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 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:
Dental zirconia: better aesthetics for dental prosthesesDental zirconia: better aesthetics for dental prosthesesDental zirconia: better aesthetics for dental prosthesesDental zirconia: better aesthetics for dental prosthesesDental zirconia: better aesthetics for dental prosthesesDental zirconia: better aesthetics for dental prosthesesDental zirconia: better aesthetics for dental prosthesesDental zirconia: better aesthetics for dental prosthesesDental zirconia: better aesthetics for dental prostheses
A Clínica Dentária ImplArt possui um laboratório de prótese dentária próprio, ou seja, integrado ao consultório. Dessa forma, podemos oferecer aos nossos pacientes tratamentos odontológicos mais rápidos e próteses cada vez mais precisas de acordo com cada necessidade.
Nosso laboratório interno é equipado com os mais modernos sistemas computadorizados, como por exemplo o sistema alemão Cerec Sirona e a austríaca Ceramill Motion II AmannGirrbach. Ambos os sistemas são compostos com softwares de última geração e impressoras 3D de dentes. Além disso, contamos com a mais moderna impressora 3D UltraCraft ChairSide Pro, com agilidade e precisão na impressão de próteses.
As impressoras 3D de dentes esculpem diversos tipos de próteses dentárias em bloco bruto de porcelana de acordo com projeto computadorizado personalizado para cada paciente, de Zirconia pura monolítica ou de resina. Os sistemas digitais de nosso laboratório de prótese dentária tornam os trabalhos protéticos mais rápidos e a comunicação mais precisa. Isto pode ser aplicado tanto para protese fixa, quanto para prótese protocolo sobre implante dentario, ou mesmo para coroa dentaria unitária ou proteses removiveis, as dentaduras.
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Todos os sistemas são baseados no sistema Cad/Cam, em que o modelo é escaneado em leitores por contato ou então por raios lasers. Todas as informações coletadas pelo computador são enviadas pela internet. Dessa forma, as próteses são produzidas de forma individual por robôs (impressoras 3d de dentes). Nosso laboratório de prótese dentária pode realizar uma gama de procedimentos com alta qualidade como por exemplo:
The desire for a renewed, more harmonious and healthier smile is the first step towards a major life change. However, a common doubt can lead to insecurity: “What will the final result look like?”. Fear of the unknown is one of the main barriers preventing many patients from realizing their dream of a new smile. That’s where the Digital Smile Design with Artificial Intelligence carried out at the ImplArt Clinic comes in. With it, we can predict the results of your treatment.
The ImplArt Clinic, under the direction of Dr. Roberto Markarian, a reference in Brazil and abroad in Dental Implants and Computerized Prosthesis, has just incorporated the newest Artificial Intelligence tool focused on Dentistry that allows you to accurately visualize the final results of a dental treatment planned with computer graphics.
This way we can give you the chance not just to imagine, but to visualize your future smile before any procedure is even started! Can you imagine seeing yourself with a new smile before you’ve even had it done?
Digital Smile Design in Brazil with Artificial Intelligence: Preview your Future Smile at ImplArt Clinic
Whether your treatment is a dental implant, dental crown, prosthetic protocol or dental contact lenses, now, with the use of Artificial Intelligence at the ImplArt Clinic, you can see the results of your treatment and participate in the process of realizing the aesthetics of your new smile.
See above in this practical video how digital planning technology and artificial intelligence allow you to anticipate your result with impressive realism.
Digital Smile Design: How Does Technology Turn Predictability into Reality?
DigitalSmile Design (DSD) is a protocol that integrates cutting-edge technology, artificial intelligence and the artistic sensibility of our team to create a reliable preview of your treatment. It transforms the initial consultation into a co-creation experience.
Understand the steps that allow us to design your new smile:
1. Complete Digital Diagnosis: The process at the ImplArt Clinic begins with high-precision documentation. Using a modern intraoral scanner, which replaces the old moldings, we create an exact 3D model of your mouth. We complement this with professional photographs and videos that capture the dynamics of your smile and your facial harmony.
