Dr. Roberto Markarian is a specialist in Implantology and Prosthodontics, with a solid academic background including a PhD, Master's degree, and Post-Doctorate in Implantology. As the director of ImplArt Clinic—a reference in aesthetic oral rehabilitation and implantology in Brazil—he brings over 25 years of clinical experience and a track record of more than 12,000 dental implants and oral rehabilitations performed.
As a researcher and educator, he has authored scientific publications in high-impact international journals and contributed chapters to international scientific books, including a publication by Springer Nature on Artificial Intelligence in Prosthodontics (2026, DOI: 10.1007/978-3-032-24895-4_10) and another by Wiley on Digital Implantology and Computer-Guided Surgery (2022). Believing that clinical excellence stems from the integration of up-to-date scientific knowledge, cutting-edge technology, and a genuine commitment to patient satisfaction, he pioneered digital implantology and computer-guided surgery in Brazil. CRO-SP 73583.
Losing one or more teeth can significantly affect your oral health and self-esteem. Fortunately, modern dentistry offers several types of dental implant that provide long-lasting results and a natural appearance. If you are looking for the best clinic to perform your dental implant in São Paulo, ImplArt Dental Clinic is the ideal choice! Recognized as the Best Dental Clinic in Brazil by the Global Clinic Rating, ImplArt offers the most advanced techniques and a highly qualified team to guarantee the success of your treatment.
In this guide, we’ll explore the main types of dental implant and treatment stages, explaining the benefits of each and how to choose the best option for you. In addition, we’ll demystify dental implant surgery, showing you that it’s simpler than it looks.
What is a Dental Implant?
A dental implant is an effective solution for replacing teeth lost due to tooth decay, gum disease, trauma or other oral problems. The implant is a structure inserted into the bone and serves as a base for crowns, dentures and the prosthetic protocol.
In addition to improving appearance, dental implants are essential for oral health and general well-being. Implants help maintain facial structure, prevent adjacent teeth from shifting and prevent problems with the temporomandibular joint (TMJ). When a tooth is lost, the surrounding teeth can move into the empty space, causing misalignment and other problems. It is therefore ideal for the lost tooth to be replaced quickly with an implant.
At the ImplArt Clinic, the types of dental implant we offer are carefully designed for complete oral rehabilitation, with the best solution in mind for each patient.
Implant surgery begins with the application of local anesthesia to ensure the patient’s comfort. In some cases, we use intravenous sedation to reduce the patient’s perception during the procedure. Sedation is specially designed for those who are afraid of the dentist or who want more comfort during the procedure.
A common concern among patients is pain. After all, everyone wants to know if dental implant surgery hurts. At the ImplArt Clinic, we ensure that the procedure is as comfortable as possible. The gum area is completely anaesthetized, and the bone where the implant is fixed has few innervations, making the procedure very smooth. For patients with a phobia of dental treatment, we offer the option of sedation, providing a more peaceful experience. There is also the option of electronic anesthesia, which can help patients with a fear of needles.
After surgery, the patient must follow the implant dentist ‘s guidelines to ensure a speedy recovery without complications. At the ImplArt Clinic, we recommend resting for at least 24 hours, avoiding mouthwash and maintaining a diet of soft, cold food. Physical activity and exposure to the sun should also be limited during recovery. The recovery period is usually the same regardless of the type of dental implant. The post-operative period of implant surgery is closely monitored, and after 7 days the patient returns to the Clinic to monitor healing.
Who Needs Dental Implants?
Dental implants are indicated for people who have lost one or more teeth due to infection, periodontal disease, caries or trauma. At the ImplArt Clinic, we assess each case individually, using fully digital X-rays and CT scans, to determine the bone structure and the most suitable type of implant. It is essential that this assessment is carried out by a qualified professional to ensure safe and effective treatment. The exams are carried out directly at the ImplArt Clinic, bringing more comfort and precision to the patient. Find out more about the tests carried out at ImplArt: Modern tests for dental implants.
How Can Implants Improve Your Self-Esteem and Quality of Life?
The smile is an important component of self-esteem and personal image. Losing teeth can negatively affect a person’s emotional and social well-being. According to studies, millions of Brazilians live without any teeth, which directly affects their ability to chew, speak and, above all, their self-esteem. At the ImplArt Clinic, dental implants are an effective solution for restoring patients’ confidence and freedom, allowing them to smile again with confidence and satisfaction.
Types of Dental Implants Available at the ImplArt Clinic
Learn about the main types of dental implant offered by the ImplArt Clinic:
1. single-unit dental implant:
The individual dental implant is one of the types of dental implant offered at the ImplArt Clinic. It is ideal for replacing a single tooth, where a titanium or zirconia pin is placed in the site of the missing tooth. Once the implant has osseointegrated, a permanent prosthesis is installed.
2. Multiple dental implants:
Multiple implants or multi-tooth implants are another type of dental implant. It is recommended for replacing three consecutive teeth using two implants. The prosthesis of the central tooth rests on the gum, providing an economical and effective solution.
The All on four implant is a type of dental implant that uses four implants to support a complete fixed prosthesis. The All on 4 implant is ideal for those who have lost all the teeth in an arch and is simpler than the Protocol Prosthesis , as it is made of resin, called metal-plastic.
5. Zygomatic Implant
The Zygomatic Implant is one of the types of dental implant, but it is indicated exclusively for patients with severe maxillary atrophy, where the bone does not have enough volume and when it is decided not to perform bone grafting.
Dental Implant Models Used at ImplArt Dental Clinic
In addition to the different types of dental implant, we also use various models, which differ in material and shape:
Short Implant: Indicated for patients who normally have little bone mass in the jaw area, avoiding the need for bone grafts.
Titanium implant: Made from titanium, known for its biocompatibility and resistance.
Zirconia implant: Similar to the color of natural teeth, ideal for patients with thin or atrophied gums.
Nanotechnological implants: These are types of dental implant with a surface treated with nanometric particles that stimulate healing and osseointegration.
Types of dental implant: short, narrow, zirconia implants, titanium implants
How to Find the Best Dental Implant Clinic in São Paulo?
To find the best dental implant clinic, consider the experience of the professional, the quality of the materials, not only the types of dental implant, but also the level of technology used. The ImplArt Clinic, led by Dr. Roberto Markarian, is known for its excellence in modern dental treatments, using high-quality types of dental implants and state-of-the-art technology.
For more information about our treatments, visit our social networks: Instagram, YouTube, Pinterest, or contact us by WhatsApp (11) 3262-4750.
Dental implant: types of dental implant and treatment stages
Dr. Roberto Markarian is areference 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
Clínica ImplArt is considered the best dental implant clinic in São Paulo. 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’re here to help you!
The lack of a tooth, usually lost as a result of an accident or damaged by decay, can be easily replaced by implanting a tooth (which works like a tooth root) and fixing a dental crown (which imitates the color and shape of the natural tooth) onto this dental implant. This treatment is called single tooth implant.
Most of the time, the surgery is very simple and quick and, depending on the type of implant chosen, the patient can be rehabilitated with the final definitive prosthesis in just a few months. This applies to both single and total implants.
The loss of one tooth leads to problems with the other teeth
Dental implants are certainly an effective solution for restoring the aesthetics and functionality of the smile. The absence of a tooth can compromise the aesthetics of the smile, but also its functionality. Missing teeth trigger bone resorption at the site, which can be prevented by implanting a single tooth. Bone loss varies from person to person, but in advanced cases it can unbalance dental occlusion.
In this way, neighboring and opposing teeth can move. For example, a person loses a back tooth in the lower arch and doesn’t replace it. The opposing upper tooth, which until then made contact with the lower tooth, loses its support and tends to move downwards over time. Dental malocclusion facilitates the development of problems such as plaque build-up, tooth decay and TMJ dysfunction. Therefore, the single loss of a tooth can lead to imbalances in neighboring teeth, and needs to be addressed with a dental implant.
Aspect of the dental implant of the front tooth (central incisor) with the healed cap and the positioning of the provisional tooth.Single individual implant or single tooth implant.
Benefits of single tooth implants
Therefore, a single-tooth dental implant has many benefits over other treatment alternatives, the main ones being:
Neighboring teeth remain intact
The new crown is attached directly to the implant, which makes it possible to floss like a natural tooth
Excellent aesthetic and functional results
Ease of treatment, as the prosthetic components are prefabricated (approximately four sessions)
Unaffected by caries and infiltration
It is possible to place a temporary crown immediately after implant placement(immediate loading)
The installation of the implant prevents or stops bone resorption.
Please note: we are only available by appointment, but if you have accidentally lost a tooth or would like to have implant rehabilitation treatment , pleasecontact us so that we can arrange a time to see you as soon as possible.
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.
Get to know the ImplArt Dental Clinic, a specialist dental implant clinic in São Paulo. Clinica Dentaria ImplArt has a complete team and structure for you to carry out your implant surgery with peace of mind and high-quality materials. We offer the most modern treatments with a structure ready to receive the patient according to high international standards. In addition, we offer the best brands of dental implants for you to choose from, various types of implants and the best team of specialists in implant dentistry. So if you’re looking for an implant clinic that works with high technology and modern materials, you’re in the right place!
Implants can have different healing times, so it’s important to choose which one to use before surgery. Osseintegration times for dental implants can vary from 1 to 6 months. Therefore, choosing the ideal type of dental implant is very important, because once implanted, the healing period for each implant must be respected. With Clinica Dentaria ImplArt, aclinic specializing in implants, you will certainly have all these options at your fingertips!
Dental implants – Quality of life and self-esteem back
What are dental implants and dental implant clinics?
This is a titanium or all-ceramic post (Straumann or Neodentceramic implant ), which is surgically placed in the jawbone and has the function of replacing the root of a lost tooth.Tooth loss can occur as a result of trauma, tooth decay, gum infection or periodontal disease.
