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.
The transparent aligner is a modern option for orthodontic treatment. Because it is transparent, it is much more discreet and almost imperceptible. Unlike conventional fixed orthodontic appliances , clear aligners are plate-shaped and do not have brackets, metal wires or colored rubber bands. Orthodontic treatment with clear aligners consists of the sequential use of different plates, with minor adjustments to each one.
It also plays a fundamental role in oral rehabilitation when there has been tooth loss. When tooth loss is not immediately replaced with dental implants, nearby teeth tend to move, taking the place of the extracted tooth. Therefore, before the patient can receive the implant, space must be made by moving the teeth back to their original position so that the site can receive the dental implant. This is done with orthodontic braces.
The patient wears each plate for about 2 weeks and the teeth move progressively until they reach the ideal position. The aligner plates are custom-made for each patient, based on a digital mold taken from the teeth using an intraoral scanner and computerized planning.
In this planning, tooth movement can be simulated in advance with three-dimensional images and the patient can follow the progress of the treatment. Sometimes the aligners need accessories such as resins bonded to the tooth or a mini dental implant to guide the treatment.
We work with national aligners and aligners imported from the United States – Invisalign
Digital documentation
The documentation for this model of orthodontic appliance is a set of scans and photographs used for the digital planning of orthodontic treatment with clear aligners. The 3D orthodontic documentation for treatment with clear aligners consists mainly of:
Radiological examination that allows cephalometric tracings to be analyzed. Radiological examinations make it possible to diagnose occlusion problems, missing teeth, erupted teeth and the bony structures of the face.
Intraoral scanning
A high-precision camera scans the teeth and gums and then creates a 3D mold of the arches. It then reproduces details such as the color and shape of the teeth and dental occlusion on the computer screen.
Extraoral and intraoral photos – facial and intraoral photos. digital orthodontic documentation
The documentation, along with a standard questionnaire, is sent to the factory responsible for making the clear aligner plates. All of the patient’s images are then entered into software for virtual planning of the tooth design and tooth movement.
Click on the image to watch the simulation
Once the treatment has been approved, the Invisalign factorymakes a series of customized aligner plates for the patient to wear sequentially. The plates must be worn 24 hours a day and removed only when eating or cleaning the mouth. Ask us about the best model, value and price.
The placement of a porcelain implant crown is one of the procedures that ImplArt Odontologia can carry out with the convenience and agility of Day Clinic Dentistry in São Paulo.
A porcelain crown is a type of fixed prosthesis with a shape, color and functionality very close to that of a natural tooth, to be fitted over a dental implant. The dental implant is a titanium pin that replaces the root of a lost tooth and supports the prosthesis.
The porcelain crown on dental implant is certainly capable of restoring a beautiful smile and chewing safety for people who have lost one or more teeth, including the root, for some reason. Because it is made from state-of-the-art materials, the porcelain dental implant crown is highly aesthetic, resistant and durable.
ImplArt Odontologia uses the metal-free technique to make porcelain crowns. The advantage of this technique is that the internal structure of the crown is reinforced with zirconia. It is a white material, therefore free of metals and invisible inside the prosthesis, which gives the prosthesis a much more aesthetic result and no dark spots. These materials are also very resistant.
How is the porcelain implant crown made in the Day Clinic?
At ImplArt, the design of the porcelain implant crown is computerized and executed on 3D printers. The design of crowns is completely personalized for each person, quickly and conveniently.This is thanks to our complete structure, which includes a multi-specialized team and our own digital prosthetics laboratory equipped with computerized systems such as Cerec Sirona and 3Shape.
Some cases in which this treatment can be carried out in a Day Clinic
If you already have an implant, but would like to change your prosthesis for a better-looking, higher-quality one. Learn more
Oral rehabilitation with crowns usually takes a few weeks, but the structure of ImplArt Odontologia allows this time to be considerably reduced with a Day Clinic service plan.
Get to know the ImplArt Clinic
We are located in one of the most privileged areas of São Paulo in the Bela Vista neighborhood, close to Avenida Paulista. Today, we have experience close to thousands of implants installed, thousands of dental prostheses, hundreds of cosmetic dentistry cases solved and thousands of satisfied patients. These certifications certainly enable us to deal with the most difficult cases in dental aesthetics, oral rehabilitation, orthodontics and dental implants. Digital dentistry is the highlight of the ImplArt dental clinic.
