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Tag: placas alinhadoras

Transparent aligner – braces without parts glued to the teeth

The transparent aligner is a modern option for orthodontic treatment. Because it is transparent, it is much more discreet and almost imperceptible. Unlike conventional fixed orthodontic appliances , clear aligners are plate-shaped and do not have brackets, metal wires or colored rubber bands. Orthodontic treatment with clear aligners consists of the sequential use of different plates, with minor adjustments to each one.

It also plays a fundamental role in oral rehabilitation when there has been tooth loss. When tooth loss is not immediately replaced with dental implants, nearby teeth tend to move, taking the place of the extracted tooth. Therefore, before the patient can receive the implant, space must be made by moving the teeth back to their original position so that the site can receive the dental implant. This is done with orthodontic braces.

Therefore, in the event of tooth loss, the ideal is to replace the lost tooth with a dental implant as soon as possible.

How the aligner works without glued parts

The patient wears each plate for about 2 weeks and the teeth move progressively until they reach the ideal position. The aligner plates are custom-made for each patient, based on a digital mold taken from the teeth using an intraoral scanner and computerized planning.

In this planning, tooth movement can be simulated in advance with three-dimensional images and the patient can follow the progress of the treatment. Sometimes the aligners need accessories such as resins bonded to the tooth or a mini dental implant to guide the treatment.

We work with national aligners and aligners imported from the United States – Invisalign

Digital documentation

The documentation for this model of orthodontic appliance is a set of scans and photographs used for the digital planning of orthodontic treatment with clear aligners. The 3D orthodontic documentation for treatment with clear aligners consists mainly of:

Panoramic radiography

Digital radiological examination that allows visualization of teeth and bone structures.

Lateral Teleradiography

Radiological examination that allows cephalometric tracings to be analyzed. Radiological examinations make it possible to diagnose occlusion problems, missing teeth, erupted teeth and the bony structures of the face.

Intraoral scanning

A high-precision camera scans the teeth and gums and then creates a 3D mold of the arches. It then reproduces details such as the color and shape of the teeth and dental occlusion on the computer screen.

Extraoral and intraoral photos – facial and intraoral photos. digital orthodontic documentation

The documentation, along with a standard questionnaire, is sent to the factory responsible for making the clear aligner plates. All of the patient’s images are then entered into software for virtual planning of the tooth design and tooth movement.

Once the treatment has been approved, the Invisalign factory makes a series of customized aligner plates for the patient to wear sequentially. The plates must be worn 24 hours a day and removed only when eating or cleaning the mouth. Ask us about the best model, value and price.

Treatment to correct teeth with orthodontics

Learn about the latest orthodontic treatment techniques for correcting teeth used at ImplArt. Aesthetic braces, self-ligating orthodontic braces, transparent aligners (invisible / transparent orthodontic braces) are some examples of how the evolution of techniques allows us to meet the various needs of those who need to align their teeth and achieve a more beautiful smile.

Braces types

Orthodontics is a dental specialty aimed, among other things, at correcting teeth, treating functional and aesthetic irregularities of the teeth and dental occlusion. Orthodontic treatment aims not only to correct crooked teeth, but also to adjust the complete functioning of the mouth, facial muscles, bones and joints.

Anomalies in any of these areas can interfere with oral health, speech, swallowing, breathing and the aesthetics of the face. ImplArt Odontologia performs orthodontic treatments with the most modern types of fixed and mobile orthodontic appliances.

self-ligating braces to correct teeth

Self-ligating orthodontic braces align teeth faster and more comfortably

The main feature of this type of appliance is that it doesn’t need elastics to attach the archwire to the brackets. In self-ligating braces, the archwire passes through small channels in each bracket and is attached to the caps.

In conventional braces, there is friction between the elastics and the metal archwire, which creates resistance and makes movement slightly slower. The absence of elastics in self-ligating braces allows the archwire to run more smoothly inside the bracket channels, making tooth movement faster and more comfortable for the patient.

Self-ligating orthodontic appliances: metallic, aesthetic-metallic and aesthetic

It can be made up of all-metal, aesthetic-metal or all-aesthetic parts (aesthetic fixed braces with brackets made from sapphire, porcelain or transparent or tooth-coloured polycarbonate).

Indication: various problems that cause dental malocclusion, from the simplest to those that require major movement, the most common being diastemas, misalignment of teeth, crowding, overbite, open bite, crossbite, among others.

aligner

Conventional braces to correct teeth

Conventional orthodontic braces are made up of wires, brackets and elastics. They can be metal or aesthetic (polycarbonate, porcelain or sapphire), while the elastics can be colored or transparent. Fixed orthodontic braces work by first bonding the brackets to the teeth. Next, an archwire is placed on each bracket and secured by elastic bands.

During treatment, a certain amount of force is gradually applied to each tooth in order to align and position them properly. The patient needs to visit the clinic regularly (determined by the orthodontist) to make the force adjustments and eventually change the rubber bands that have lost their elastic capacity over time.

Discomfort and a feeling of tightness may be felt in the first few days after these activations, but this is considered normal.

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Conventional and aesthetic braces

This model of braces requires the patient to take special care with oral hygiene to avoid food debris and plaque forming around the elastics and brackets.

Indication: various problems that cause dental malocclusion, from the simplest to those that require major movement. The most common problems are diastemas, misalignment of teeth, crowding, overbite, open bite, crossbite, among others.

Transparent aligner plate to correct teeth discreetly

Completely free of metal parts and made from a biocompatible thermoplastic composition, transparent aligner plates are considered the most aesthetic option among orthodontic appliances.

Because they are transparent and have the same shape as the teeth, the aligner plates are almost imperceptible. This modern technique consists of the sequential use of aligner plates with small adjustments to each one (called attachments).

The plates are manufactured according to a computerized plan based on a mold of the patient’s arches. Each movement is planned and the patient is given an estimate of the duration of their treatment and the expected results. The patient receives the set of plates to be changed every 15 days (or at the dentist’s discretion).

Read more about dental aesthetics

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Plate-shaped braces

It is a type of mobile orthodontic appliance or removable orthodontic appliance, meaning that the patient can take it out to eat and clean their mouth. However, it is extremely important that the patient does not stop wearing them for the prescribed time.

Indication: This technique is especially suitable for simpler orthodontic corrections. It is an option for adult patients who need orthodontic treatment but do not want visual impairment.

The duration of orthodontic treatment varies greatly, as it depends on the complexity of each case, as well as the body’s biological response, the type of appliance used and the patient’s cooperation. It’s always worth remembering that orthodontic treatment should be carried out by a specialized professional and never bought online or from street vendors.

Price of orthodontic braces to correct teeth

Price of orthodontic braces to correct teeth: the Federal Council of Dentistry states that treatment prices can only be provided after a face-to-face consultation in which each patient’s clinical particularities will be assessed.

If you need your teeth corrected and have any questions, please contact us.

Braces before and after

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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 adentalprosthesis or dental crown.

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:

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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.

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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.

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.

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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.

aligner

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.

DR. ROBERTO MARKARIAN IMPLANTODONTISTA SITE
5 Biggest Risks for Dental Implants

Text written by DR. ROBERTO MARKARIAN – CRO-SP 73.583 – updated on 26-08-2024
Founder and Director of the ImplArt Dental ClinicDr. 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.