In these cases, after the dental implant has been installed, a dental prosthesis is attached which has the function and appearance of a tooth.
Treatment at the ImplArt Dental Clinic, which specializes in dental implants, aims to restore masticatory function, oral health and the aesthetics of the smile, giving people back their quality of life and self-esteem.
Treatment with dental implant pins is more efficient than treatment with conventional removable prostheses, known as dentures, and provides much more comfort for the patient, both when smiling and chewing.
Currently, for those looking for a metal-free treatment, either due to metal allergies or preference, the combination of ceramic implant and porcelain crown, or computerized Pure Zirconia, are ideal.
As we are a clinic specializing in dental implants, we have all the support we can offer patients, and a wide range of implant types.
As we are a clinic specializing in implants, we have the knowledge and know-how to identify the most diverse types of implants in patients who may have already had their surgery elsewhere and don’t know which implant was used.
The osseointegration of the dental implant takes place through the formation of calcium on the surface of the implant, which occurs through delicate and complex biological and molecular phenomena. The healing time of the dental implant will depend on the type chosen, and will be confirmed by the implant specialist, implant dentist. Here you will have all the information you need for your implant, because we are a specialist implant clinic, with knowledge and vast experience in implant dentistry.
However, the time until the implant is sufficiently integrated can vary depending on a number of factors:
Healthy osseointegration is therefore responsible for the stability of dental implants and fixed dental prostheses, offering patients the security and comfort to chew, speak and smile. External factors such as smoking and poor oral health can hinderimplantosseointegration.
It is certainly expected that the dental implant will last forever, i.e. once osseointegration has taken place, in healthy patients, it should remain integrated into the bone.
Zirconia protocol prosthesis, available at Clinica Dentaria ImplArt, implant specialist clinic
In the case of total implants, the brushing technique should be improved according to the instructions given by the dentist specializing in dental implants.Dental implants can be recommended for almost anyone who suffers from missing teeth, whether a few teeth or all the teeth in an arch.
However, each implant case needs to be assessed individually in order to plan the most appropriate treatment. However, the good news is that ImplArt is a specialist dental implant clinic that has the expertise and knowledge of the most modern techniques to solve missing teeth.
We have the experience to solve the most difficult cases of oral rehabilitation, using surgical or prosthetic techniques. See examples of before and after with osseointegrated implants at ImplArt, a clinic specializing in implants.
The new crown is attached directly to the implant, which makes it possible to floss like a natural tooth
Excellentaesthetic and functionalresults
Ease of treatment, as the prosthetic components are prefabricated
Unaffected by caries and infiltration
It is possible to place a temporary crown immediately after implant placement (immediate loading)
The installation of the implant prevents or stops bone resorption.
Partial dental implant – several teeth
Losing multiple teeth can affect your ability to chew, as well as the beauty of your smile. Certainly the best option for replacing several teeth is the placement of dental implants and the fixing of a dental prosthesis.
Partial dental implants are recommended for people who have lost some teeth in between or in the same area of the mouth. A partial implant treatment is a much more efficient alternative to a conventional bridge.
Fixed prostheses on dental implants offer better aesthetic results compared to removable prostheses, dentures, and are important for preventing bone resorption and preserving oral health.
Photo with dental implant of all teeth – In this case a translucent zirconia prosthesis made in our in-house prosthesis laboratory
Dental implants for all teeth – total or complete
Total dental implants are recommended for people who have lost all their teeth. The loss of all teeth usually occurs due to periodontal disease or a combination of caries and inadequate oral hygiene.
There are strategies for replacing the teeth of an entire arch with a fixed prosthesis (also known as a protocol prosthesis) or a removable prosthesis (overdenture), but fixed prostheses are the most commonly used.
In an all-tooth dental implant treatment, the pins are strategically distributed through the bone of the dental arch in order to provide sufficient support for the planned dental prosthesis.
Due to scientific advances, it is now possible, in selected cases, to go into the office without teeth and leave at the end of the day with all your teeth fixed on dental implants (temporary prosthesis).
The dental implant technique with immediate loading can be performed when bone quantity and quality are normal and also when occlusal habits are favorable for the procedure so that there is no chewing overload on the site.
Therefore, the immediate loading technique depends on certain conditions in the patient’s dental arch and general oral health. These conditions are assessed individually during your consultation with the implant dentist.
Different implant pin models can advance or delay healing and therefore the delivery of the definitive prosthesis. Discover the fastest implants currently available from the Swiss brand Straumann.
Total fixed zirconia and porcelain prosthesis
Fixed dental prosthesis on implants – types of materials
Implant treatment is the main form of aesthetic and functional rehabilitation for patients who have lost their teeth.
The absence of one or more teeth compromises chewing, speech and the aesthetics of the smile, so a fixed prosthesis on implants is capable of restoring the edentulous person’s security and self-esteem.In summary, rehabilitation basically goes through 3 relevant phases:
Pure porcelain fixed prosthesis for dental implants – Translucent zirconia (metal free)
It is a white ceramic structure called zirconia, covered with an aesthetic porcelain sculpted to the shape of the teeth.
It is therefore a new and technologically innovative material, as the prosthesis is completely designed on a computer and made with the help of electronic scanners and 3D printers. The zirconia fixed prosthesis is the material that offers the best aesthetic result because it does not contain metals in its composition.
Zirconia is a porcelain that has characteristics that are equally comparable to natural teeth, including shade, translucency and resistance.
Photo with example of oral rehabilitation of all teeth in metal-porcelain (metalloceramics), carried out at Implart, a specialist in dental implants
Metal-ceramic prosthesis on dental implants (porcelain + metal)
This is a prosthesis with an internal metal structure (titanium, Ni-Cr or Cr-Co) and an aesthetic porcelain finish that is hand-sculpted in the shape of the teeth. The result is the strength and aesthetics of porcelain, which leaves the prosthesis with aesthetics and beauty similar to natural teeth.
Although it has a small disadvantage compared to pure porcelain prostheses (which is the possibility of a grayish line appearing at the level of the gums, if the patient suffers some gum recession over time, which can lead to an aesthetic compromise in the smile).
The porcelain prosthesis (ceramic protocol) has advantages over the resin prosthesis, such as better durability and resistance to wear, as well as no color changes over time.
Protocol dentures for all upper and lower teeth – Resin dentures
Also known as the Bränemark protocol prosthesis, this model has an internal metal structure and an aesthetic resin finish. The teeth are made of resin and you can choose the color, shape and size of the teeth.
However, this material has a disadvantage compared to previous ones, which is the possibility of color change (yellowing) over time. The choice of prosthesis material should be made jointly by the dentist and patient.
During the surgery, the patient feels no pain because it is performed under local anesthesia. In addition, ImplArt uses techniques that reduce discomfort during surgery and make the recovery period more peaceful.
ImplArt also uses Piezosurgery surgical ultrasound, which cuts through hard tissues such as bone and preserves soft tissues such as gums, nerves, membranes and blood vessels.
In this way, the system allows the surgeon greater surgical precision and better visibility during surgery, as well as avoiding risks in the dental implant. See more photos of work carried out at ImplArt by clicking here.
The best brands and types of dental implants
There are several brands and models of dental implants available in Brazil, and for each application there is an ideal model. At ImplArt we use certified materials.
Dentistry has come a long way with the use of less invasive techniques to offer patient comfort and, above all, ImplArt has incorporated today’s most effective techniques into its practice to minimize any discomfort.
ImplArt is always in line with the latest developments in the world of dentistry. It uses advanced techniques to ensure that its patients have a quiet, minimally invasive, comfortable and painless surgery.
Get to know our resources and see that it’s worth doing your aesthetic and functional oral rehabilitation with dental implants, without fear.
Humanized treatment with a dental implant specialist and care for those who need teeth implanted
Fears and phobias of dentists usually stem from previous bad experiences. Examples include previous treatments that were poorly carried out, without respect for the patient’s needs or painful treatments.
ImplArt has a great deal of experience in dental implants, as well as dealing with people’s expectations and fears in this regard. Over the years, we have received many people who were terrified of undergoing dental implant surgery, as well as the aftermath.
We are ready to listen to your needs in implant dentistry and oral rehabilitation
At the end of the treatment, benefiting from modern techniques and humanization, it is common to see a reduction in the patient’s phobias and even a cure for the fear ofdentists(odontophobia). We affirm that the advantages of good oral health and an aesthetic smile are well worth it.
ImplArt’s team of dental implant specialists iscommitted to welcoming and understanding all the needs, fears and traumas that people bring with them. Don’t let fear stop you from enjoying the benefits of a fixed prosthesis on implants.
We are ready to help you with your case and restore masticatory function and the aesthetics of your smile!
Computer-guided implants are available at our clinic
Guided dental implant surgery – less invasive and faster
In order to plan the case, the patient undergoes a CT scan. The 3D images from the CT scan, combined with a digital mold of your mouth using an intraoral scanner, are used to make a plastic guide.
This implant with surgical guide acts as a template with the exact indications where the implants should be positioned according to the bone volume.
In this way, unnecessary cuts in the gums are avoided in most cases. This certainly means a lot of comfort for the patient in the post-operative recovery, as well as faster surgery.
Deep sedation for implant surgery
Sedation is a technique indicated for those who are very afraid of the dentist, afraid of feeling pain, as well as the noise of the motor, the needle, blood, etc. It allows the patient’s level of consciousness to decrease during the surgical procedure.
But sedation does not affect the ability to breathe and respond to physical stimulation and verbal commands. An anesthesiologist applies a sedative drug intravenously before the procedure.
The patient then falls asleep, but is continuously accompanied by the doctor and monitoring devices as the surgery takes place. In practice, it’s like a deep, relaxing sleep for the patient.
