages from people asking about the price and value of dental implants and dental treatment . We always try to explain that these questions can only be answered through a dental consultation.

In short, there are three main reasons for this: the first is that the Code of Ethics of the Federal Council of Dentistry prohibits dentists from carrying out consultations in person. The second is that dental treatments can only be indicated after a careful assessment of the patient.

The good news is that for those who live far away, abroad or in other states, there is the option of a preliminary online consultation.

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

The third is the importance of being assessed by a professional dentist. Often patients think they have a dental problem and believe that a particular treatment may be the most appropriate, but in reality it may be something else.

The dentist is the professional qualified to look at oral health in general, as well as giving the necessary recommendations to keep teeth beautiful and healthy throughout life. The qualified implant dentist is also able to recognize, in most cases, the types of dental implants that exist by evaluating the panoramic radiograph.

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

There are important factors that influence a cost-benefit ratio, such as the health and well-being that healthy teeth provide, improved self-esteem, patient comfort during procedures, the relationship of trust between patient and dentist, and our empathy for the patient, who often brings with them anxieties, expectations, fears and even trauma from previous experiences. What do you think your smile is worth?

Is there a charge for the first consultation?

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

If necessary, the patient may be asked to undergo some radiological examinations to help with diagnosis and treatment planning.

For your convenience, some of the main dental exams can be carried out in the clinic (at a separate cost). If you already have previous exams, please bring all recent ones (up to 1 year old) to your appointment, as they will be of great help.

My dentist doesn’t charge, why do you?

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

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

Do you accept any dental plans?

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

We only accept plans for the reimbursement system or free choice. There are companies that offer their employees this system, in which they will later receive the amounts paid. There is some bureaucracy involved, but we can help.

Dr. Roberto Markarian – Specialist in dental implants

Dr. Roberto Markarian is the creator and clinical director of ImplArt Odontologia, one of the main centers of technology in aesthetic oral rehabilitation and implantology in Brazil.

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

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

Run by implant dentist Dr. Roberto Markarian, the ImplArt Clinic in São Paulo specializes in dental implants.

ImplArt is one of the clinics most aligned with the latest scientific research and development of new dental implant solutions. For this reason, it has been voted the best dental clinic in Brazil, a position guaranteed above all by its expertise in Digital Dentistry, Modern Structure and Patient Satisfaction.

Above all, we treat the issue seriously, because we understand that missing teeth are one of the situations that most affect a person’s self-esteem and quality of life. Our humanized care, understanding the needs of each patient, is extremely gratifying when we see the patient’s happiness with the results achieved.

We are located in the heart of the city of São Paulo, in the Avenida Paulista area, with easy access and a wide range of shops and services for those who come from abroad or from other cities and wish to carry out their intensive Day Clinic treatment.

Dr. Roberto Markarian, clinical director of ImplArt, a dental clinic, is a specialist in implants ( implantodontist ) and dental prostheses. He constantly seeks to update and improve his knowledge, taking part in the main congresses and courses in the field with the aim of aligning the technological apparatus of the ImplArt Dental Clinic with the most advanced research in the field of dentistry in the world.

⭐️Guiados by our clinical director, Dr. Roberto Markarian, and made up of a great team of specialist dentists, technicians and receptionists with a passion for what they do, we are dedicated to improving the quality of life of our patients. We are driven by the satisfaction of seeing patients happy.

Specialist dental clinic - Dental implants 33

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