2. The Design of the Smile (The Digital Architecture): With this data, Dr. Roberto Markarian and his team use advanced software with Artificial Intelligence to digitally design every detail of the new smile. We analyze the proportion, shape, color and alignment of the teeth in relation to your lips, gums and facial features, seeking a natural and personalized result.
3. Visualizing the Future (Your Participation): This is the moment when we present you with the simulation, like the one you saw in the video above. You will be able to see the “before and after”, give your opinion and ask for adjustments. Your feedback is crucial so that the end result is not only technically perfect, but also fully reflects your wishes.
At the ImplArt Clinic, Digital Smile Planning involves intraoral scanning and smile design with computer graphicsand the use of modern artificial intelligence resources.
Advantages that Go Beyond Aesthetics with Digital Smile Planning with Artificial Intelligence
Millimeter precision: Digital planning serves as a guide for all subsequent procedures. It ensures that dental implants and zirconia crowns are made with unparalleled precision.
Clear communication: Visual simulation is the most effective form of communication. It allows you to understand each stage of the proposed treatment and actively participate in decisions.
The Perfect Connection: From Digital Planning to State-of-the-Art Treatments
The project you approve is not just an image. It becomes a digital map that guides our most advanced treatments:
Dental implants: For guided surgery implants, digital planning determines the exact position, angle and depth for implant installation, making the procedure faster, safer and minimally invasive.
Zirconia Crowns and Dental Contact Lenses: The design of the smile is exported to our CAD/CAM (computer-aided design and manufacturing) systems, which make the zirconia or lithium disilicate restorations with a perfect fit and impeccable aesthetics, faithfully reproducing what was planned.
Photo shows 3D printing stage of zirconia prosthesis, a product of Digital Smile Planning
Your New Smile Starts with a Clear Vision of the Future
At the ImplArt Clinic, cutting-edge technology and human sensitivity go hand in hand to offer you not just a treatment, but a transformative and safe experience.
Always at the forefront of dental treatments, the ImplArt Clinic has positioned itself as a reference clinic for high-quality dental treatments. ImplArt is continually mentioned as the best dental implant clinic in Brazil, due to its expertise and high technology. Always thinking of offering the most modern treatments to patients, Dr. Roberto Markarian, PhD, invests in continuous innovation, always linked to the most modern practices worldwide.
We invite you to take the first step. Schedule an appointment with Dr. Roberto Markarian and discover the potential of your smile with the help of the latest dental technology.
Dr. Roberto Markarian is a reference in dental implants and computerized dental prostheses in Brazil. As well as having more than 12,000 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.
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.
Check complete PODCAST about 5 biggest risks for dental implants:
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.
This treatment is also known as Fixed Full-Arch Prosthesis or Implant-Supported Denture. This type of implant treatment for all teeth, 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.
Full Arch Dental Implants . Implant-Supported Denturestep 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 Fixed Full-Arch Prosthesis 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 full arch dental implants treatment 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, All-on-X prostheses with 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 Fixed Full-Arch Prosthesis and the Porcelain Prothesis on a Full Arch DentalTreatment.
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.
Full Arch Dental Implants With or Without Bone Graft ?
If bone grafting is necessary, don’t be alarmed – it’s very common. Of course, dental grafting for full archa 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.
Full Mouth Reconstruction 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 prosthesis 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.
Full Arch Dental Implants - All-on-4 - All-on-6 - All-on-X
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.
Metal-ceramic crowns and prostheses are a classic option for people who have lost one or more teeth, to fully or partially cover a damaged crown or to improve the appearance, shape or alignment of teeth. Porcelain dental crowns are the popular name for metal-ceramic crowns, but today there are other types of porcelain for dental crowns.
Protese metaloceramica sem gengiva para arcada completaCoroas metalocerâmicas prontas exibindo o metal estrutural e o revestimento de porcelana
Advantages of metal-ceramic prostheses
The positive points of metal-ceramic crown technology are their strength, high level of durability and appearance.With the new generations of different porcelain formulations, they look very similar to natural teeth. In their final finish, porcelain prostheses are given a special shine so that they don’t darken under the effect of black light.
How crowns are made from this material
A metal-ceramic crown consists of an internal metal structure, which is then veneered with porcelain (ceramic).
