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Tag: planejamento

Total Implantation . Implantation of all teeth

Total dental implants can be implanted in both the mandible (lower arch) and maxilla (upper arch), although there are important anatomical differences that interfere with the planning of dental implant surgery. Fixed prostheses on dental implants can be made of Zirconia, Pure Zirconia, Porcelain(metal-ceramic), as well as Resin, called a protocol prosthesis. This type of implant treatment for all teeth, also called a total dental implant with protocol, allows patients to regain their smile and chew.

Dental implant surgery is currently a fairly straightforward operation, carried out in an office or hospital environment, with hospitalization for the patient’s comfort. Implants make it possible to replace missing teeth even in large areas of the arch, including in patients with all their teeth compromised by periodontal disease.
They can also be used in patients with bone loss, who may need bone grafting before or during the installation of the dental implant.

It is important to note that there are currently different types of dental implants, and the most modern ones, cone morse implants, allow for faster healing.

*Read more about how dental implants are done: How are dental implants done? How to get a dental implant ?

Total Implantation . Implanting all teeth step by step

With regard to the end result, the aim is to obtain fixed dental prostheses that will remain supported on the implants. This will allow the patient to regain their masticatory function and aesthetics.

Of course, as protocol prostheses are screwed onto dental implants, the result is a very efficient dental prosthesis for chewing, as well as excellent aesthetics and comfort.

It is therefore a much better solution than a removable prosthesis, as it provides excellent fixation and stability. In the upper arch, the total implant has the added advantage of completely uncovering the palate (roof of the mouth), which improves patient comfort.

Unlike removable prostheses (dentures), which cover the roof of the mouth to allow them to be fixed and make it difficult to perceive the taste of food, prostheses on implants are thin and occupy only the region of the dentition, leaving the rest of the mouth free, similar to the situation found when there are natural teeth. Currently, the most modern materials are the Zirconia protocol and the porcelain protocol on a total implant.

*Learn more about dental implants All on Four: 8 common mistakes to avoid when getting dental implants All on Four

Protocol prosthesis

This type of treatment is usually also called a Protocol Prosthesis. Although, from a technical point of view, this name is only used when the prosthesis is made of resin, the nomenclature is widely used to identify this treatment.

Visit the total implant photo gallery by clicking here

Read more frequently asked questions about total implants

See also this moving testimonial from a patient who had her whole mouth implanted.

Total Implantation .Examinations and planning

After radiographic examinations and a CT scan of the jaws, the dental implant specialist will be able to analyze the ideal planning for the case and thus indicate bone complements such as grafts to better prepare the bone if necessary.

The jaw bone (lower arch) is more rigid and resistant, so dental implants can be installed in most cases. The upper jaw bone, on the other hand, is less dense and delicate and has a more complex anatomy.

Certainly the proximity to the nose, the maxillary sinus cavities and the greater bone loss require further study.

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Total Implantation . With or without Graft ?

If bone grafting is necessary, don’t be alarmed – it’s very common. Of course, dental grafting for full implants is not necessarily complicated, invasive or large. On the contrary, most of the time the bone graft for a full arch implant is simple, small and restricted to the position of the implant.

Less invasive implant surgery: in our clinic we use current concepts of minimally invasive surgery for dental implants, which make the procedure faster and offer greater comfort during the procedure and especially during the healing phase of the dental implant.

Computer-guided implant surgery: this is a type of dental implant surgery offered at our clinic that is planned by computerized scans of the jaws.

For example, computed tomography, in conjunction with a digital mold of the arch (scanner), generates guides for the quick and safe positioning of implants. Click here to learn more about guided surgery for total implants.

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Metal-ceramic prosthesis

Total Implants . Protocol Prosthesis and other types

Certainly the most common prosthesis for implanting all the teeth in a full arch is the so-called protocol prosthesis. This is a resin prosthesis with a metal reinforcement bar inside.

Over time, however, more modern ways of making complete implant prostheses have emerged. At the ImplArt Dental Clinic, we offer more technological implant materials, which are completely made on our premises and in our own dental prosthesis laboratory (see more):

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.

implantodontista

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

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

  • Post-Doctorate in Implant Dentistry – Univ SL Mandic (Campinas-SP) – 2020
  • PhD in Implant Dentistry – Doctor of Implant Dentistry, Univ SL Mandic – 2017
  • Dr. Roberto Markarian Specialist in Dental Implants at USP (Implant Dentist) – 2008
  • Specialist in Prosthodontics (Prosthodontist ) by the CFO – 2006
  • Master in Prosthodontics, USP – 2005
  • Graduated as a Dental Surgeon from USP (São Paulo) – 2001
  • Member of the Clinical Staff of Hospital Alemão Oswaldo Cruz


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One Stop Clinic – Everything for your dental treatment in one place

One Stop Clinic is a convenience of the ImplArt Dental Clinic, which has a complete structure, especially for carrying out diagnostic tests and dental treatments, all in one place. This modern concept aims to offer convenience to patients, given the limited time available to go to the dentist. At ImplArt Dental Clinic, we are aligned with the One Stop Solution concept. Therefore, patients are able to carry out everything from diagnostic examinations to major bone grafting surgeries and total dental implants, with protocol prostheses, or even individual dental implants, within the clinic itself.

