Tag: técnica

Computer-guided implant surgery

Computer-guided implant surgery is certainly a technique that makes implant surgeries less invasive, precise and comfortable. Currently, the most modern materials are zirconia protocols and porcelain protocols on total implants.

Surgical guide for guided implant surgery

Full arch implant with zirconia and porcelain prosthesis

This technique eliminates the need to make large cuts and sutures in the gums, making the post-operative period easier and the recovery faster.

The surgical guide acts as a template with indications of where the incisions should be made to place the dental implants. The surgical guide is custom-made according to the patient’s CT scan images, using a 3D printing method.

CT makes it possible to analyze the bone volume of all regions of the maxilla and mandible in order to select the best distribution of implants. In this way, it is also possible to choose the most suitable implants, taking length and diameter into account.

Another advantage of computer-guided implant surgery is that it helps to avoid surgical accidents, such as hitting delicate structures like nerve pathways.

GUIA CIRÚRGICO — *Photo of a surgical guide for guided implant surgery*

The patient can leave the office with temporary teeth or with the mobile prosthesis they were already wearing over the implants until the definitive prosthesis is finished (in 3 to 6 months), or with an immediate load in up to 72 hours.

Immediate loading ranges from the guided implant surgery for placing the implants to the fixing of the fixed dental prosthesis, usually of the dental protocol type. The patient can quickly speak, smile and eat safely (the masticatory effort should progress little by little, according to the surgeon’s instructions).

Learn more about total implants

Indications for a computer-guided implant surgery:

Any completely edentulous patient, whether recent or having worndentures for years, who has good bone availability is likely to be a good candidate for this technique.
Diabetic and/or hypertensive patients who generally have no indication for surgery or when it should be performed with caution due to bleeding. Computer-guided total implant placement surgery is, in principle, an excellent option for this patient, as bleeding is less with this technique.

Contraindications to guided surgery:

– Very advanced bone atrophy makes it impossible, in principle, to place dental implants. In some cases, this problem can be solved with another technique, bone grafting.

The entire procedure is carried out with great peace of mind and safety. Computer-guided implant surgery represents a major advance in dental surgery and our team at the ImplArt dental clinic, led by Dr. Roberto Markarian – a doctor in dental implants and a specialist in prosthetics – has full command of the techniques.

To find out if you could benefit from this technique, our team needs to carry out a thorough assessment of your case. Contact us and make an appointment at the ImplArt dental clinic to see other cases and photographs. We will be happy to try to solve your problem.

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Implanting several teeth at the same time

The loss of multiple teeth can certainly affect your ability to chew, as well as the beauty of your smile. The best option for replacing multiple teeth is certainly the placement of a multi-tooth implant, i.e. the placement of several implants and the attachment of a dental prosthesis. A multi-tooth implant can also be called a total implant or a protocol prosthesis.

How to do several implants at the same time.

Fixed prosthesis or implants with several teeth provide good chewing ability and aesthetics

It is certainly recommended that implant surgery be carried out as soon as possible after tooth loss. This prevents bone atrophy (progressive bone loss) from occurring. Implants for 3 teeth, 4 teeth or more have some advantages over other types of treatment.

Advantages of multi-tooth implant rehabilitation

Neighboring teeth remain intact
The prosthesis is attached to the implants, offering comfort and safety for the user to chew, smile and speak
Ease of treatment, as the prosthetic components are prefabricated (approximately six sessions)
Not affected by cavities and infiltrations
In specific cases, it is possible to place the provisional prosthesis immediately after implant placement (immediate loading)
The installation of the implant prevents or stops the bone atrophy that normally occurs after tooth loss.

protese total zirconia 45kb — zirconia_protese_total_40kb

Implants with 3 teeth, 4 teeth or more have some advantages over other types of treatment with removable prostheses. As an alternative to placing several implants, we only have techniques that use common removable prostheses, without the use of implants. However, the indication is made after evaluating each case.

Should I have several teeth implanted or wear dentures?

Multi-tooth dental implants are an alternative to conventional dentures for those who have lost many or all of their teeth. They consist of placing metal pins, usually titanium, in the jawbone or maxilla, which serve as a support for fixed dental prostheses. These prostheses can be made of materials such as porcelain or zirconia, which mimic the appearance of natural teeth.