Most of the time, there are no memories of the procedures. The patient only wakes up when the procedures are finished, and the doctor continues to monitor their recovery until they can walk out of the room.
The sedation procedure with a dental implant specialist becomes simple, as well as comfortable for the patient, because when they wake up all the work has already been done. Read more about sedation.
There is another form of gas sedation (nitrous oxide), which we do not use at ImplArt. In our experience, gas sedation is very superficial and is not effective for patients who are truly “afraid”.
Dental Day Clinic with dental implant specialist – Faster treatments
The Day Clinic or Dental Spa is a type of intensive treatment offered at Implart, a specialist in dental implants. Among other advantages, it is suitable for those who are afraid of dental implants and want a quick dental implant treatment. In a Day Clinic, the patient can arrive at the office without teeth and leave with a dental implant and temporary prosthesis on the same day (in selected and favorable cases).
ImplArt is a modern specialist clinic with a complete structure for this purpose. Digital dentistry techniques, computerized molds and fabrication of teeth, our own laboratory and trained staff speed up treatment.
Check out the photos of the implant treatments below and see the transformations! If you’d like to see even more cases, visit our Photo Gallery by clicking HERE.
Computerized porcelain crownsProtocol prosthesis on implantsOral rehabilitation with implantsComputerized zirconia crownsProtocol prosthesis on implantsUpper arch protocol prosthesisProtocol prosthesisProtocol prosthesis on implantsZirconia protocol on implantsProtocol prosthesis on implantsZirconia protocol prosthesesComputerized porcelain crownsprotocol prosthesis on implantsZirconia implants protocol prosthesisZirconia implants protocol prosthesis
Price and value of dental implant treatments and dental aesthetics │ Dental implant value and average price with dental implant specialist
We often receive calls, emails and messages from people asking about the prices or values of dental treatments, especially dental implants and prosthetic protocols.
However, we always try to explain that the value and price can only be answered through a dental consultation with a specialist in dental implants, an implant dentist. The ImplArt Dental Clinic specializes in dental implants and takes this matter very seriously.
How much is a dental implant? Do I find out the cost at the appointment?
There are two main reasons why values are explained live:
The first is that the Code of Ethics of the Federal Council of Dentistry prohibits dentists from providing consultations online – not in person. Nor can dentists advertise the price of dental treatment online, let alone the cost of dental implants. The practice of posting average prices on websites constitutes serious misconduct before the Dental Council.
Secondly, complex dental treatments such as implant dentistry can only be indicated after a careful assessment of the patient. It often happens that patients think they need teeth implanted, but in reality they first need braces, bone grafts or different types of dentures. Of course, different plans will lead to different values and prices.
What can influence treatment with a dental implant specialist?
There are numerous factors that influence the planning of a treatment. There are also various options for materials and techniques that influence the composition of a budget. In addition, a treatment that may be suitable for one person may not be the most appropriate for another.
An implant dentist is a professionalwho specializes in dental implantsand is qualified to plan and carry out dental implants, as well as giving the necessary recommendations to keep teeth beautiful and healthy throughout life.
There are important factors that influence the perception of value or cost-benefit, such as the health and well-being that healthy teeth provide, improved self-esteem and patient comfort during procedures.
In addition to the price, the relationship of trust between patient and dentist and our empathy for the patient are important, as they often bring with them anxieties, expectations, fear of implants, as well as trauma from previous experiences. How much does your smile cost you?
What is the first consultation with adental implant specialistlike? Is there a charge?
Yes, we charge for the first consultation. The patient will be assessed by the clinic’s director, Dr. Roberto Markarian, a specialist in dental implants, who has extensive experience in treatments for functional and aesthetic oral rehabilitation, with dental implants as well as dental prostheses.
My dentist doesn’t charge for implants, why do you?
We follow the rules of the CRO, the Regional Council of Dentistry, which specifies that dental services cannot be free, in the same way as medical consultations. Certainly, the culture in dentistry is changing and the number of dentists who charge for consultations is growing.
The dentist specializing in dental implants, implantodontist, who will be treating you has completed university studies and takes frequent postgraduate courses. Their time is valuable, as it is in other health professions. We also need to clarify that there is no such thing as a free dental implant.
Even in places where tooth implants are done at low cost, such as courses for dentists, the patient pays less, but there is always a price to pay.
Do you accept any dental plans that cover dental implants at ImplArt, a specialist in dental implants?
We are a clinic specializing in dental implants, used to receiving the most complex cases in dentistry.
However, we do accept plans for the reimbursement or free choice system. There are companies that offer their employees this system, in which they will later receive the amounts paid. In this way, we offer all the support that patients with dental plans may need to request reimbursement.
Most dental plans don’t offer cover for dental prosthesis, implants or aesthetic procedures, which are precisely the focus of our specialist clinic. However, we are able to offer the support that patients may need to request reimbursement for their dental treatment.
He holds a doctorate in implant dentistry, a master’s degree in dental prosthetics, two specializations in dental implants and dental prosthetics, as well as training courses in the field of dentistry, both in Brazil and abroad.
He is also a member of the ITI – International Team for Implantology, an organization linked to Straumann that brings together the world’s best specialists for the development of new products and techniques. Learn more about Dr. Markarian ‘s academic career and technical scientific knowledge by clicking here.
Understand when a zygomatic implant is appropriate and why it isn’t always the best first option
The zygomatic implant is an advanced technique in implant dentistry, generally recommended for patients with severe bone loss in the maxilla, that is, in the upper jaw. It gets its name because it is anchored in the zygomatic bone, located in the cheekbone region, rather than just in the alveolar bone of the mouth, as is the case with conventional dental implants.
Although it is an important option in extreme cases of bone atrophy, the zygomatic implant should not be viewed as an automatic solution for all patients who have been told they “don’t have enough bone” for dental implants.
According to Dr. Roberto Markarian, a specialist with a master’s and a doctorate in implant dentistry and director of the ImplArt Clinic in São Paulo, the problem lies not in the existence of the technique, but in its excessive or hasty use. In many cases, there may be less invasive, more conservative alternatives with excellent predictability available to the patient, especially when the diagnosis is made using modern imaging and digital planning.
At ImplArt Clinic, a leader in dental implants, oral rehabilitation, and digital dentistry, each case is evaluated individually using resources such as computed tomography, three-dimensional analysis of the maxillary bone, digital implant planning, and prosthetic-functional analysis. This approach allows us to determine with greater certainty whether a zygomatic implant is truly necessary or if there are simpler options for oral rehabilitation.
Zygomatic Implants: 5 Reasons to Think Twice Before Getting One
What is a zygomatic implant?
A zygomatic implant is a longer dental implant designed for cases involving significant bone loss in the upper jaw. Instead of being anchored only in the jawbone, it extends into the zygomatic bone, a higher and more robust bony structure in the face.
This technique emerged as an alternative for situations in which the patient had severe maxillary atrophy, especially when there was insufficient bone volume to place conventional implants or when extensive bone grafts were considered too complex.
However, precisely because it involves important anatomical structures, the zygomatic implant requires extremely careful planning, surgical experience, and precise indication. It may pass through areas near the maxillary sinus and come relatively close to delicate regions of the face, which makes the procedure more complex than that of a conventional implant.
Therefore, before agreeing to a zygomatic implant, the patient should understand whether it is truly necessary in their case. *Watch the video below, in which Dr. Roberto Markarian explains all the reasons why you should think carefully before opting for a zygomatic implant without first evaluating other dental implant options.
1. The zygomatic implant has limited indications
The first reason to think carefully before undergoing a zygomatic implant procedure is that it should be reserved for specific cases.
According to Dr. Roberto Markarian, many patients come to his office saying they’ve been told by another professional that they “don’t have enough bone” and that, for that reason, they can only have zygomatic implants. However, with a detailed evaluation, it’s often possible to identify other alternatives.
With modern imaging techniques, such as computed tomography (CT), it is possible to accurately measure bone volume and assess whether there are suitable areas for placing conventional implants, short implants, narrow implants, or implants combined with small bone grafts.
In other words, not every case of bone loss automatically requires a zygomatic implant.
At ImplArt Clinic, treatment planning is not standardized. Each patient undergoes an individualized assessment that takes into account bone anatomy, bite, the type of prosthesis desired, overall health, aesthetics, masticatory function, and long-term predictability.
When there is a less invasive and equally safe alternative, it makes no sense to start with the more complex procedure.
2. Zygomatic Implant: This is a more complex and invasive surgical procedure
The second important point is that zygomatic implant surgery is more complex than the placement of conventional dental implants.
Because the implant is long and must reach the zygomatic bone, it follows a different path within the maxilla. This may require larger incisions, more extensive surgical manipulation, and, in some cases, a hospital setting.
This complexity does not mean that the procedure is inappropriate. It simply means that it should be reserved for cases in which the benefits outweigh the risks.
According to Dr. Roberto Markarian, effective planning in implant dentistry should strive to strike a balance between safety, predictability, comfort, and durability. If the same functional goal can be achieved using a less invasive technique, this option should be considered before a final decision is made.
The surgeon’s experience is also crucial. Zygomatic implant surgery requires a thorough understanding of anatomy, three-dimensional planning, and prosthetic knowledge, as the surgery cannot be considered separately from the final prosthesis.
Zygomatic implants: implants anchored in the zygomatic bone
3. There may be a risk of sinus complications
One of the most important points addressed by Dr. Roberto Markarian is the relationship between the zygomatic implant and the maxillary sinus.
The maxillary sinus is a cavity located in the upper region of the maxilla, near the roots of the upper posterior teeth. Because a zygomatic implant can pass through this region, there is a risk of complications, such as recurrent sinusitis or inflammatory changes.