In addition, the ImplArt Dental Clinic has a digital prosthesis laboratory within the clinic itself, which guarantees high quality and control of the prostheses made. ImplArt’s digital laboratory has state-of-the-art equipment that uses robotic arms and digital scanners to design high-quality, natural-looking prostheses.

complete structure for your One Stop Clinic

Complete professional team made up of:

Technologies that are sure to make your One Stop Clinic treatment faster, more precise and more comfortable:

Strategic location for One Stop Clinic

We are located at Rua Cincinato Braga, 37 – cj 112 in the Bela Vista district of São Paulo/SP, close to Av. Paulista (Paraíso) and Av. 23 de Maio (north-south corridor, easy access for those leaving Guarulhos and Congonhas airports). Easy access from the Vergueiro subway (line 1-blue) and Brigadeiro subway (line 2-green).

Those who live far away can plan their implant surgery remotely

We can plan your dental implant surgery remotely. This is made possible by our modern computer-guided surgery planning systems. This way, when the patient who lives abroad, or in another state, arrives at the Implart Dental Clinic to start their Day Clinic treatment, we already have everything planned! All this is also possible because the ImplArt Clinic has its own prosthetics laboratory, equipped with the most modern resources and equipment to carry out your treatment.

Come and visit us. We’ll be happy to welcome you.

For your convenience, we can serve you fluently in English or Spanish.

Schedule your Dental One Stop Clinic at ImplArtDental Clinic



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Digital radiology center at the ImplArt Clinic

For your convenience, the ImplArt Dental Clinic has a digital radiology center for carrying out radiological examinations, which are essential for diagnosis and planning/monitoring various dental treatments. Diagnostic examinations certainly play a key role in the planning of an excellent dental treatment by an implant dentist. They are indispensable for planning bone grafting, periodontal grafting, dental implants, total impl ants and protocol prostheses.

In this sense, digital radiology at the ImplArt Clinic is linked to the One Stop Solution concept, where patients can carry out everything from diagnostic examinations to complete dental treatment within the complete structure of the Dental Clinic.

Digital radiographs and examinations at the ImplArt clinic help with rapid diagnosis and treatment planning

The ImplArt Clinic’s digital radiology center facilitates diagnosis and speeds up the start of treatment, since patients don’t have to travel to another address to have their tests carried out.

The ImplArt radiology center is equipped with a state-of-the-art digital x-ray machine (manufactured by Dabi Atlante), which enables digital panoramic x-rays and computed tomography, both with real-time image results.

With these high-precision tests, the diagnosis is made quickly and reliably. They also support treatment planning, avoiding wasted time, unnecessary procedures and possible surgical accidents.

Digital radiography is a way of capturing images by emitting x-rays, but with digital sensors rather than traditional film.

Read more: The use of digital dentistry in our clinic reduces the chance of COVID-19 contamination at the dentist.

Advantages of Digital Radiology

There are many advantages to using digital radiography:

  • Patient exposure to radiation is much lower in digital radiology compared to traditional film.
  • The patient doesn’t have to repeat the examination until the image is good.
  • Diagnoses are faster and more accurate, as the image captured in digital radiology has excellent resolution and the dentist can view it directly on the computer screen (no need to wait for it to be developed).
  • It allows small details such as tooth or root fractures to be analyzed. The dentist can enlarge the image when necessary.
  • It allows interaction between dentist and patient, since with the digital image on the computer screen, it is possible to better discuss the diagnosis and treatment planning.
  • It can be filed in the patient’s chart and opened by any member of the dental team involved in planning and treatment.
  • The test is sustainable, as there is no need to print film or use toxic chemicals to develop it.
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Digital radiology – Panoramic radiography

A radiological examination used to visualize oral structures. Here are some situations in which it is very useful in dentistry:

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Computerized Tomography (CT-scan)

Thishigh-precision radiological examination, available at the ImplArt Clinic’s Digital Radiology Center, is designed to visualize bone structures. In dentistry, it is very useful because the three-dimensional image makes it possible to analyze teeth, bones, joints, occlusion, soft tissues, nerve pathways, etc. Here are some of the main uses of CT in dentistry.

