The ImplArt Clinic is always thinking about offering the most modern resources to its patients, which is why it has just added the modern Vatech EzRay Air equipment for periapical scans to its Radiology Center. This equipment allows radiographic examinations to be carried out with excellent image quality, which helps in diagnoses for more precise implants and other treatments much more quickly and comfortably.
The EzRay Air is a very light X-ray machine, rich in technological features, such as Intelligent Positioning, which allows images to be acquired quickly and conveniently thanks to its digital display with automatic angulation calculation. But how important are the tests for implant surgery? We’ll find out more below.
How important are the tests for dental implants?
Of course, periapical radiographic images are essential for visualizing teeth, dental crowns, roots, periodontal ligaments and alveolar bone (bone around teeth/implants) in detail. The periapical image is the best radiographic view for identifying certain types of lesions, infections, diseases, anomalies or fractures in any of these anatomical structures. In addition, panoramic radiography and computed tomography are necessary to plan implant surgery.
Images taken from the new digital periapical radiography equipment
High image quality and security with digital periapical radiography
Digital periapical radiography, with its high image quality, is the result of carbon nanotechnology combined with a focal point of just 0.4 mm, which is the standard of excellence in radiology worldwide. This combination generates images with optimal contrast for faster and more accurate diagnoses. The EzRay Airf is designed to guarantee a distance from the focal point to the skin and reduce the radiation dose to the patient by 60%. The CMOS technology of the intraoral sensor is thinner, providing greater patient comfort.
If you would like to start your dental implant treatment, please get in touch. We at the ImplArt Clinic are ready to serve you, always with a great deal of knowledge and the latest technology.
Dr. Roberto Markarian is a reference in dental implants and computerized dental prostheses in Brazil. With more than 10,000 implants installed throughout his career, he has vast experience in the field and is a renowned researcher. Dr. Markarian contributes significantly to the advancement of dentistry, publishing his knowledge in prestigious scientific journals worldwide. At the ImplArt Clinic, he is responsible for promoting the use of high technology in all treatments, guaranteeing excellent results for his patients. He likes to disseminate information to patients, advising them on all types of dental implant, types of dental prosthesis and treatment stages.
Schedule your appointment at the Implart Clinic by phone or WhatsApp below
Clínica ImplArt is considered the best dental implant clinic in São Paulo, Brazil. If you want to know how much a dental implant costs, types of dental implant or how to avoid tooth loss and implants, get in touch! We are here to help you!
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 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 aresult 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
Acting as a Judicial Technical Expert in the areas of Dentistry as well asAssistant Implantology
More than 30 scientific articles published innational 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 – 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)
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).
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, 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 of the chemical composition of human and bovine tooth enamel using nuclear techniques. PANEL. 9th FOUSP Research Meeting, São Paulo, 2001.
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, 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 USP International Symposium on Scientific Initiation, Ribeirão Preto, 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.
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.
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.
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.
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.
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.
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.
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.
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.
Dental implant surgery is not a complicated process. Certainly, with current techniques, it’s a common procedure with no unforeseen problems. Implant surgery can take as little as half an hour in the simplest cases, is done in the clinic, in the implant dentist’s own office, with local anesthesia and the patient feels no pain.
Here at the ImplArt Clinic, we get a lot of questions from patients, especially about how dental implants are done in practice. So, to answer this and other questions about implant surgery, we’ve prepared this article to answer all your doubts about the treatment.
What is the best dental implant?
Today there are various types of dental implant with different technologies and healing times. There are even implants that heal in 30 days, called fast-healing implants, such as the Slactive implant, from the Swiss company Straumann, which is a fast-healing dental implant. In addition to this implant, there is the option of the ceramic implant, the only zirconia implant available on the market that is titanium-free and more biological, making it an excellent option for those who don’t want to have metals installed in their mouths.
Dental implant surgery can also be performed with intravenous sedation, for those patients who have a phobia of dentists, or even for those looking for extra comfort.