This practice is also preventative, as complete and well-articulated teeth prevent problems with the jaw and mandible.
Healthy and beautiful teeth with oral rehabilitation at Day Clinic
Problems that arise as a result of a lack of preventive care can develop, become harmful and much more complex in the future. For a smile to be considered healthy and functional, the entire set of teeth, bones, facial muscles and soft tissues must work together in harmony.
Frequent toothaches or even facial muscle pain, swollen or bleeding gums, plaque build-up, cavities, the absence of one or more teeth, clicking or joint pain when opening and closing the mouth, facial asymmetry, yellowed or stained teeth are some of the signs that something is wrong with oral health and aesthetics.
Oral Rehabilitation - Day Clinic restores the whole mouthOral Rehabilitation - Day Clinic restores the whole mouthOral Rehabilitation - Day Clinic restores the whole mouthOral Rehabilitation - Day Clinic restores the whole mouthOral Rehabilitation - Day Clinic restores the whole mouthOral Rehabilitation - Day Clinic restores the whole mouth
Complete professional team to carry out your oral rehabilitation in Day Clinic
Oral rehabilitation can involve several dental specialties working together in one day. Just to give an example: periodontics, endodontics, orthodontics, implantology, prosthetics, dentistry and dental aesthetics. With it you can, for example:
Restoring partially compromised teeth with dental crowns
Correct bite problems, dental occlusion
Restoring masticatory function
Recovering or improving dental aesthetics in general
Oral rehabilitation is planned after a number of examinations have been carried out, such as a panoramic X-ray, so that all the patient’s needs can be known. From there, the multi-specialist team jointly decides on the procedures to be adopted for complete oral rehabilitation.
Oral rehabilitation can be carried out in a Day Clinic* at the ImplArt Dentistry Clinic. Day clinics are ideal for people who need intensive treatment in a shorter time than conventional treatment. In some cases it is even possible for the patient to start rehabilitation in the morning and be discharged on the same day.
The ImplArt Dental Clinic is fully capable of offering oral rehabilitation treatments in a Day Clinic*, because it has a multi-specialist dental team and a complete structure, with a prosthetic laboratory, digital panoramic X-ray examinations and computerized systems. This certainly guarantees agility and peace of mind so that the patient can achieve oral rehabilitation in one place.
If you are far away and need to organize your accommodation in São Paulo for your Day Clinic at Clinica Dentaria ImplArt, we have prepared a list of recommendations for you. To access the accommodation recommendations, go HERE.
Contact us and make an appointment. We will be happy to assist you.
*The possibility of performing oral rehabilitation in a Day Clinic must be analyzed by our team, after assessing the complexity of each case.
Digital smile planning makes it possible to design completely personalized treatments.It allows the patient to understand the stages of their treatment, thus aligning their expectations with the proposed treatment, and above all: it allows the dentist to have greater predictability of results. This applies to dental implant treatments, fixedprostheses and other types of dental prostheses, porcelain crowns and zirconia.
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The use of Computer Graphics (3D) has helped in the planning and simulation of various dental treatments.
Thus, with computerized dental treatment planning, the dentist can design dental crowns, restorations, aesthetic treatments, dental contact lenses and plan the placement of dental implants in 3D. The aim of digital smile planning is to create a personalized treatment, seeking the harmony of the smile and also avoiding unnecessary procedures. As a result, it also makes treatment quicker, more convenient and more precise.When it comes to implant treatment, the speed of digital prostheses, combined with the choice of a rapid implant type, means that significant treatment times can be shortened.
With modern resources and equipment, it is possible to mill materials such as pure porcelain or pure zirconia. The modern Cerec Primemill, the latest German milling machine, which joins the team of milling machines in our digital laboratory, allows for even more precise results with even more detail.
A great feature of computerized dental treatment planning programs is image overlay. This involves positioning the digital plan over the patient’s photo, making it easier, for example, for patients to understand their treatment before it starts.