Multi-tooth dental implants have many advantages over conventional dentures, which are supported by the gums and can come loose or cause wounds. That’s why we’ve listed some of these advantages below:

Aesthetics, comfort and safety: Dental implants are more natural, comfortable and safe than dentures, which can move or fall out. They allow the patient to smile, speak and chew with more confidence and without fear of losing the prosthesis.

Preservation of bone against resorption: Dental implants preserve the bone structure of the mouth, preventing the atrophy that occurs after tooth loss. Bone atrophy can cause problems such as gum resorption, changes to the shape of the face, difficulty adapting dentures and the loss of other teeth.

Improved chewing function: In addition, dental implants allow for better chewing, speech and taste perception. Conventional dentures can interfere with chewing, making digestion and nutrition difficult. They can also hinder speech, causing noises or difficulty in pronunciation. In addition, they can cover the palate, reducing taste sensitivity.

Durability and resistance: Dental implants are considered to be more durable and resistant to cavities and infiltrations than dentures. They are made of materials that do not wear out or deteriorate over time. They are also easier to clean, as they don’t need to be removed for cleaning.

Conclusions on getting several teeth implanted at ImplArt Dentistry Clinic

The loss of multiple teeth can affect chewing and the aesthetics of the smile. The ideal solution is to place dental implants to replace several teeth, allowing a fixed prosthesis to be attached.

With over 15 years of experience and thousands of implants installed, hundreds of cosmetic dentistry cases solved, and thousands of satisfied patients as a result. We are led by the expertise of our clinical director, implant dentist Dr. Roberto Markarian. With all our know-how , we are able to offer the most modern single-tooth implant techniques, total implants and modern contact lenses, as well as zirconia prostheses.

Get in touch with us, and schedule your evaluation appointment for implantation of several teeth, or other treatments, 📲WhatsApp (11) 3262-4750. We’re on hand to carry out your single-tooth, full-tooth or multi-tooth implant treatment and help you make a change in your life!

DR. ROBERTO MARKARIAN IMPLANTODONTISTA SITE

Text written by DR. ROBERTO MARKARIAN – CRO-SP 73.583
Founder and Director of the ImplArt Dental Clinic.

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

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

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Porcelain veneers: a beautiful and attractive smile

To improve the appearance of the teeth and correct any damage they have suffered, patients have at their disposal porcelain veneers or dental contact lenses, which are thin sheets of porcelain, customized for the patient and bonded to the front of the front teeth. They are able to change the aesthetics of the smile.

With this procedure, your smile can look more beautiful and your self-esteem can also benefit. Porcelain veneers can solve a variety of aesthetic problems in the teeth, such as stains and discoloration, chips, enamel wear, small fractures, closing gaps between teeth (diastemas), enlarging small teeth, changing the shape of teeth, among others.

What is the difference between a contact lens and a veneer?

Basically, the differences between dental lenses and veneers are their thickness, the material used and the preparation technique.

Porcelain veneers

In the porcelain veneer technique, the dentist needs to:

Wear away a LARGER amount of the tooth enamel (approximately 1mm).
SILICONE molds and impression trays are made. While the permanent veneers are being prepared, the patient wears the temporary veneers.
The material used is generally common feldspathic porcelain, made using a handmade technique (more fragile).

The purpose of wearing down the teeth is to make room for the porcelain veneer and increase its thickness. Without wear, the teeth would be overcontoured, or have too much volume. In addition, the porcelain veneer might not fit so perfectly on the tooth.

lente contato dental 49 — *Dental lenses*

Dental contact lenses

In the contact lens technique, the dentist needs to:

Wear away a LESSER amount of the tooth enamel (approximately 0.3mm).
Molds are made with an INTRA ORAL SCANNER. While the permanent veneers are being prepared, the patient wears temporary lenses or a mockup. Sometimes it is not necessary to use temporary lenses because the wear does not affect the aesthetics.
The material used is generally porcelain MADE ON A COMPUTERIZED MILL (more resistant and precise).