Metal-ceramic crown Metal structure ready for an implant crown and for a natural tooth
Front and inside view ofmetal+ceramic crown (metal inner layer) vs. porcelain crown with zirconia inner structure
Metal-ceramic crowns have a great ability to blend in with the natural coloring of neighboring teeth. They can be used, for example, to replace a large restoration, protect a weakened tooth, make prostheses for one or more teeth, restore a dental implant or a full prosthesis to replace all the teeth in an arch. In short, when making a prosthesis, the patient and the dentist will decide on the best option for each person.
Which material is better? The zirconia crown (left) or the metalloceramic crown (right). The strength of the pieces is similar, but there is a great advantage in the aesthetics of the crown which contains no metal inside.
If it’s a metal-ceramic prosthesis, the specialist will choose the correct color so that it matches your natural teeth. Before your permanent porcelain crown is made, you will receive a temporary dental crown. In some cases where natural teeth are reconstructed using porcelain crowns, the root canal-treated teeth will need an internal reinforcement pin called a dental core.
Fixed metal-ceramic prosthesis for 3 teeth (the central tooth is missing). Floss does not pass between the teeth in this type of prosthesis.
Metal-ceramic upper total prosthesis: 1 – Trial of the metal structure milled by computerized systems; 2 – Prosthesis with the application of porcelain crowns and artificial gingival characterized
Disadvantages of the metal-ceramic crown
The structural metal of the metal-ceramic is the main strength of the metal+porcelain prosthesis (resistance), but it is also its main disadvantage. The internal metal of the prosthesis or dental crown can make the work less aesthetic because:
A dark spot may appear on the tooth due to the translucency of the metal.
Dentures can turn gray
A metal-ceramic porcelain crown can show metal on its edge, leaving the gums dark
They are difficult to repair in the event of a fracture
They are less living than natural teeth or more modern prostheses such as dental zirconia.
Metal-ceramic prosthesis can reveal the opacity of the metal inside when exposed to light
What if I don’t want metal in my mouth?
Another option to metal ceramics can be metal-free porcelain, which is very suitable for front teeth or for people who are allergic to metals. Nowadays there are several types of metal-free crowns, including computer-made crowns, in which the molds are not made with putty but with digitized molds.
ImplArt Odontologia has its own dental laboratory within the clinic. This certainly facilitates communication between dentists and prosthodontists and reduces the time it takes to make the prosthesis. The in-house prosthetic laboratory is fully equipped with digital technologies and 3D tooth printers.If you have any questions, please contact our team or book an appointment with our specialist team. We’d be delighted to hear from you!
The metal-free porcelain crown provides aesthetics combined with strength and durability
What is a porcelain crown?
A porcelain crown is an artificial tooth – a dental prosthesis – that resembles in form and function a natural tooth that has been damaged. Porcelain crowns can also be grouped together to make fixed bridges or fixed porcelain prostheses. Here at the ImplArt Dental Clinic in Brazil, we make metal-free crowns using completely computerized systems. We therefore offer our patients the most modern systems and the most advanced results.
What is dental porcelain?
Porcelain is a material that resembles glass and is used to reconstruct teeth. It has a natural color and high resistance. It is also called dental ceramic.
Types and materials of porcelain crowns
In short, there are different types of materials used to make porcelain crowns: the older materials use metal and the more modern ones are metal-free. Porcelain crowns with metal internal structures are called metal-ceramic and crowns with a white structure such as zirconia are called metal-free.
There are also crowns that do not use internal structures and are made using computerized methods. In addition, covering a destroyed natural tooth with a ceramic crown is essential for oral health, as it will restore the patient’s chewing ability and even allow them to eat hard foods.
The advantage of the metal-free porcelain crown is that it is more aesthetic, since pure porcelain is a white material. As a result, the structure is not visible inside the crown even in brightly lit environments. The new generations of porcelain crowns are made using cad/cam methods according to computerized designs and don’t even require layers of internal reinforcement like metal and zirconia. They are made from a single (monolithic) material. These are digital, metal-free porcelain crowns whose main advantages are aesthetics and speed of production.