In a nutshell, digital smile design begins with capturing the patient’s oral images using an intraoral scanner. These images are then transformed into a computerized 3D model of the dental arches.
The dentist then visualizes the initial state and designs crowns, restorations or dental contact lenses in order to solve various problems that compromise the aesthetics and harmony of the smile.
Intraoral scanning
Some cases, for example, can be carried out with digital smile planning:
Increase in the length or volume of one or more teeth.
Aligning asymmetrical teeth
Making restorations for broken or decayed teeth
Making dental contact lenses
Harmonization of teeth with facial biotype
Tooth shade harmonization
Replacing unsightly restorations with porcelain restorations
Computer-planned dental treatments also allow many procedures to be carried out in a Day Clinic (intensive care modality).
Digital dental implant planning
Digital planning of dentalimplants helps ensure that the treatment result is tailored to the patient’s needs. It also helps to ensure that the treatment is efficient, as minimally invasive as possible and to avoid surgical accidents (such as hitting sensitive structures). Planning begins with a computerized tomography scan.
The three-dimensional images from the tomography then allow the implant dentist to know details such as bone volume and dimensions, and thus determine the best implant positions, as well as choosing implants with dimensions suited to each patient’s needs.The dentist also has the option of ordering a surgical guide, made on the basis of the information from the CT scan.
The surgical guide acts as a template with the exact indications where the incisions should be made, in such a way as to avoid unnecessary cuts and perforations. As a result, treatment becomes less invasive and recovery faster.
Specialized software helps us plan the position of your implant with millimetre precision. The templates created take the implants to exactly the right positions.
Guided surgery makes it possible:
Prior surgical and prosthetic planning, resulting in a more precise procedure;
Respect for bone structures and the path of nerves and vessels;
A reduction in the indication for bone grafting surgeries, as this requires detailed planning of the case beforehand;
Planning aesthetic and functional procedures;
Better post-operative recovery;
Better communication between patient and dentist, contributing to greater trust during treatment.
ImplArt Odontologia uses the main technologies ever developed for computerized dental treatment planning. From intraoral scanning to the execution of prostheses, restorations and aesthetic dental contact lenses on 3D printers. If you have any questions, please contact us or come and visit us. We’d be delighted to welcome you!
Laser teeth whitening is a treatment often used in our Dayclinic cases because it greatly improves the appearance of the teeth and is quick to perform. Teeth whitening can be used in conjunction with other aesthetic treatments such as cosmetic dental lenses. It can also be used in rehabilitative treatments with dental crowns and even dental implants, where fixed dental prostheses will be required, and the tone of the smile can be modified as a whole at this point.
Laser teeth whitening is one of the aesthetic procedures that ImplArt Odontologia can perform in its Day Clinic
Over time, some of our habits can leave our teeth yellowed or stained. Ingesting highly pigmented foods or drinks, such as coffee, wine, beet, açaí, among others, can stain teeth.
Smoking is also one of the enemies of white teeth, as nicotine also stains teeth. In addition, poor brushing – which would be a better way of removing food pigments from the teeth – can also lead to the accumulation of plaque on the teeth, which makes them look yellow.
A naturally whiter smile, like the ones seen on celebrities, is a common desire. The best part is that this dream is possible, thanks to the laser teeth whitening procedure, which is certainly a great ally for dental aesthetics.
ImplArt Odontologia uses the most modern laser whitening techniques safely and efficiently. The best whitening is done with the combination of hydrogen peroxide-based gel and the laser light that activates the gel.
The procedure safely and effectively removes pigments and stains from tooth enamel and dentin. Some people need more than one session and this will be determined after an assessment of each case.
Application of whitening gelLaser activation of the gelWhitening results
Indications for whitening
Laser teeth whitening treatment is suitable for most people who are bothered by yellow or stained teeth.
There are even techniques for children over the age of 10. The indication is made after a thorough assessment of the general condition of the patient’s mouth (teeth, gums, tongue and mucous membranes) by the ImplArt professional.
Advantages of laser whitening?
Faster results than home whitening
Causes no or little tooth sensitivity
Day Clinic ImplArt
ImplArt Odontologia performs laser teeth whitening with the agility and convenience of a Day Clinic.