How to do a dental implant procedure
Is it dangerous to have dental implants? Dental implant surgery is a more straightforward procedure than you might think
Dental implant surgery is a safe procedure, and increasingly has more modern resources to make it faster and more comfortable. Here at Clinica Dentaria ImplArt, we have modern systems and expertise.
Here’s a step-by-step guide to the implant procedure:
Step 1 – The procedure consists of making a small incision in the gum in order to expose the bone bed. The dentist needs to have good access to the area in order to install the implant correctly. If the dental implant surgery is performed with a Surgical Guide, it will be a blunt dental implant surgery
Step 2 – Small drills are then used to perforate the bone. The process is carried out in such a way as to progressively expand the cavity so that it can receive the implant of the size selected by the dentist.
Step 3 – The implant is then inserted into the cavity and given a protective cap.
Step 4 – The area is sutured, or in cases of Guided Surgery, the surgery is completed without the need for stitches.
Watch the video below explaining how dental implant surgery is performed:
In the classic implant treatment, the pin is surgically fixed into the bone and then the gum is sutured. The site is left to rest for around one to six months, depending on the type of implant used. The implant screw remains inside the bone tissue and must therefore undergo the osseointegration process, protected from chewing forces and food residue.
Shortly after the waiting period, a small cut is made in the gum and then the implant receives a piece called a healer, this process is called reopening. The implant cap can remain exposed in the mouth while the implant heals. Afterwards, the healer is removed without anesthesia (because it is not necessary), and a metal abutment is adapted to receive the prosthesis.
Recovery from dental implant surgery / after dentalimplants?
During the rest period, the patient can use a temporary prosthesis for day-to-day activities. This also helps prevent bone resorption, which would require the use of bone grafts in the future. In some selected cases, the implant can be inserted without cutting, through a small circular opening made in the gum.
This greatly favors the healing of the area as well as patient comfort. Implant surgery should be performed by a dentist specializing in implant dentistry, who certainly has the experience and knowledge in the field to determine the best treatment for each patient. In order to have a good post-operative period, people who undergo this procedure should follow the dentist’s instructions, take care of their oral hygiene and avoid smoking, which can compromise the success of dental implant treatment.
Photo of dental implant surgery showing implant being inserted into bone
After dental implant treatment, it is always important to carry out cleaning and prophylaxis every 6 months, as a way of looking after the results achieved and monitoring oral health.
There are different materials that can be used to build a dental prosthesis, the main ones being: resin with a metal internal structure (metalloplastics/Branemark protocol), ceramic with a metal internal structure (metalloceramics) and the most aesthetic option which is ceramic with a metal-free dental zirconia internal structure (metal free).
Therefore, among the possible materials for dental prostheses, we have:
resin with an internal metal structure – this is known as metalloplastic or Branemark protocol,
ceramic with an internal metal structure – this is called metal-ceramic,
the metal-free dental zirconia ceramic.
The most aesthetic option is ceramic with a metal-free dental zirconia structure, also known as metal free.
We can perform your zirconia bridge in Brazil
The evolution of aesthetic dentures
Most total or partial infrastructures are made with metal alloys that play the role of mechanical and functional support. However, their dark color can compromise the final aesthetics, especially in areas that are more apparent and important to patients.
As a result, metal-free ceramic structures are gaining ground, mainly because they achieve a more aesthetic result and because of their biocompatibility, resistance and stability.
Dental ceramics and zirconia are considered the most advanced materials because they do not contain metals in their composition, which provides an aesthetic dental prosthesis that is much more similar to natural teeth.
Zirconia teeth can be single, bridged or full-arch, installed on teeth or on dental implants.
A zirconia dental prosthesis is made to perfectly mimic dental and gum tissues. Above, the zirconia prosthesis designed, and below, the prosthesis installed. Both the color and the shape were designed individually and jointly between the patient and the implant dentist.