According to Dr. Markarian, this does not mean that every patient who undergoes a zygomatic implant will develop sinusitis. However, it is a risk that must be carefully assessed during diagnosis and planning.
For this reason, computed tomography is essential. It allows us to visualize the patient’s anatomy in three dimensions, assess the condition of the maxillary sinuses, and plan the implant placement with greater precision.
At ImplArt Clinic, digital technology helps precisely in this regard: understanding the anatomy before surgery, anticipating potential challenges, and choosing the most appropriate strategy for each case.
In this image, we can see conventional dental implants on the left and a restoration with a zygomatic dental implant on the right. Note the difference in size between a conventional dental implant for a conventional Full Arch Prosthesis and a zygomatic implant.
4. A high success rate does not mean it is the best first choice
A zygomatic implant can have a high success rate when properly indicated and performed. However, a high success rate does not mean that it is the best first option for all patients.
In modern dentistry, the fastest, best-known, or most dramatic treatment from a surgical standpoint is not always the best. In many cases, the best decision is the one that offers the best balance between results, safety, comfort, and long-term maintenance.
One of the benefits often associated with zygomatic implants is the possibility of immediate loading—that is, the placement of a temporary prosthesis in the short term. However, it is important to understand that a prosthesis placed immediately after surgery is done at a time when the tissues are still swollen and in the process of healing.
As the months go by, the gums and surrounding tissues settle. This can alter the fit of the initial denture and require subsequent adjustments.
At ImplArt Clinic, when immediate loading is indicated, we typically opt to fabricate a functional temporary prosthesis, which allows the patient to get through the initial healing period. Once the tissues have stabilized, a final prosthesis can be planned with greater precision, including using high-quality materials such as porcelain or computer-designed zirconia.
This attention to detail is part of ImplArt Clinic’s expertise, which utilizes a digital workflow and an in-house laboratory for the planning and fabrication of highly customized prostheses.
5. The position of the implant can affect the prosthesis and comfort
Another important point is that, because of the angle of the zygomatic implant, the prosthetic emergence may occur in less favorable areas, such as the palate.
In some cases, this can increase the volume inside the prosthesis, reducing the space for the tongue or causing discomfort. Although experienced surgeons can minimize this problem, it should be taken into account during planning.
Oral rehabilitation is not limited to the placement of implants. The ultimate goal is to enable the patient to chew, speak, smile, and clean their dentures comfortably and safely.
That is why, at ImplArt Clinic, the final prosthesis is planned from the very beginning. The treatment is not viewed merely as a surgical procedure, but as a comprehensive rehabilitation process that encompasses masticatory function, aesthetics, speech, oral hygiene, maintenance, and durability.
What are the alternatives to zygomatic implants with the resin Full Arch Prosthesis?
Depending on the case, there may be alternatives to zygomatic implants with resin prostheses, such as:
Conventional dental implants placed in strategic locations, when there are still areas with sufficient bone volume;
Short or narrow implants, which may be recommended for areas with limited bone availability;
Localized bone grafts, which are often smaller and less invasive than the extensive grafts performed in the past;
Digitally guided surgery, which allows for more precise implant placement;
Digitally planned protocol restorations, offering aesthetic and functional predictability;
Zirconia or porcelain restorations, recommended after healing to achieve a more precise, durable, and natural-looking final result.
It is common for some patients to be apprehensive about bone grafts, while viewing zygomatic implants as a simpler solution. However, in many cases, small, localized grafts may be less invasive than zygomatic surgery.
The right decision depends on the analysis of test results, the implant dentist’s experience, and individualized planning.
Conventional dental implants are shorter and less invasive, and may or may not be combined with a bone graft
When might a zygomatic implant be recommended?
Despite the precautions mentioned, the zygomatic implant remains an important technique. It may be well-indicated in cases of severe maxillary atrophy, when bone loss is so extensive that conditions are not suitable for conventional implants.
It may also be considered for patients who have previously experienced failures with grafts or implants, or in situations where other alternatives do not offer sufficient predictability.
According to Dr. Markarian, the main message is not that zygomatic implants should never be performed. The message is that they should not be automatically and indiscriminately recommended for all patients who need dental implants and a prosthetic restoration. The patient needs a comprehensive diagnosis to determine whether this is truly the best course of action.
What Sets ImplArt Clinic Apart in Dental Implant Planning
The ImplArt Clinic, located in São Paulo, has extensive experience in dental implants, protocol prosthetics,oral rehabilitation, and digital dentistry. Under the direction of Dr. Roberto Markarian, a specialist with a master’s and a doctorate in implant dentistry, the clinic uses state-of-the-art technology to accurately evaluate each case.
Among the unique features of ImplArt Clinic are:
Radiology center for computed tomography (CT) scans for three-dimensional evaluation of the maxilla;
Digital planning of implants;
Prosthetic and functional analysis prior to surgery;
Digital workflow for the design and fabrication of zirconia dental prostheses;
A well-equipped in-house digital prosthetics laboratory;
Dental restoration options made of zirconia, porcelain, and other high-quality materials;
Experience in complex oral rehabilitation cases; with a highly trained and qualified team led by the experienced Dr. Roberto Markarian
A comprehensive infrastructure for serving patients from Brazil and abroad.
This set of resources makes treatment decisions safer, more personalized, and more predictable.
Zygomatic Implant: Before You Decide, Make a Careful Assessment
If you’ve been recommended to get a zygomatic implant, the most important thing is not to make a hasty decision.
Before starting treatment, try to understand:
Do you really have severe bone loss? —Are there less invasive alternatives? —Was the CT scan evaluated in detail? —Has the final prosthesis already been planned? —Does the treatment take aesthetics, function, and long-term maintenance into account? —Is a zygomatic implant the only possibility, or just one of the options?
At ImplArt Clinic, each treatment is tailored to the individual patient. The goal is to recommend the safest and most predictable course of action for each patient, whether that involves conventional implants, bone grafts, short implants, guided surgery, or—when truly necessary—zygomatic implants.
Learn more about ImplArt Clinic.
Conclusion
Zygomatic implant placement is an advanced technique and can be extremely useful in selected cases of severe bone loss in the maxilla. However, it should not be treated as a one-size-fits-all solution for all patients who need upper dental implants.
In many cases, there are less invasive alternatives that offer excellent predictability, especially when the diagnosis is made using digital technology, computed tomography, and prosthetic planning from the outset.
The best treatment is not necessarily the fastest or the most complex. The best treatment is one that combines safety, predictability, function, aesthetics, and long-term comfort.
If you’ve been referred for a zygomatic implant or would like to know if there are alternatives for your case, schedule an evaluation at Clínica ImplArt in São Paulo. Speak with Dr. Roberto Markarian, a leading implant dentist in Brazil who heads a team specializing in digital dentistry and oral rehabilitation.
ImplArt Clinic: A Leader in Dental Implants and Digital Dentistry in Brazil
Located in São Paulo, the ImplArt Clinic is directed by Dr. Roberto Markarian, an implantologist with extensive experience in oral rehabilitation, dental implants, and digital dentistry. Over the years, the clinic has established itself as a leading provider of care for Brazilian and international patients seeking modern treatments—planned using technology and performed with a high degree of precision.
ImplArt frequently welcomes patients from other countries for intensive Day Clinic treatments, particularly for dental implants, protocol prostheses, zirconia prostheses, oral rehabilitation, and procedures performed with the support of digital technology.
With advanced technology, computerized planning, CT scans, intraoral scanning, and its own digital laboratory, ImplArt Clinic stands out for its use ofmoderndental implants, high-quality materials, and digital workflows that increase the predictability of treatments.
The clinic appears in international rankings, such as the GCR (Global Clinic Rating), where it is listed as the Best Dental Implant Clinic in Brazil, reinforcing its reputation as a national leader in dental implants, digital dentistry, and oral rehabilitation in São Paulo.
Zygomatic Implants: 5 Reasons to Think Twice Before Getting One
I’m sure many of you have heard of the Full Arch Dental Implants treatment. But do you know how the treatment works? Fixed Implant-Supported Prosthesis treatment involves two stages, one surgical, with the insertion of dental implants, and the other prosthetic, with the realization of the fixed prosthesis on the implants. It can be carried out on both the upper and lower arches. This treatment is also known as All-on-4, All-on-6 or even All-on-X.
Through simple and painless surgery, implants are inserted that will support a fixed prosthesis. Normally 4 to 6 implants are inserted in each arch. The surgery is carried out in an office and the patient can go home immediately afterwards. There are modalities with local anesthesia, or with intravenous sedation, if the patient prefers.
Here at ImplArt Dental Clinic, located in São Paulo, Brazil, there is also the option of performing dental implant surgery using the computerized guided surgery technique. This technique eliminates the need to make large cuts and sutures in the gums, making the post-operative period for implants easier and therefore faster to recover from. 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 computerized tomography images, using a 3D printing method.
See images of the Full Arch Dental Implants below
See below for this treatment with an upper Fixed Implant-Supported Prosthesis and a lower Fixed Implant-Supported Prosthesis. Firstly, implant surgery was carried out and a temporary fixed prosthesis installed on the day of surgery. Secondly, after the dental implants had healed, we made the Zirconia Prosthesis a fixed over the implants.
Image of Translucent Zirconia full arch prosthesis over implants – side view of the installed Zirconia prosthesis – Full Arch Dental Implants
Implant-Supported Fixed Full-Arch Prosthesis, what is it?
The Implant-Supported Fixed Full-Arch Prosthesis is a type of total fixed dental prosthesis that is indicated for people who have lost all their teeth in the same arch. It consists of 12 to 14 teeth attached to a single structure screwed onto 4 to 6 strategically placed dental implants.
It will also be necessary to carry out a radiographic examination, which is a computerized tomography scan, to visualize the volume of bone and its quality. This is essential for planning the number of implants that will be placed in the bone, both in the upper and lower arches.