This type of service is ideal for people who want to have a more beautiful smile, whether for an upcoming event, such as a wedding, or even to give their look a boost, but who don’t have the time because of too many commitments in their daily lives, or for those who are in São Paulo for a short trip.
ImplArt’s high-tech structure and specialized team allow your treatment to be planned according to your needs and available time.
Whether this treatment can be carried out in a Day Clinic depends on an assessment of each case.
Find out the most frequently asked questions about prostheses on implants
Are implants aesthetically pleasing?
In short, it depends a lot on the system used and the local conditions. Aesthetics have improved a lot in recent years. But it’s important to bear in mind that, however good the implant and the professional, the first is still a prosthesis on an implant, i.e. the replacement of natural teeth with artificial ones.
Therefore, expectations regarding implants are common, but can usually be followed by a certain amount of frustration. In many cases, the aesthetic solution is quite acceptable. Fortunately, there have been many advances, not only in the materials used to make prostheses, but also in techniques.
Nowadays we can build prostheses that look more and more like natural teeth. However, the main objective must always be functional. The implant is far superior to other prosthetic procedures, and in the absence of teeth, it’s the best we can do.
In simpler cases, some kind of temporary implant prosthesis is provided for the patient to use immediately after surgery. In the case of the totally edentulous, the period is limited to a few hours to a few days after the first surgery. In the second stage, once the implants have healed, the patient is not left without the prosthesis. In some cases, the immediate loading technique can be used.
Can I eat anything after the prostheses have been fitted? What if I fracture a tooth in the implant-supported prosthesis, is the implant lost?
Not everything can be eaten, but the restrictions are not too severe. Certain foods can even fracture natural teeth. In short, a diet with a minimum of care is sufficient to preserve the teeth of implant-supported prostheses. One positive fact is that repairing fractured teeth is relatively easy.
What happens if the implant (post) becomes mobile after the prosthesis (tooth) has been placed?
All mobility is progressive and indicates that the implant has been lost. Each case is assessed individually and, in principle, the implant can almost always be replaced. This event brings frustration not only for the patient, but also for the dentist. In fact, what happens is an increase in treatment time and, above all, the need to be patient in order to complete it.
I have a full upper prosthesis. I would like to know about the possibility of placing an overdenture without a palate. How many implants? What are the costs?
The overdenture without a palate is a good option because it makes the wearer feel more comfortable. To do this, at least four implants need to be placed. Another option is a fixed prosthesis on implants. This would require four to six implants.
The cost of this type of treatment is variable and it depends on tests to predict the availability of bone in the area. In other words, prices can only be given after a face-to-face consultation and an assessment of the particularities of each case.
I would like to know about the possibility of replacing two removable prostheses with staples with fixed prostheses without staples or implants. I would also like to eliminate the visualization of the staples in my smile.
A treatment like this appears to be of little complexity and can be completed in a short time, according to our Day Clinic philosophy. We always suggest that you also have your teeth whitened to make your whole smile whiter and more aesthetically pleasing.
I have two fixed bridges (one on each side) on the top and I have two implants started (the pins have been placed). I’d like to complete the implants and replace all my teeth with nice white ones, because mine are yellow and the bridges are old with the metal showing. I would also like to know how many days it would take to do a treatment.
I wear lower and upper dentures. Can I get my teeth back? Can you provide information on costs?
Nowadays it is possible to restore teeth even for people who have been wearing dentures for many years. There are many alternatives, especially dental implants. To get an estimate on the price of dental implants, you’ll need a face-to-face consultation and more detailed examinations, which can easily be carried out at our clinic.
Example of replacing a denture with a fixed zirconia prosthesis on implants
Should I go back to the dentist after having my teeth fitted?
At least one clinical radiographic check-up is required every year. It is also the patient’s obligation to attend these check-ups. Appointments are important to identify any problems in time for them to be reversed. They are also used to carry out professional cleaning of the prosthesis, to assess whether the user is performing daily oral hygiene properly, among other aspects that only a professional dentist can identify.
Will chewing ability improve after implants?