Dental zirconia is a white, resistant ceramic material used to build the structure of the prosthesis. A layer of porcelain is applied to this structure, which makes the prosthesis similar to natural teeth in terms of translucency, texture and shade.
As zirconia is white, the prosthesis has a similar shade and translucency to natural teeth, even when exposed to light.
New types of more translucent dental zirconia allow for the complete fabrication of dental prostheses by computer, without the need to apply porcelain manually.
The shade of zirconia is comparable to natural human dentin. In contrast, the same result cannot be achieved with a prosthesis containing a metal framework.
This is because bone and gum changes naturally occur over the years, and this remodeling can expose a small portion of the metal of the prosthesis and thus cause aesthetic damage to the smile.
Another advantage of zirconia is that prostheses made from this material are completely computer-engineered and executed on 3D printers using Cad/Cam systems. This allows prostheses to be made more quickly and accurately.
For your convenience, ImplArt Odontologia has its own digital prost hesis laboratory that develops dental zirconia prostheses. Make an appointment and find out if this technique is right for you. We would be delighted to hear from you!
See below for photos of implant treatments and fixed porcelain and zirconia dental prostheses:
It is possible to replace a tooth by installing a dental implant with a CAD/CAM-designed crown within 1 month, in selected cases. This is possible because the ImplArt Dental Clinic works with Straumann Slactive implants.They have surface technology that favors and accelerates healing and the biological interaction between implants and bone (osseointegration).
A case of root fracture, for example, would require a dental implant as soon as possible, along with extraction. Successful osseointegration is what guarantees the stability of the implant to support the prosthesis and the masticatory load over the years. With normal implants, osseointegration usually occurs between 6 and 8 months.With Straumann Slactive implants, this time can be reduced to 3 to 4 weeks.
During this healing period, the patient wears a temporary prosthesis so as not to be left without a tooth.In the meantime, our prosthetics laboratory carries out the digital CAD/CAM design and manufacture of the definitive prosthesis using 3D printers. The design begins with a digital mold that is taken using an intraoral scanner, an intraoral camera that captures precise images of the patient’s mouth.
From these three-dimensional images, it is possible to design a prosthesis with the perfect fit and shape for tooth replacement. The prosthesis is made using a 3D printer. It can be made of porcelain, a very resistant, aesthetic material comparable to natural human teeth, and with a metal or zirconia internal structure.
Some people prefer to come twice to our clinic in a stage protocol for Implants instead of coming only once. This happens because if you stay for the full length of the treatment, you need to stay at least one month in Brazil but instead, if you choose a stage treatment you can come normally for one week and go back home. Then, after a few months, when you have availability, you can come again for another week and finish your work.
It is worth noting that the possibility of tooth replacement with implant installation, gum grafting or bone grafting, with the definitive prosthesis in just 1 month, is only possible in selected cases.
An assessment by our specialized team will determine this possibility taking into account certain characteristics, such as bone volume and general state of health (in general, as well as of the teeth and gums).
Alternatives to dental implants for tooth replacement
As an alternative to implants, we can use dental prostheses in some cases. Adhesive dentures are a way of replacing a missing tooth. The main feature of this prosthesis is that it is attached to neighboring teeth using metal fins and dental adhesive.
If you have any questions about tooth replacement with dental implants, treatments for bruxism or average prices, please make an appointment or contact us. We’ll be happy to help you.
Dr. Roberto Markarian is a reference in dental implants and computerized dental prostheses in Brazil. As well as having more than 10,000 implants installed, he is a researcher who produces knowledge that is published worldwide in renowned scientific journals in the field of dentistry. He is responsible for promoting knowledge and high technology applied in all the treatments offered by the ImplArt Clinic.
Dental implant surgery is currently a fairly straightforward operation, carried out in an office or hospital environment, with hospitalization for the patient’s comfort. Implants make it possible to replace missing teeth even in large areas of the arch, including in patients with all their teeth compromised by periodontal disease. They can also be used in patients with bone loss, who may need bone grafting before or during the installation of the dental implant.