When is Fixed Implant-Supported Prosthesis recommended?
Firstly, fixed Implant-Supported Prosthesis is recommended for patients who wear dentures, and for those who suffer from periodontitis or severe periodontal disease.
It is important that, even if the patient suffers from periodontitis, the disease is controlled by eliminating any sources of infection (plaque, tartar, calculus) and controlling gingivitis.
Thus, if the disease is well controlled and the bone is healthy, there is the possibility of replacing the extracted teeth with dental implants.
It is common for a patient, on receiving a poor prognosis for a tooth, to want to save it at all costs. Although in some cases it is possible to save a tooth with compromised periodontal structures, in most cases an experienced professional will be correct in recommending extraction and placement of a dental implant.
How do you change from dentures to a Fixed Implant-Supported Prosthesis? Full Arch Dental Implants Prothesis
People who have been wearing dentures for many years can experience a lot of bone loss in the jawbone, and this is a common concern for people who would like to have implants placed in order to wear a fixed prosthesis. Alternatively, we perform various bone grafting techniques, or use short implants designed for those with bone resorption.
Undeniably, it is always a great relief for patients to change their dentures for Fixed Implant-Supported Prosthesis. We, who specialize in this type of full-arch-dental implants treatment, follow the changes in the daily lives of patients every day, who are able to increase their quality of life with this treatment. Therefore, replacing dentures with implants only has benefits!
The difference between a Fixed Implant-Supported Prosthesis and a removable denture
The Fixed Implant-Supported Prosthesis provides stability when chewing and total confidence for the patient, since there is no need to remove it for daily hygiene. Patients report at the end of their treatment that they eat much better and have much more confidence in smiling, which brings great social gains to the patient’s life. It is therefore an important step for patients towards improving their quality of life.
Upper and lower arch Fixed Implant-Supported Prosthesis installed on 04 implants in each arch
Who can have All-on-X or Full Arch Dental Implants treatment?
Anyone can have a Full Arch Dental Implants treatment. First of all, the patient must have a panoramic X-ray and a computerized tomography scan to assess the bone in the area that will receive the dental implant. Even patients with diabetes, in most cases, can receive implants as long as their diabetes is under control. So don’t be alarmed if you have diabetes, implants could be a solution for you too. Of course, this is after a careful assessment of your health condition.
Fixed Implant-Supported Prosthesis treatment covers a wide range of patients of different ages. Elderly people can also have the procedure. Each case must be evaluated in detail so that the procedure is always safe and promotes the patient’s well-being.
In your initial consultation with our clinical director, Dr. Roberto Markarian, you will receive all the guidelines for your All-on-X treatment.
What are the advantages of the Full Arch Dental Implants?
When the use of a mobile prosthesis causes discomfort, be it functional, aesthetic or sensory, there is the opportunity to replace it with a fixed version. See the advantages of protocol treatment on implants:
Does not move and does not require adhesives for fixing
Does not fall, avoiding embarrassing experiences
The prosthesis materials are more beautiful and resistant, especially metal-free zirconia prostheses.
Does not hurt gums and mucous membranes
Safer chewing, smiling and kissing
Improves diction
No acrylic roof of the mouth, improving speech and food tasting
Increases lip support, improving the appearance of a thin lip.
Which material is the Fixed Implant-Supported Prosthesis made of?
Here at Clinica Dentaria Implart you will find a wide range of materials for your prosthesis. From the simplest in Resin, through Metal-Ceramic (Porcelain), to the most modern prosthesis in Zirconia.
Do you know Zirconia, this innovative material for full arch prosthesis? Full Arch Dental implant Prosthesis in Zirconia are possible with this innovative computerized material. It is therefore an excellent choice for those looking for an aesthetically pleasing and durable material. What’s more, its computerized design system offers more precision, as well as greater comfort through the use of the 3D scanner.
Translucent zirconia is an implant-supported prosthetic option made using an extremely advanced production method. Based on digital intraoral molding, the zirconia prosthesis is computer-designed and manufactured on 3D printers. In other words, the zirconia disc placed in the 3D printer is milled into the shape of the computerized design. This is certainly the most modern and resistant option, as well as the most beautiful and realistic.
It is an opaque white ceramic structure called zirconia, covered with dental porcelain. In this way, the aesthetics are sculpted in porcelain with the shape of the teeth. It is also a new and technologically innovative material, as the structure of the prosthesis is completely planned on a computer and executed with the help of electronic scanners and 3D printers.
This is a prosthesis with an internal metal structure (titanium, Ni-Cr or Cr-Co) and an aesthetic porcelain finish that is hand-sculpted to the shape of the teeth. Metal-ceramic prostheses therefore have the advantage of porcelain strength and aesthetics. As a result, the final result is aesthetically and beautifully similar to natural teeth.
Resin Full Arch Prosthesis (acrylic resin + metal)
Also known as the Bränemark prosthesis, this is another option available for implant-supported prosthesis. This model of prosthesis has an internal metal structure and an aesthetic resin finish. The teeth are made of resin and you can choose the color, shape and size of the teeth.
However, this material has a disadvantage compared to the previous ones, which is the possibility of color change (yellowing) over time.
What care should be taken after full arch dental implant surgery?
After dental implant surgery, the total recovery period may vary at the discretion of the implant specialist, with a view to the success of the procedure. Therefore, the implant dentist, Dr. Roberto Markarian, will guide you according to the criteria of the type and extent of the surgery.
Light activities (7 to 10 days): Rest is recommended for light activities during the first week, which can be extended to 10 days.
Gradual return to normal activities (up to 3 weeks): The patient is instructed to gradually return to normal activities, which may take up to 3 weeks.
Will I lose my prosthesis after implant surgery?
Rest assured, the main concern of the entire team here at the ImplArt Dental Clinic is to make the whole process as comfortable as possible for the patient. In this way, the psychological aspect and the patient’s well-being are paramount. Therefore, in the vast majority of cases, we plan a temporary prosthesis that is installed immediately after surgery. The patient is therefore able to carry out their activities normally while we wait for the implants to osseointegrate.
New techniques – Zirconia total implants
Zirconia Total Implant: Natural and resistant Implant Supported Prosthesis
Dental implants with zirconia prosthesis are recommended for various clinical cases, such as bruxism, because zirconia’s resistance is superior to any other material. The material is a star in dental practices due to its versatility and the possibility of bringing a better appearance to the mouth, especially after the tooth has been darkened by root canal treatments or dental trauma, with a great loss of dental function and aesthetics. So, if possible, opt for Zirconia!
To clean the fixed implant supported prosthesis at home, the patient can use the interdental brush, in addition to the traditional toothbrush, which is effective and sufficient in the external regions. However, for the areas inside the prosthesis, around the implants or on the mucosa, interdental brushes and oral irrigators (pressurized water jets) are the most suitable. Certainly the best known of these devices is the Waterpik. These devices are certainly not easily found in Brazil, but in the United States they are sold in any pharmacy.
This way, with regular visits to the dentist every 6 months and proper hygiene of the fixed prosthesis at home, you’ll have a long-lasting and healthy treatment!
Sanitize the fixed implant supported prosthesis daily with waterpik
How to sanitize the fixed prosthesis / cleaning?
Care with the hygiene of the implant supported prosthesis is mainly to remove any food residue that may remain between the implant pins and the prosthesis (as in the image above), and to avoid the formation and accumulation of bacterial plaque on the surface of the prosthesis.
What is the best Full Arch Dental Implant Prosthesis?
It is also called Monolithic Zirconia, because it is made from a solid block of Zirconia that takes the shape of a dental prosthesis using a modern computerized system. The Translucent Zirconia prosthesis is made using 3D printers, a highly technological system. First of all, it’s worth clarifying that zirconia is a type of porcelain that replaces metal in dental treatments, as it offers a more natural and translucent appearance, without the presence of shadows, as happens in prostheses that use metal
In the ImplArt Clinic’s digital prosthesis laboratory, impressive robotic arms, which are present in modern milling equipment, are responsible for sculpting the prosthesis design previously drawn up on the computer. The design is certainly impressive as it uses only computerized systems for both its design and printing
It’s certainly a very modern system, which makes it possible to achieve aesthetically superior results in a more agile, fast and precise way. What’s more, zirconia is biocompatible with the human body, which means that the patient runs no risk of allergies or rejection.
What is the difference between a All-on-X prosthesis and an overdenture?
While in the implant supported prosthesis is fixed on 4 to 6 implants, in the overdenture the prosthesis is fixed on only 2 implants. As a result, the overdenture does not have the same stability as the All-on-X prosthesis. Therefore, the best alternative is the Full Arch Dental Implant Prosthesis.
How much does an upper Full Arch Dental Implant Prothesis cost? How much does a lower Full Arch Dental Implant prosthesis cost?
First of all, it’s important to bear in mind that when it comes to quality dental treatments, the price of the dental implant prosthesis can’t always be the deciding factor in the choice, but rather the quality of the service being offered. It is therefore essential that patients make their choice based on the trust and credibility of the clinic or professional providing the service, as well as the technical knowledge of the professionals, their years of practice and the technique to be used.
Undeniably, not all prosthesis and dental implant treatments are the same, firstly because of the differences in each case, and secondly because each professional has their own practice, technique and theoretical background. That’s why it’s very difficult to choose a professional based on price alone. If it’s too cheap, be wary! High-quality materials and qualified professionals who are in line with modern trends in implant dentistry have their value.