Above all, implants have much better functional results than dentures and removable prostheses. Patients who have been wearing dentures for a long time and have implants fitted feel the difference is very significant. The fixed implant prosthesis does not move and the patient certainly feels more comfortable and secure when chewing, speaking and smiling.
I’ve heard that porcelain is the best material for teeth. If I want an implant-supported prosthesis with porcelain teeth, would that be possible?
If you have any further questions about prostheses on implants, please contact us through one of the channels below or make an appointment. We’ll be happy to help you!
There’s a lot of talk about zirconia dental crowns these days, but did you know that there’s more than one type of pure zirconia crown ? There are actually two types, which are not the same! Let’s follow the differences between Pure Zirconia Crowns and ceramic layered Crowns. In addition, we will present the benefits of the most modern crown, which uses computer graphics, the Pure Zirconia Crown, also called Translucent Zirconia.
First of all, in order to differentiate between the two types, let’s highlight the method used to make each one. While one relies on a super-modern method with computer graphics for its preparation, the other still has an artisanal stage with manual application of porcelain by a prosthodontist. They can be used for single crowns, crowns on individual dental implants, fixed prostheses and even total implants, with the modern zirconia protocol prosthesis.
This way, by the end of the text it will be clear that even though both options have zirconia, not all zirconia crowns are the same! Let’s get to know the important differences below:
Zirconia crowns combine strength and superior aesthetics for more natural results
Therefore, in order to restore the aesthetics and function of the smile, it is natural to look for options that restore or make up for a missing tooth in a way that achieves the most natural and harmonious result possible. Whether for a crown on a tooth root or on a dental implant, zirconia is the material that offers this excellence. We can highlight the main advantages of zirconia:
Range of shades very similar to human tooth enamel.
Unlike metal-ceramic crowns, zirconia crowns have no metal parts in their construction. Therefore, there are no dark shadows when subjected to a beam of light, and there is no risk of a metal line appearing if the gums recede.
Fracture and stain resistant material
A fully or partially computerized manufacturing method, which makes treatment faster and more precise. The speed of digital zirconia crown production
CAD/CAM zirconia dental crowns
Zirconia oxide dental crowns are considered the most modern crowns thanks to their advanced technical and aesthetic properties. The shade and translucency of this high-performance ceramic are very similar to natural teeth.
The construction of dental crowns made from pure zirconia is totally unique and innovative, as these crowns are digitally designed using computer graphics and the CAD/CAM system, resulting in more precise pieces and much faster. The equipment has robotic arms that mill a block of zirconia until it reaches the designed shape. This type of crown has the highest resistance of all the dental crown options available. In addition, it allows for greater patient comfort throughout the treatment because it only uses digital readings, with a 3D scanner, without the need for the old mass moldings.
The CAD/CAM pure zirconia crown manufacturing method is 100% digital, while the ceramic layered zirconia crown, which we’ll see below, has a handmade interface, with mass molding and manual application of porcelain on the outside.
Zirconia crown with porcelain ceramic layered (zirconia + porcelain)
It is a crown in which the inner part is made of zirconia and the outer layer is made of ceramic layered material. Only the inner part of the tooth structure is made of zirconia, while the outer part is made of porcelain. The layered zirconia crown is more artisanal, as it requires a prosthetist to manually apply the outer porcelain layer.
What are the differences between pure zirconia and ceramic layered crowns?
After the ceramic is applied to the zirconia structure, the crown undergoes a sintering phase in a kiln. In this way, each layer of ceramic applied takes on a spectrum of color, translucency and opacity in the crown, seeking to reproduce the color variation of natural teeth.
Zirconia frame x crown with ceramic applied
Applied zirconia crowns, top and inside view
Crown cut in half showing internal zirconia structure and porcelain/ceramic layer.
Zirconia full denture with ceramic applied. Note that in addition to characterizing the teeth, the ceramic gingiva has also been characterized. Both the crown and the applied zirconia prosthesis have no shadows or dark spots, even in very bright environments. The zirconia of the internal structure has a shade very similar to that of human dentin, which is the inner part of natural teeth. The ceramic, on the other hand, has resistance, color, translucency and texture very similar to tooth enamel. This type of crown or total prosthesis already has huge gains compared to metal-ceramic, which has a metal structure and a porcelain exterior.