  • Diagnosing periodontal diseases, even at an early stage.
  • Measuring bone volume for planning dental implant surgery. Knowing the exact measurements of the bone tissue is an extremely important factor when planning dental implant surgery, because in this way it is possible to choose implants with dimensions suited to the needs of each patient and also to respect the limits of the tissues in order to avoid affecting sensitive structures such as nerves.
  • CT assists in what we call computer-guided surgery, a technique that makes surgery precise and less invasive, and therefore with the expectation of a quicker and smoother recovery.
  • Monitoring the implant healing process (osseointegration).
  • Identify possible problems with the implant, especially peri-implantitis (infection around the implant that can lead to mobility or falling out).
  • Identify fractures or defects in the maxilla or mandible that affect the health and stability of teeth or implants.

If you have any questions, please contact us or come and visit us. We at the ImplArt Dental Clinic will be happy to help you.



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Computerized dental aesthetics – Digital Pre-treatment planning

Computerized dental aesthetics uses computerized programs for digital smile planning that have certainly helped dentistry. They are used to plan and simulate various dental treatments, including implants, dental contact lenses and fixed prostheses. They make it possible to design completely personalized treatments.

Predictable results with digital dental treatment planning

As a result, they increase the patient’s understanding of the stages of their treatment, thus aligning expectations with the proposed treatment, and above all allow the dentist to have greater predictability of results.

With computerized dental treatment planning, the dentist can design crowns, restorations, aesthetic treatments, dental contact lenses as well as plan the placement of dental implants.

The purpose of digital smile planning is to create a personalized treatment, seeking the harmony of the smile, as well as avoiding unnecessary procedures and consequently making treatment faster, more comfortable and more accurate.

Now, with the latest Cerec Primemill milling machine, the results are even more precise and more detailed.

Computerized dental aesthetics
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Computerized dental aesthetics (Smile Design)

A great feature of computerized dental treatment planning programs is image overlay. This involves positioning the digital plan over the patient’s photo, making it easier for the patient to understand their treatment before they even start.

Digital smile design begins with capturing the patient’s oral images using an intraoral scanner. These images are transformed into a computerized 3D model of the dental arches.

In this way, the dentist visualizes the initial state and designs crowns, restorations or dental contact lenses to solve various problems that compromise the aesthetics and harmony of the smile.

Intraoral scanning for digital smile planning

Some cases that can be planned on a computer:

  • Increase in the length or volume of one or more teeth.
  • Aligning asymmetrical teeth
  • Making restorations for broken or decayed teeth
  • Making dental contact lenses
  • Harmonization of teeth with facial biotype
  • Even tooth shade
  • Replacing unsightly restorations with porcelain restorations
  • Making metal-free zirconia abutments and prostheses

The dental treatments planned on the computer also allow for quick dental treatments in the Day Clinic (or Dental Spa – intensive care modality).

Digital smile planning with dental implants

Digital planning of dental implants helps to ensure that the treatment result is tailored to the patient’s needs. It also helps to ensure that the treatment is efficient and as minimally invasive as possible, thus avoiding surgical accidents (such as hitting sensitive structures).

Planning begins with a computerized tomography scan. In this sense, the three-dimensional images of the tomography allow the implant dentist to know details such as the volume and dimensions of the bone in order to determine the best positions for the implants and the choice of implants with dimensions suited to the needs of each patient.

The dentist also has the option of ordering a surgical guide, which is made based on the information from the CT scan. The surgical guide acts as a template, with the exact indications of where the perforations should be made.

As a result, unnecessary cuts and punctures are avoided, meaning treatment is less invasive and recovery is quicker and more comfortable.

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At the same time, guided surgery makes it possible:

  • Prior surgical and prosthetic planning, resulting in a more precise procedure;
  • Safe flapless surgery and the possibility of immediate loading;
  • Respect for bone structures and the path of nerves and vessels;
  • A reduction in the indication for bone grafting surgeries, as this requires detailed prior planning of the case;
  • Planning aesthetic and functional procedures;
  • Better post-operative recovery;
  • Better communication between patient and dentist, contributing to greater trust during treatment.

Digital orthodontic treatment planning

Digital orthodontic treatment is fully computer simulated and planned using an intraoral scanner and specialized software. The intraoral scanner is used to capture precise images of the teeth and gums and thus create a three-dimensional color mold of the arches. The software uses these images to simulate the movement of the teeth to the desired position.

Models with the proposed final treatment can be 3D printed for verification if the orthodontist prefers. Digital molds can be used not only to plan orthodontic treatment with conventional braces, but also with braces in the form of aligner plates(Invisalign or Compass).