It is important to note that there are currently different types of dental implants, and the most modern ones, cone morse implants, allow for faster healing.
Total Implantation . Implanting all teeth step by step
With regard to the end result, the aim is to obtain fixed dental prostheses that will remain supported on the implants. This will allow the patient to regain their masticatory function and aesthetics.
Of course, as protocol prostheses are screwed onto dental implants, the result is a very efficient dental prosthesis for chewing, as well as excellent aesthetics and comfort.
It is therefore a much better solution than a removable prosthesis, as it provides excellent fixation and stability. In the upper arch, the total implant has the added advantage of completely uncovering the palate (roof of the mouth), which improves patient comfort.
Unlike removable prostheses (dentures), which cover the roof of the mouth to allow them to be fixed and make it difficult to perceive the taste of food, prostheses on implants are thin and occupy only the region of the dentition, leaving the rest of the mouth free, similar to the situation found when there are natural teeth. Currently, the most modern materials are the Zirconia protocol and the porcelain protocol on a total implant.
This type of treatment is usually also called a Protocol Prosthesis. Although, from a technical point of view, this name is only used when the prosthesis is made of resin, the nomenclature is widely used to identify this treatment.
Visit the total implant photo gallery by clicking here
After radiographic examinations and a CT scan of the jaws, the dental implant specialist will be able to analyze the ideal planning for the case and thus indicate bone complements such as grafts to better prepare the bone if necessary.
The jaw bone (lower arch) is more rigid and resistant, so dental implants can be installed in most cases. The upper jaw bone, on the other hand, is less dense and delicate and has a more complex anatomy.
Certainly the proximity to the nose, the maxillary sinus cavities and the greater bone loss require further study.
Total Implantation . With or without Graft ?
If bone grafting is necessary, don’t be alarmed – it’s very common. Of course, dental grafting for full implants is not necessarily complicated, invasive or large. On the contrary, most of the time the bone graft for a full arch implant is simple, small and restricted to the position of the implant.
Less invasive implant surgery: in our clinic we use current concepts of minimally invasive surgery for dental implants, which make the procedure faster and offer greater comfort during the procedure and especially during the healing phase of the dental implant.
Computer-guided implant surgery: this is a type of dental implant surgery offered at our clinic that is planned by computerized scans of the jaws.
Total Implants . Protocol Prosthesis and other types
Certainly the most common prosthesis for implanting all the teeth in a full arch is the so-called protocol prosthesis. This is a resin prosthesis with a metal reinforcement bar inside.
Over time, however, more modern ways of making complete implant prostheses have emerged. At the ImplArt Dental Clinic, we offer more technological implant materials, which are completely made on our premises and in our own dental prosthesis laboratory (see more):
If you have any questions, please make an appointment or contact us and make an appointment with our clinical director, Dr. Roberto Markarian, an implant dentist. We will be happy to assist you. The ImplArt Dental Clinic has a modern structure to serve patients and highly specialized professionals.
Dr. Roberto Markarian is a reference in dental implants and computerized dental prostheses in Brazil. As well as having more than 10,000 implants installed, he is a researcher who produces knowledge that is published worldwide in renowned scientific journals in the field of dentistry. He is responsible for promoting knowledge and high technology applied to all the treatments offered by the ImplArt Clinic.
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.
Techniques and assistants in oral health – professional cleaning, guidance on daily oral hygiene care and other behaviors that, in short,serve to prevent diseases that can affect the teeth and gums.
Technologies that are sure to make your One Stop Clinic treatment faster, more precise and more comfortable:
Day Clinic – intensive care for people with limited time or odontophobia. Ask our team about this possibility.
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
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
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.
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
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:
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).
Oral rehabilitation with ready-made porcelain lenses
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!
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.
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
Image of a newly installed zirconia dental implant in the upper jaw.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 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.
Pure Ceramic implant applied in the anterior region
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.
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.