Another innovative material for making a new porcelain crown is translucent zirconia, a material that is up to 10 x stronger than ordinary porcelain crowns. For this reason, they are highly recommended for the oral rehabilitation of back teeth and in patients with bruxism. Oral rehabilitation with crowns can be carried out on implants, on roots with root canal treatment and on natural teeth without root canal treatment.
Fitting dental crowns requires preparation (tooth wear) so that the crown fits correctly. The main digital technique we use is Cerec 3D, an intraoral molding system with scanners and robotic tooth production.
Before a permanent prosthesis is made, we will make a temporary prosthesis so that you don’t lose your tooth. After the rehabilitation treatment, you will be able to lead a normal life, eat hard food and clean your teeth every day with a toothbrush and dental floss. The ImplArt Clinic specializes in dental prostheses and can offer you a porcelain crown with state-of-the-art technology.
Porcelain crown: advantages and indications
Porcelain crowns are fixed dental prostheses that mimic the shape and appearance of natural teeth. When a tooth is badly damaged, it may be necessary to have root canal treatment and a porcelain crown. By Dr. Roberto Markarian, graduated dentist and specialist in dental prostheses and dental implants in São Paulo, Brazil.
What is dental porcelain?
Choosing the ideal dental prosthesis can lead to confusion when faced with a number of options. Fixed dental prostheses must meet both functional and aesthetic needs. These are the main objectives that determine the choice of the ideal material. Before choosing the material, it is first necessary to understand the differences between the types of porcelain dental crowns. The main one is the reinforcement technique, which is the part required for masticatory efforts. Understand the differences better:
Metal-ceramic crown
The porcelain dental crown is built on a metal structure. It is durable and aesthetic, and can be used on both anterior and posterior teeth. However, in some cases, it may not achieve the best aesthetic result on anterior teeth, because the dark metal inside the prosthesis can leave the crown looking darkened when subjected to intense lighting.
Porcelain crown with metal-free zirconia
This is a porcelain crown mounted on a white zirconia structure, which is therefore metal-free. It is highly durable and has excellent aesthetic results, as the white zirconia of the internal structure leaves the crown with a natural appearance very similar to the natural tooth. The porcelain crown with zirconia can also be fixed on dental implants and is completely computer-engineered and made on a 3D tooth printer. It is also an indication for people with metal allergies.
Pure porcelain crown
It has excellent aesthetic results and great resistance. The material used is lithium disilicate or feldspathic ceramic. Because this ceramic is very translucent, it is not normally suitable for use on darkened teeth or on metal posts.
Porcelain crown for natural teeth with excellent anatomy and aesthetics
How much does a porcelain crown cost?
Treatment prices can only be given after a face-to-face dental consultation. This is because the patient needs to be thoroughly assessed so that our team can understand their functional and aesthetic needs. Only then can we recommend the most appropriate treatment. In many cases, our team will offer a number of treatment options and respective outcome expectations, and the patient is free to choose.
Porcelain crowns can be made quickly in our clinic using our Day Clinic method for porcelain crowns. At the end of the porcelain crown treatment, it is important to maintain good oral hygiene by flossing daily and brushing regularly.
If you are far away, it is possible to have an online consultation, also known as a teleconsultation. This preliminary consultation takes place with our clinical director, Dr. Roberto Markarian, who will be able to make a preliminary assessment of your case and make recommendations for your treatment. This also applies to those who need dental implants, as we can plan your dental implant surgery remotely.
Before answering this question, it is necessary to explain that there are different dental bone grafting techniques, each with its own complexity and extent. This directly influences the guidelines for the post-operative period and recovery time.
Learn all about bone grafting with implants
In most cases it is possible to use a prosthesis while the graft heals
Dental bone grafting to allow the placement of just one implant, where the patient has teeth to be used as support for the prosthesis, is not the same as block grafting to place several implants in a full arch, which is considered more complex.
However, in many cases, it is possible to attach a temporary resin prosthesis, which is suitable for helping the tooth graft recover and heal, as well as allowing the patient not to be without teeth for the duration of the treatment.
After the recovery period, the temporary prosthesis is replaced by a permanent prosthesis made from the material chosen jointly by the patient and the dentist (resin, metal-ceramic or fully esthetic zirconia).