Like any restoration, porcelain veneers need to be properly cared for and periodically reassessed. Patients should also maintain the hygiene of the tooth surfaces. We now also make ultra-thin porcelain veneers, which are dental contact lenses. The application of dental lenses requires little or no wear to the tooth structure. Find out more by clicking here.

lente de contato dental 48kb — *Note that in this model the lateral incisor tooth has been worn down, i.e. prepared for the installation of the lens*

lente sendo fresada no bloco ceramica 50kb — *Lens being milled by 3D printer in ceramic block*

ImplArt Dental Technology

Not only porcelain veneers, but also dental contact lenses are custom-designed on a computer and executed on 3D printers. Computerized methods allow for greater precision and speed in the workflow in our in-house laboratory.

If you have any questions, then don’t hesitate to contact us through one of the channels below or make an appointment. We’ll be happy to help you.

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Rapid immediate loading of dental implants

All about Immediate loading

Immediate loading of dental implants

Rapid (immediate) loading is possible thanks to scientific advances. Today it is possible, in selected cases, to enter the office without teeth and leave at the end of the day with all the teeth fixed on dental implants with immediate loading. This technology gives patients great satisfaction due to the rapid results.

Immediate rapid loading can be planned for individual dental implants, or even total dental implants, the so-called protocol prosthesis. Its feasibility should be assessed in consultation with the implant dentist.

When to load implants quickly:

Implants with this rapid loading technique can be used in the following cases:

For total implants (replacement of dentures with all teeth fixed)
Several teeth (usually teeth or tooth roots with periodontal disease, badly decayed teeth as well as old dentures)
For a single tooth (mainly in the anterior region)
Fixed prosthesis of some teeth (in selected cases)

The rapid loading technique can be indicated for a single tooth or for all teeth.

Indications for immediate rapid loading dental implants

The dental implant technique with immediate loading can be carried out when bone quantity and quality are normal and also when occlusal habits are favorable for the procedure to be carried out so as not to overload the site with chewing.

Therefore, the immediate loading technique depends on certain conditions of the patient’s dental arch and general oral health. The conditions, planning requirements and feasibility of the implant with immediate loading are assessed individually in consultation. Not all cases can be immediately loaded.

Therefore, the dental implant technique with immediate loading can be indicated for the following cases: people with a completely toothless lower arch, a full arch with a few teeth, single or individual teeth in the anterior region of the mouth, and in some cases fixed prostheses on a few teeth, depending on the region. In all cases and situations, the main course of action is to consult your dentist and carry out a full assessment to determine what and how will be done.

Only this assessment can determine whether an immediately loaded dental implant is indicated or whether another rehabilitation procedure would provide a better result. The technique is not always used in all cases, as it depends on the patient having some specific and favorable conditions that are assessed in consultation.

We must therefore plan your case carefully in order to achieve the expected success. The procedure aims to install a temporary prosthesis immediately after the implants have been placed. The time it takes to make the final prosthesis will be discussed with the dentist and varies from case to case.

Types of dental implants

If your concern is to complete your dental implant treatment as soon as possible, you can use fast-healing implants. The Swiss company Straumann is responsible for producing the most modern dental implants that allow rapid healing. Under ideal conditions, without bone grafting and good locking, these implants normally heal in between 1 and 2 months. So if your concern is time, opt for Straumann implants. These implants can be used for single implants or total implants.

In addition to titanium implants, there are also ceramic implants, an option for those who want a metal-free implant treatment.

Types of dentures

The type of dental crown or type of prosthesis to be used in your treatment should certainly also be evaluated, in order to shorten its execution time. If possible, opt for computerized crowns or prostheses. These modern prosthesis models use 3D tools that speed up the execution time and offer greater quality and naturalness. This includes the Translucent Zirconia Prosthesis, the single zirconia crown or the fixed zirconia prosthesis. As well as the Cerec porcelain crown.

At the ImplArt dental clinic, we have all the structure to carry out your procedure with peace of mind, so come in for an assessment and we’ll analyze whether your case can be solved with this technique. Contact us by WhatsApp (11) 3262-4750, we’ll be happy to talk to you and answer any questions you may have.

Rapid immediate loading of dental implants 16

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