ImplArt Odontologia uses the main technologies ever developed for computerized dental treatment planning. From intraoral scanning to the execution of prostheses, restorations and aesthetic dental contact lenses on 3D printers.

If you have any questions, please contact us or come and visit us. We’ll be happy to welcome you!



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Aesthetic oral rehabilitation – Specialist Clinic

Aesthetic oral rehabilitation is a treatment or set of dental procedures aimed at restoring the oral function and aesthetics of a person who is suffering from missing teeth and needs implants, or whose oral function is compromised by other dental problems that affect chewing, speech and the aesthetics of the smile.

Accordingly, depending on the case, single or partial dental implants can be carried out, or so-called total implants with a protocol prosthesis, which are implants for the entire arch. Porcelain crowns or zirconia crowns can be made, designed with modern computerized systems that allow patients to regain their confidence to smile, as well as their chewing function. It is important to note that dental implant surgery is simple, and allows for major transformations in the patient’s life.

Aesthetic oral rehabilitation: which procedures?

In addition, oral rehabilitation also aims to prevent other problems from arising in the future. A complete, better and well-articulated set of teeth will certainly prevent problems with the jaw, mandible and temporomandibular joints.

ImplArt specializes in prosthetics and restoring dental aesthetics

The ImplArt Dental Clinic has a team made up of the main areas of dentistry:

  • Endodontist – root canal treatment.
  • Periodontist – treatment of diseases affecting the teeth, roots, gums and supporting bones, such as cavities, gingivitis, plaque, periodontitis.
  • Restorative dentistry – aesthetic treatments such as whitening, application of dental contact lenses and aesthetic planning.
  • Oral and maxillofacial – specialist in the surgical correction of facial anomalies, such as asymmetries, TMJ dysfunctions and bone grafting.
  • Prosthodontist – Dental surgeon specialized in making aesthetic and conventional dental prostheses.
  • Prosthetist – laboratory technician specialized in making dental prostheses.
  • Radiologist – specializes in radiological examinations that help with diagnosis and treatment planning.
aesthetic oral rehabilitation
Treatment for aesthetic oral rehabilitation: 1 – Stained and scratched restorations, missing diastema teeth, short teeth, malocclusion. 2 – Aesthetic dental treatment for the installation of lenses and veneers, replacement of restorations, tooth whitening, implants and crowns
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1 – Short teeth, 2 – Gingivetomy (gum lift) and tooth preparation, 3 – Temporary dental contact lenses (mockup), 4 – Permanent dental contact lenses – Whiter and longer teeth, more beautiful and harmonious smile.

All these areas can work in isolation or better together to achieve complete oral rehabilitation. ImplArt’s team of professionals is supported by a number of facilities and the best technologies, all at the same address:

In-house dental laboratory

With a specialized team and equipment that helps make modern dental prostheses quickly and precisely, much more like real teeth, such as the modern translucent zirconia prosthesis. ImplArt’s prosthetics laboratory has two of the most modern dental 3D printers on the market: the Cerec Sirona System and the Ceramill Motion 2.

They do everything from computerized three-dimensional design to milling teeth in ceramic material. Find out more by clicking here.

Digital radiology laboratory

With a digital panoramic X-ray machine and computerized tomography.

Computerized treatment and surgery planning

Exclusive software that plans and simulates various dental treatments. This way, patients know how their treatment will go before they even start it.

Day Clinic

The Day clinic is a type of service that carries out one or more dental treatments intensively. In this way, oral rehabilitation can be achieved in the shortest possible time (subject to assessment of the complexity of each case).

One of the main features of aesthetic oral rehabilitation is the porcelain dental crown

This is a dental reconstruction that aims to cover or encase a tooth that has had its structure compromised, or even after root canal treatment. Teeth with a root canal almost always need a reinforcing post to give the dental crown a better structure. The dental crown can be made from a number of porcelain options currently available.

In some cases, dental crowns can be better made in one day with the CEREC 3D dental prosthesis and crown in our clinic thanks to the technologies in our laboratories. Dental posts (cores) can be metal or aesthetic (zirconia or fiberglass).

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Oral rehabilitation with ready-made porcelain lenses

Read more: aesthetic cores

Above all, the ImplArt dental clinic, coordinated by Dr. Markarian, seeks to conduct treatments with clarity, respect and seriousness, so that its patients feel confident, calm and satisfied. So don’t suffer from dental problems.

We understand your fears and expectations, which is why we invest in treatments that are less and less invasive and uncomfortable.

If you have any questions about aesthetic oral rehabilitation prices, values and techniques, then please contact our team via one of the channels below or come and visit us. We’ll be happy to help you!



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