Particulate grafting is used in small reconstructions, such as filling in a site where there has been bone loss or in the maxillary sinus lift technique. The biomaterials used in particulate bone grafting are implanted to replace or repair atrophied tissue.
They can be of natural origin (a small amount of crushed human bone from the patient themselves or from a tissue bank for transplants, or freeze-dried bovine bone powder).
The particulate graft can also be made of synthetic material produced in the laboratory, fully biocompatible with osteoconductive properties (attraction of bone tissue-forming cells) or synthetic vitreous materials (synthetic hydroxyapatite).
The particulate dental graft is deposited in situ and then covered with a collagen membrane. In favorable cases, the dental implant can be placed on the same day as the graft, followed by a temporary prosthesis.
Block Grafting
This technique is indicated for more extensive reconstructions. The block-shaped tooth graft can be taken from another part of the patient’s body. When only one block is needed, it can be taken from the mandible.
When more blocks are needed, they can be taken from the pelvis or skullcap. None of the donor sites suffer from bone loss. The blocks are fixed in the jawbone with titanium screws and will thus allow more dental implants to be placed.
The possibility of using a prosthesis in this type of graft is therefore assessed on a case-by-case basis.The ImplArtDental Clinic has extensive experience in dental bone grafting techniques.
If you have any questions, please contact us or book an appointment.
Fixed dental prostheses on teeth are a solution for providing function and aesthetics to the smile of a person who has lost or fractured teeth. This type of prosthesis is also known as a bridge.
Fixed prosthesis on teeth to replace missing teeth
Sometimes it is installed glued over remaining neighboring teeth or attached by staples. Although this is a great solution for filling gaps, it can cause some inconvenience over time.
One of them is that this type of prosthesis is unable to stop bone resorption at the site, especially under the suspended element.
This is because the body progressively absorbs bone volume at the site of a tooth extraction without immediate replacement. In this respect, rapid dental implantation would be more appropriate.
The prosthesis doesn’t follow this movement and the tendency is for an unsightly gap to appear between it and the receding bone tissue.
This can leave the prosthesis out of place over time and the wearer may experience discomfort when chewing. Staples, on the other hand, can hurt the oral mucosa and damage the aesthetics of the smile if the metal is visible.
Bonded bridge over teeth
Bridge secured by metal clips
Another drawback of fixed prostheses on teeth is that they require wear and tear on the supporting teeth, which can make them more fragile and susceptible to diseases such as tooth decay and infiltration of canals or gum inflammation.
Replacing bridges over teeth with bridges over implants or single crowns therefore has many benefits, the main one being that it stops bone resorption. When the implant pins are installed in the bone, they function as tooth roots and the body understands that this bone is still useful.
Dental implants have other advantages:
Preserves the integrity of neighboring teeth (which do not need to be worn down);
Protects bone and gum tissue against periodontal disease and infiltration;
It is more resistant and durable;
It restores masticatory function and gives you the confidence to speak and smile;
Extremely aesthetic result. The prosthetic crown mimics the color, texture and shape of neighboring teeth. There is the aesthetic advantage of having no metal points from the staples.
When crowns are individualized, they make it possible to floss (note that the fixed prosthesis on teeth is one piece and it is not possible to floss between the teeth).
Dental implants offer several other advantages in addition to stopping bone resorption. They provide stability and security when chewing and speaking, as well as helping to preserve facial bone structure. In addition, single crowns or bridges on implants offer a more natural aesthetic, promoting a more harmonious smile.
If you have been wearing a fixed prosthesis on your teeth for many years and would like to replace it with a dental implant, you will need to undergo a professional assessment that will identify whether there is advanced bone loss or bruxism.
In some cases, bone grafting can be a solution for reconstructing lost volume. Find out more about bone grafting.
Ideally, people should try to have this replaced as soon as possible to avoid bone loss, but in cases where the gums are not healthy, the procedure may be contraindicated.
Prior periodontal treatment would then be necessary. It is important to remember that, once treatment has been completed, you should visit the dentist every 6 months for prophylaxis and to monitor the results of the treatment.
If you have any further questions about this technique, photos of dentures or prices, please contact us. We’ll be happy to help you.
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