Remember that the effort put into qualification that the professional has put in throughout their career makes a direct difference to the outcome of your treatment! In addition, there are different types of materials, as mentioned above, from implants to different types of prostheses. Just to give you an example, here are the types of materials for implant supported prosthesis – Translucent Zirconia, Zirconia, Metal-Ceramic and Resin. The choice of prosthesis material, as well as the type of implant, will certainly influence the price of the Full Arch Dental Implants prosthesis. In this sense, we have various types of implants, from national implants to imported Straumann implants, a world reference in the field of implants.
Where can I have the Full Arch Dental Implants treatment?
The ImplArt Clinic has been ranked as the best dental implant clinic in Brazil, taking first place in the GCR (Global Clinic Rating) world ranking. The ranking was secured above all by its expertise in Digital Dentistry, Modern Structure and Patient Satisfaction. Our clinical director, implant dentist Dr. Roberto Markarian, is a reference in the field of implants and computerized prosthesis. So, if you want to have your Full Arch prosthesis treatment on implants, with knowledge and high technology, the ImplArt Dental Clinic is the right place for you!
We are located in the Avenida Paulista area of São Paulo, Brazil, in the heart of the metropolis.
If you are far away, in other states or abroad, please contact us to find out more about the online consultation. That way, we’ll be able to plan your Day Clinic treatment and your implant surgery remotely with Dr. Roberto Markarian. Also, if you already have dental implant exams such as CT scans and panoramic X-rays, they can be sent to you before your appointment to make your consultation even more productive!
Guide of Full Arch Dental Implants treatment
⭐The ImplArt Clinic is located in São Paulo and welcomes patients from all over the world. If you would like to know more about our treatments, dental implants, ask questions or schedule an appointment 📲WhatsApp (11) 3262-4750.
A maxillary sinus lift, also known as a sinus graft, is a procedure used for bone grafting when there is insufficient bone in the posterior region of the upper jaw for dental implants. The goal of dental bone grafting is to increase bone height to allow for the placement of dental implants. The procedure is performed through a small incision in the gum on the side of the bone defect.
This situation is relatively common because the upper posterior teeth are located near the maxillary sinus, a cavity inside the upper jaw. After tooth loss, bone resorption and expansion of the maxillary sinus may occur progressively, reducing the amount of bone available to support implants.
When there is insufficient bone height, a sinus lift may be recommended to increase bone volume in the area and create more favorable conditions for the placement of dental implants.
At the ImplArt Clinic in São Paulo, the decision to perform a bone graft is made after a clinical evaluation and analysis of imaging tests—particularly CTscans—by Dr. Roberto Markarian. This analysis allows for a detailed examination of the anatomy of the maxillary sinus and the available bone volume.
Maxillary Sinus Lift for Dental Implants: When It Is Recommended and How It Is Performed
Does every patient with insufficient bone need a zygomatic implant?
According to Dr. Roberto Markarian, PhD, Clinical Director of ImplArt Clinic, no. “A lack of bone, in and of itself, does not mean that the patient needs zygomatic implants. In many cases, we can rebuild bone volume using grafting techniques and create the conditions necessary to use conventional dental implants.”
The zygomatic implant is an important alternative for selected cases of severe maxillary atrophy, but it uses longer implants anchored in the zygomatic bone and requires careful consideration of the indication. For this reason, sinus grafting is an extremely important tool for rehabilitating the patient and creating the necessary bone height for the placement of conventional implants.
According to Dr. Roberto: “When it is still possible to reconstruct the area and use conventional implants, this option should be considered. The goal is to choose the most appropriate solution for each patient, while also keeping in mind the final outcome of the rehabilitation.”
At ImplArt Clinic, this planning can be part of high-quality restorative treatments, including zirconia protocol prostheses—a premium option that combines strength, high quality, durability, and the potential for a more natural-looking result.
Watch the video below, where we discuss bone grafting techniques for dental implants in more detail:
What is a maxillary sinus lift?
A sinus lift is a surgical procedure performed in the posterior region of the maxilla to create space for the formation of new bone tissue beneath the maxillary sinus.
In the lateral window technique, a small opening is created in the lateral wall of the maxilla. Through this opening, the membrane that lines the interior of the maxillary sinus—known as the sinus membrane or Schneider’s membrane—is carefully elevated.
A variable amount of bone regeneration precursor material is placed inside this opening. As the healing process progresses, the area regenerates, increasing the amount of mineralized tissue available for dental implant planning.
After sinus lift surgery, you should wait 6 months for the area to regenerate before having the implants placed.
1 – After tooth loss, the maxillary bone is gradually resorbed; in other words, bone loss occurs and the maxillary sinus collapses. This condition of insufficient vertical bone height makes the placement of dental implants impossible. 2,3,4 – The maxillary sinus lift procedure for bone grafting is indicated to increase bone volume. A small opening is made in the bone, and the sinus membrane is gently elevated. 5 – The resulting space is filled with bone graft material. 6 – After the recovery period and bone regeneration, dental implant surgery is performed.
Watch the video below, where we discuss maxillary SINUS LIFT GRAFTING in more detail: When There Isn’t Enough Bone for a Dental Implant:
Why might there not be enough bone to place implants in the posterior region of the maxilla?
Bone loss can occur for various reasons, but one of the most common causes is the loss or extraction of teeth.
The bone surrounding the tooth roots exists, in part, to provide support for the teeth. When a tooth is lost and not replaced, this region no longer receives the same functional stimuli and may undergo progressive resorption.
In the posterior region of the maxilla, there is yet another important phenomenon: the maxillary sinus may expand into the area previously occupied by bone and tooth roots.
When bone resorption of the alveolar ridge is combined with maxillary sinus expansion, the distance between the mouth and the floor of the sinus can become very small.
For this reason, some patients have adequate bone width but insufficient bone height for the safe placement of a dental implant.
Materials Used in Grafting
Nowadays, there are a variety of materials that can be used for maxillary sinus grafting:
Studies show that all materials are suitable for this type of graft; the choice depends primarily on the surgeon’s preference.
Clinical example: A tooth with significant bone loss was extracted, and a graft using freeze-dried bovine bone was performed (image taken 2 months postoperatively)
Bone loss: causes
Bone loss can occur for a number of reasons, but the most common is tooth loss or extraction without immediate replacement. When a person loses teeth, the body resorbs the bone in the upper or lower jaw because it perceives that the bone no longer serves a function (which was to support the teeth). This loss is progressive, and over the years, the person’s bone volume decreases in both height and width, which initially makes it difficult to place dental implants. If you have any questions, please contact us or schedule an appointment with our team.
When is a maxillary sinus graft recommended?
A sinus lift may be indicated when there is insufficient bone below the maxillary sinus to accommodate the planned implant.
This situation may be related to:
loss of upper posterior teeth many years ago;
bone resorption following tooth extractions;
expansion or pneumatization of the maxillary sinus;
the patient’s individual anatomical characteristics.
However, having insufficient bone does not automatically mean that every patient will need a sinus lift.
The indication depends on the quantity and quality of the residual bone, the anatomy of the maxillary sinus, the planned implant position, and the specific characteristics of each case.
This information makes it possible to develop a more personalized treatment plan and determine whether a graft is truly necessary and, if so, how large it should be.
How is a sinus lift performed?
In the lateral window sinus lift technique, the procedure can be broken down into a few main steps.
1. Assessment of the region
First, clinical and imaging tests are analyzed to determine the amount of available bone and the anatomy of the maxillary sinus.
2. Access to the lateral wall of the maxilla
During the surgery, an incision is made in the gum to expose the lateral wall of the maxillary bone.
3. Creation of the bone window
A small window is created in the lateral wall of the maxilla to allow access to the interior of the sinus region.
4. Maxillary sinus membrane elevation
The sinus membrane is carefully separated from the floor of the sinus and elevated.
This is one of the most delicate steps in the procedure.
5. Placement of the grafting material
The space created beneath the elevated membrane is filled with the biomaterial selected for the case.
This material supports the process of bone regeneration and formation.
Over the following months, the biological process of graft integration and remodeling takes place.
What materials can be used for a maxillary sinus graft?
There are various biomaterials that can be used in bone regeneration procedures.
Among them are:
Autogenous graft
It is bone obtained from the patient himself.
Depending on the clinical situation, it can be used alone or in combination with other biomaterials.
Biomaterial of bovine origin
Xenogeneic bone grafts derived from cattle are widely used in bone regeneration procedures and can serve as a scaffold for the formation and maintenance of new bone mass.
Allogeneic graft
It is derived from human bone tissue that has been processed and made available by authorized tissue banks.
Synthetic biomaterials
There are also synthetically produced materials, such as certain calcium phosphates and hydroxyapatites.
In certain situations, different materials or combinations of materials may be used.
Is it possible to place the implant at the same time as the sinus lift?
In some cases, yes.
Maxillary sinus graft surgery and implant placement can be performed during the same procedure when there is sufficient quantity and quality of residual bone to provide adequate stability for the implant.
However, when there is little remaining bone structure or when it is not possible to achieve the necessary stability, a two-stage treatment approach may be more appropriate.
In this case, the sinus lift is performed first. After the bone regeneration period, a new evaluation is conducted to plan and place the implants.
Therefore, there is no single sequence that is valid for all patients.
The decision must be made on a case-by-case basis.
How long does it take for a maxillary sinus graft to heal?
Bone regeneration is a biological process and takes time.
The healing period may vary depending on:
initial amount of bone present;
graft volume;
biomaterial used;
the patient’s individual characteristics;
duration of the procedure;
whether or not the implant can be placed at the same time.
Therefore, it is not appropriate to set a single deadline for all cases.
Throughout treatment, imaging tests may be used to monitor the progress of the grafted area before continuing rehabilitation with implants.
Is a sinus lift a safe procedure?
The maxillary sinus lift is a well-established technique in implant dentistry that has been used for decades to allow for the placement of implants in posterior regions of the maxilla with bone deficiency.
Like any surgery, however, it requires diagnosis, planning, and a thorough understanding of the anatomy of the area.
One of the most common complications is perforation of the maxillary sinus membrane during its elevation.
The presence of bony septa, membrane characteristics, and anatomical variations can make certain cases more complex.
When a perforation occurs, how it is managed depends on its characteristics and extent. In many cases, there are specific techniques for treating it during the procedure itself.
Therefore, a preliminary assessment of the anatomy using CT imaging is an important step in the planning process.
Can people with sinusitis undergo a sinus lift?
Any abnormalities in the maxillary sinus must be evaluated before surgery.
Patients with symptoms or signs of sinus disease may require further testing and, in certain situations, a medical or otolaryngological evaluation prior to the procedure.
This does not mean that a person who has previously had sinusitis is automatically unable to undergo a maxillary sinus graft.
The recommendation depends on the current condition of the maxillary sinus and an individual assessment of the case.
Can a maxillary sinus graft change the shape of the face?
Under normal circumstances, that is neither the goal nor the expected outcome of a sinus lift.
The graft is performed internally, in the maxillary sinus region, to create bone volume for implant placement.
Therefore, the procedure is not performed to augment the cheekbones or alter the outer contours of the face.
Can a sinus lift affect breathing?
The maxillary sinus graft is performed in an anatomical region separate from the main air passage through the nasal cavities and is not intended to block the airways.
However, patients who already have shortness of breath, sinus problems, or otolaryngological symptoms should report these conditions during the evaluation.
Each case must be evaluated individually before surgery.
What happens after sinus lift surgery?
In the first few days, a recovery period similar to that of other dental surgical procedures is expected.
Postoperative instructions vary depending on each case and must be followed strictly.
In general, it is important to avoid situations that cause excessive pressure to build up inside the maxillary sinus during the initial healing period.
The patient receives specific instructions regarding hygiene, diet, and medications when prescribed, as well as instructions for follow-up visits.
What precautions are important to take after a sinus lift?
The recommendations depend on the type of surgery performed, but may include measures such as:
take the prescribed medication as directed;
avoid physical exertion as directed by a healthcare professional;
avoid increased pressure in the maxillary sinus area during the first few days;
attend follow-up appointments.
The postoperative period should be monitored by the healthcare professional responsible for the treatment.
Is a sinus lift always necessary when there is a lack of bone?
No.
Currently, there are various strategies for treating patients with bone loss in the posterior region of the maxilla.
The choice depends on the amount of available bone, the patient’s anatomy, the position of the future teeth, the characteristics of the planned implants, and the goals of the rehabilitation.
Therefore, CT scans and individualized planning are essential before recommending any grafting technique.
Sinus Lift and Implant Planning at ImplArt Clinic
At the ImplArt Clinic in São Paulo, dental implant and bone graft treatments are planned on an individualized basis.
The evaluation may include X-rays and CT scans, digital planning, and modern implant dentistry techniques, allowing for a preliminary assessment of the region’s anatomy and the planned position of the implants.
The goal of planning is not simply to determine whether or not bone is present, but to identify the best strategy for achieving functional and predictable rehabilitation for each patient.
Dr. Roberto Markarian, Ph.D.
Dr. Roberto Markarian is a specialist in Implant Dentistry and Prosthodontics, holds a master’s degree and a Ph.D., and serves as Clinical Director of the ImplArt Clinic.
He has extensive experience in implant dentistry and oral rehabilitation, having placed more than 12,000 dental implants, in addition to his academic and scientific work.
He is the author and co-author of international scientific chapters on digital implantology, computer-guided surgery, and artificial intelligence applied to dental prosthetics, published by publishers such as Wiley and Springer Nature.
CRO-SP 73,583.
Frequently Asked Questions About Sinus Lifts
What does “sinus lift” mean?
A sinus lift refers to the elevation of the maxillary sinus. It is a technique used to increase bone availability below the maxillary sinus when there is insufficient bone height for the placement of dental implants.
What is the purpose of a maxillary sinus graft?
Its main purpose is to promote bone augmentation in the posterior region of the maxilla in order to enable or improve the conditions for placing dental implants.
Does every patient who has lost upper molars need a sinus lift?
No. The need depends on the amount of remaining bone and the individual anatomy of the region.
Can the implant be placed at the same time as the graft?
In certain cases, yes. This depends mainly on whether adequate stability of theimplant can be achieved in the existing bone.
How long after a sinus lift can an implant be placed?
The duration varies depending on the characteristics of the case, the volume of graft material, the material used, and the quality of the residual bone. In some patients, the implant can be placed during the same procedure; in others, it is necessary to wait for bone regeneration.
Does a sinus lift hurt?
The procedure is performed under anesthesia. During the postoperative period, discomfort, swelling, and tenderness may occur to varying degrees; these symptoms should be monitored and managed according to professional guidance.
Can people with sinusitis undergo a maxillary sinus graft?
It depends on the current condition of the maxillary sinus. Any sinus abnormalities must be identified and evaluated before surgery.
Can a facial implant change the shape of the face?
The procedure is performed in-office and is not intended to alter the external appearance of the face.
Do I need to have a CT scan before a sinus lift?
Computed tomography is a highly important imaging test for three-dimensional assessment of bone volume and the anatomy of the maxillary sinus prior to surgical planning.
Evaluation for Maxillary Sinus Grafting and Dental Implants
The need for a sinus lift can only be determined following an individualized evaluation by our clinical director, Dr. Roberto Markarian.
These are examples of questions frequently asked by patients. To clear up these doubts, it’s important to bear in mind a few points that go deeper than just the dental implant price. Here at Clinica Dentaria ImplArt, patients have their initial consultation directly with our clinical director, implant dentist Dr. Roberto Markarian, who clarifies all the information about implants during the first consultation.
Let’s follow more honest information about the price and cost of dental implants and prostheses and find out what influences the cost of implant treatment:
Dental implant costs can be determined by the type of dental implant used
There are currently several types of dental implants available and different types of dental prostheses, which give patients different options. The most suitable option for your case will be made in consultation, and your opinion will be very important in the final choice process. The characteristics of each material are presented so that the patient can choose with all the information about healing times and execution methods. In this regard, we should point out that there are everything from titanium implants to the modern ceramic implant, the only metal-free option and an excellent choice for those seeking biological dentistry.
There are fast-healing dental implants, such as the Straumann Slactive implant, as well as national implants with longer healing times. Therefore, your choice cannot be based solely on the price of an implant, but rather on a number of factors.
Dental implants how much ? How much does a dental implant cost? How much is a dental implant?
Of course, many of the calls and messages we receive relate to the cost of dental implants, total implants, dental contact lenses and dental treatments in general. And these questions above are the most frequently asked. How much the patient will spend on their dental implant treatment is undeniably one of the topics that causes concern for the patient.
However, it’s important to point out that there are currently several types of implants and prostheses, and that with so many options, it will certainly be easier to choose the ideal one for each case. We always try to explain that these questions can only be answered legitimately, through a dental consultation. There are two main reasons for this:
1. The first is that the Code of Ethics of the Federal Council of Dentistry forbade dentists from carrying out consultations in person. However, with the pandemic, online consultations with dentists were allowed. In this way, after an online consultation we will be able to provide you with an estimate of Dental implants how much they will cost
2. The second is that dental treatments can only be indicated after a careful assessment of the patient. There are numerous factors that influence treatment planning, for example:
Does the case require bone grafting or not? What type of implant will be chosen? Are there other treatment options available? What about the type of prosthesis? Immediate or delayed loading? Will a less invasive implant be used? Is it guided surgery, where a prior surgical guide is made?
The good news for those who live far away, whether abroad or in other states, is the possibility of making an initial consultation remotely, the online consultation.
Types of implants and crowns influence the value of dental implants / Dental implants how much ?
What’s more, many patients are unaware of the different types of implant, which, above all, can offer different recovery times and different indications. So there is a wide range of choices, and surely one will be right for you.
In this way, these more modern dentalimplants make it possible to shorten the treatment time with the rapid healing they offer.
It is also important to note that there are several types of prosthesis to be made on these dental implants, and the choice will be made jointly by the patient and specialist, depending on the desired results. Therefore, at your initial consultation, all the characteristics of each type of implant and prosthesis will be presented for your choice.
Type of implant chosen: The brand of post has an influence on How much does a tooth implant cost? The final cost of a dental implant treatment depends on a number of factors, such as the materials used, the qualifications of the professional, the technique used, among others. Therefore, the price of the total dental treatment will vary on the market.
How do I know the price of implant treatment? How much do dental implants cost?
First of all, it’s important to bear in mind that when it comes to quality dental treatments, the price of a dental implant can’t always be the deciding factor in the choice, but rather the quality of the service being offered. It is therefore essential that patients make their choice based on the trust and credibility of the clinic or professional providing the service, as well as the technical knowledge of the professionals, their years of practice and the technique to be used.
Undeniably, not every dental implant treatment is the same, firstly because of the differences in each case, and secondly because each professional has their own practice, technique and theoretical background. That’s why it’s very difficult to choose a professional based on price alone. If it’s too cheap, be wary! High-quality materials and qualified professionals have their value. Remember that the effort the professional has put into their qualifications throughout their career makes a direct difference to the outcome of your treatment!
How to measure the value of dental implants in the total dental treatment? what is the fair value/ Dental implants how much ?
As a result, we are able to offer the most modern technologies worldwide, which makes treatments more precise, faster and more comfortable for the patient. That’s why the ImplArt Implant Clinic is so sought after by patients who come from abroad, looking for the latest technology aligned with the best practices in dentistry worldwide, to carry out their intensive Day Clinic treatment. You should know that, for those who come from far away, it is possible to make an online consultation beforehand and with our technology, planning your dental implant surgery remotely is possible.
Dental implant and prosthesis techniques affect the value of dental implants
There are certainly several options for materials and techniques that influence the composition of a budget. What’s more, a treatment that may be suitable for one person may not be the right one for another.
Therefore, it is especially important to be assessed by a talented implant dentistry professional, who will evaluate each specific case and make the most appropriate recommendation to solve each case. Just to illustrate how treatment prices can vary, and the importance of a face-to-face assessment, at Clinica Dentária ImplArt we offer various dental implant options and different types of prostheses.
Short implants? Faster healing implants? Upon receiving a treatment recommendation, the patient will choose the type of implant and dental prosthesis they prefer with the dentist, after explaining the technical characteristics of each type.
The importance of an evaluation appointment to find out the cost of a dental implant
Another aspect that needs to be addressed is that patients may think they have a dental problem and believe that a particular treatment may be the most appropriate, but in reality it may be something else.
The dental surgeon is the professional who is qualified to look at oral health in general, as well as giving the necessary recommendations to keep teeth beautiful and healthy throughout life. That’s why it’s important to know that there is a wide range of options for solving the same problem.
Total implantation with individualized teethZriconia full denturesDental implants how much Zirconia prosthesisMetal-ceramic prosthesisZirconia prosthesisZirconia prosthesisZirconia prosthesisZirconia prosthesisZirconia prosthesisZirconia prosthesisMetceramic prosthesisTypes of dental implant prostheses Pure Zirconia, Zirconia with individual teeth, and Metal-ceramic total prosthesis
Treatment planning involves various strategies and options of materials and techniques with different prices: cheaper or more expensive
At ImplArt Dental Clinic, we believe that dental treatment goes far beyond a simple monetary dental implant value.
There are important factors that influence cost-effectiveness, such as the health and well-being that a healthy set of teeth provides. We can mention the confident improvement in the patient’s self-esteem and the patient’s comfort during procedures with modern techniques and methodologies aimed at the patient’s well-being.
In this sense, the relationship of trust between patient and dentist, and above all our empathy for the patient, often brings with it anxieties, expectations, fears and even trauma from previous experiences. What do you think your smile is worth?
Frequently asked questions about dental implant prices and rehabilitation treatments
Does the Dental Implant Clinic charge for the first consultation?
Yes, the first consultation, the assessment consultation, has a cost. Without a doubt, it is important to note that the CRO, the Regional Council of Dentistry, classifies it as an ethical infringement to offer free consultations and diagnoses, as well as to display the cost of dental implants in a generic manner.
At the ImplArt Dental Clinic, the patient will be assessed by the clinic’s director, Dr. Roberto Markarian, who holds important academic degrees such as Master’s, Doctorate and Specialist in Prosthodontics and Implantology.
It is also important to note that our clinical director has extensive experience in thousands of treatments for functional and aesthetic oral rehabilitation, with dental implants and prostheses. He is also considered a benchmark in digital implants and prostheses, with 3D modeling, which is why we receive patients who come from all over the world in search of our quality of care, not just for the value of dental implants.
Because of his knowledge and credibility, he is sought out by patients from all over the world and is responsible for guiding the team of highly qualified specialists who make up the Clinic’s team. Therefore, it is from his experience and solid academic background that he will propose a solution to the patient’s problem, supported by the most modern practices in world dentistry.
What can be requested at the initial consultation?
In order to allow for an in-depth analysis of the case,the patient may be asked toundergo some radiological examinations to help with the diagnosis and treatment planning.
Of course, if the patient already has previous, recent tests (up to 1 year), these can be presented at the initial consultation. Undoubtedly, the examinations are a fundamental tool for a complete analysis of the patient’s needs and for determining the cost of the dental implant.
There are dentists who don’t charge for consultations, why do you?
First and foremost, we follow the rules of the CRO, the Regional Council of Dentistry, which specifies that dental services cannot be free of charge, in the same way as medical consultations.
Certainly the culture in dentistry is improving and the number of dentists who charge for consultations is growing. It’s important to make sure that, above all, the dentist who will be seeing you has studied at university and takes frequent postgraduate courses.
Your time is valuable, just as it is in other health professions. I’m sure you also want highly qualified treatment, and we have the technical knowledge and the latest technology to offer it.
Do you accept any dental plans?
In order to offer patients the most modern treatments, our treatments are private.
In fact, most dental plans don’t offer cover for dental prostheses, implants or aestheticprocedures, which are precisely the focus of our clinic. However, plans can be used for the reimbursement system or free choice, depending on the value of the dental implant.
There are certainly companies that offer this system to their employees. In this way, the patient pays for their treatment and then, through the specific procedures of each plan, receives part or all of the amounts paid, according to the rules of each plan. In this case, we offer support so that you can apply for reimbursement.
Can I send my tests by e-mail to get a better idea of the cost of treatment before I go to the clinic?
Nowadays, for those who live abroad or in other cities and want to schedule their trip to the Day Clinic for treatment , it is possible to have an online consultation (Teleodontology). What are the cases in which we can carry out an online consultation?
Care for patients who are already undergoing treatment and are unable to return to the office.
Obtain information on the best time to resume treatment for people in the coronavirus risk group
Attending to people from other cities, states or countries.
Patient monitoring between scheduled appointments
If you are in or passing through São Paulo, we remind you that face-to-face consultations are always more productive. Therefore, the online version of the consultation is intended primarily for those who are physically far away. Due to the rules of the CFO Council of Dentistry, we cannot publish the cost of dental implants.
Do you have any doubts? Want to know how much an implant costs? Talk to us and we’ll be able to help you clarify them. We at Clinica Dentaria ImplArt are happy to help you. Access our WhatsApp with the direct communication channel.
The Implart clinic offers dental implant services and porcelain crowns for them. Implants are performed to replace lost teeth or teeth that cannot be maintained. Porcelain crowns are prostheses that we recommend to restore damaged teeth, such as advanced caries or teeth broken due to accidents. They are also indicated in cases of tooth mobility caused by periodontal disease, when extraction is necessary.
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The application of the crown on tooth in short is recommended when the root of the tooth can still be maintained and the application of the crown on implant is when the tooth is completely lost, i.e. the tooth root is also extracted must be replaced by a titanium dental implant pin.
The porcelain crown is currently the material with the closest visual and physical characteristics to a natural tooth. ImplArt only works with high-performance porcelain so that the prosthetic crown looks almost indistinguishable from the neighboring teeth.
The porcelain crown can be made with internal metal reinforcement (usually recommended for posterior teeth) or with metal-free white zirconia reinforcement (recommended for anterior teeth due to the aesthetic needs of the smile).
What is the difference between a porcelain crown and a dental contact lens?
Reconstruction and protection of teeth that have undergone root canal treatment
Because they are made from state-of-the-art porcelain, the crowns are highly aesthetic, resistant and durable.
How is the Day Clinic procedure done?
ImplArt Odontologia has a structure that allows several dental procedures to be carried out intensively at the Day Clinic, including the placement of porcelain crowns. The structure is made up of computerized systems that speed up the design and manufacture of prostheses, a dental laboratory within the clinic, as well as a multi-specialized team to carry out a complete treatment, from diagnosis to completion.
Porcelain crowns are a procedure carried out by ImplArt Odontologia. Porcelain crowns are fixed prostheses used to replace lost or damaged teeth. These crowns can be placed over natural teeth or dental implants. ImplArt offers the service of placing porcelain crowns at the Day Clinic – Dental Spa, with convenience and agility. These porcelain crowns provide patients with aesthetics and functionality.
The computerized design of the porcelain dental crown is made according to a digital molding of the teeth obtained through a scan of the teeth. This makes it possible to design pieces that are completely customized to each patient’s needs. The crown is made by 3D tooth printers.
Gum plastic surgery is an option for people who are dissatisfied with their smile and also with the shape and size of their gums, mainly due to the lack of gums.
Gingival plastic surgery and tooth reshaping with composite resin
When they are very apparent, they influence the harmony of the smile and the self-esteem of some people. Gingivalaesthetics influences the smile through its relationship with the teeth, color and thickness of the gums. With this procedure it is possible to correct gum deformities by removing excesses and reconstructing areas that have little gum using gum grafts. The surgery is simple, performed under local anesthesia and carried out in the dentist’s office.
How is gum grafting done?
In general, gum tissue is taken from another part of the mouth, such as the roof of the mouth or behind the wisdom teeth. However, today it is also possible to use an artificial gum graft, obtained from pig tissue. After the procedure, the patient is instructed on how to perform oral hygiene for the first few days, as well as the medication they should take (usually antibiotics, anti-inflammatories and painkillers).
Caso a estética da gengiva não esteja ideal há recursos que podem ajudar a aumentar ou diminuir seu volume.
They also receive recommendations on diet, especially to avoid eating foods with potential irritant reactions, such as acidic, very salty or spicy foods. The healing period depends on each case, but total internal gum rehabilitation takes place after six months. Many patients resort to this surgery due to gum disharmony, which can be related to excess or lack of gums.
Gum surgery: what is it for?Gum surgery: what is it for?Gum surgery: what is it for?Gum surgery: what is it for?Gingivectomy and resin veneersGum surgery: what is it for?
Can the gums grow?
Growth can be caused by the use of medication such as antihypertensive drugs based on alodipine, anticonvulsants based on hydantoin, and fixed braces associated with poor brushing.
Gum recession or retraction is a change in the position of the gums as the root of the tooth becomes longer and more sensitive. This situation can occur due to strong traumatic brushing, malocclusion, when the bite is overloaded on the tooth with recession, bruxism and periodontal disease.
For this type of correction, gingival grafting may be indicated. The tissue used is taken from the mucosa of the roof of the mouth (palate). Surgery is contraindicated for patients with untreated cardiovascular problems, active periodontal disease, blood problems and mouth cancer.
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
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