Pure milled zirconia crown
The pure zirconia crown is milled from a multilayer zirconia block, meaning that the block is already produced with the different layers of color and translucency just like the teeth. In other words, the pure zirconia crown model does not need a layer of ceramic to reproduce the shades and translucency of the teeth. After milling, it goes straight into the kiln. It represents the most resistant material available in dentistry today, in addition to the natural aesthetic result, similar to natural teeth.
Pure zirconia full dentures milled and after sintering in the furnace
Pure zirconia crowns
What is the best type of zirconia crown?
Nowadays, patients are looking for comfort when undergoing dental treatment. In addition, they want a treatment with high durability and aesthetic results. The CAD/CAM Zirconia Crown meets all these requirements precisely because of the characteristics of the material and the method of execution using digital design and a 3D scanner. Without the need for the uncomfortable mass moldings of old.
The production of CAD/CAM pure zirconia crowns, due to the fact that no manual ceramic finishing work is required, allows faster work to be carried out. If the need is for faster treatment, and the patient is looking for the most modern treatment, this is undoubtedly the best option.
Totally metal-free rehabilitation: is it possible?
Yes, in the event that you need to replace a missing tooth with a dental implant and prosthetic crown, this rehabilitation can be done with a ceramic implant as well as a zirconia crown. In this way, we achieve a metal-free implant treatment. This has been a trend for followers of biological dentistry, who are looking for dental treatments without any metal.
All of ImplArt’s zirconia dental crowns and prostheses are made in the dental clinic‘s own digital laboratory. This allows for high quality control and on-time delivery.
How much does a zirconia crown cost?
In order for us to ascertain the needs of your case: single tooth crown, fixedprosthesis, prosthesis on implants, prosthesis protocol, we need to assess you carefully and thus be able to give you the price of your personalized zirconia treatment. The consultation can be in person or online, for those patients who are physically far away. Contact us at ImplArt Dental Clinic and we will be happy to answer any questions you may have.
Periodontal disease is a set of inflammatory manifestations caused by bacteria that affect the supporting tissues of the teeth, which in advanced cases leads to tooth loss. Periodontal disease is the main cause of tooth loss in adults. Bacterial action in these structures begins with the accumulation of plaque on the tooth surface.
Why gum disease occurs
The accumulation of bacterial plaque occurs mainly due to poor oral hygiene, poorly performed or hampered by the shape of the teeth (crooked teeth or teeth that are too close together) and long periods without visits to the dentist’s office for preventive treatment.
In early cases, the toxins released by the bacteria inflame the gums, which then become red, swollen and bleed easily. In moderate cases, the gums lose their attachment and form pockets, called periodontal pockets.
This condition is very worrying because when the gums lose their adherence it opens a door for bacterial activity below the gum line, meaning that tartar can build up on the surface of the tooth root and inflammation of the bone tissue and all the supporting structures of the teeth can occur.
Without proper control, inflammation leads to gradual bone loss and teeth become soft, fall out or need to be extracted. Look at your teeth and gums: some conditions can be signs of periodontal disease:
Plaque and tartar adhered to the teeth, mainly on the line between the gums and teeth. Plaque is colorless and viscous. Tartar is when the accumulated plaque calcifies and is yellowish or whitish in color;
Gums that are swollen, red or bleed easily when brushing, flossing or involuntarily;
Retracted gums, sagging or separated from the tooth;
Tooth sensitivity;
Part of the tooth root exposed;
Changes in the position or mobility of the teeth;
Tooth loss;
Periodontal disease - causesPeriodontal disease - causesPeriodontal disease - causesSigns of periodontal disease: severe bone loss, malocclusion, tilted teeth, tooth roots appearing (teeth look longer), receding gums, inflamed red gums, bleeding gums, soft teeth, falling teeth, infection, dark space between teeth (dental blackspace), bad breath.
Periodontal disease: causes
Accumulation of plaque and tartar
Plaque is a viscous, transparent film that forms on the teeth near the gum line. The toxins released by the bacteria inflame and irritate the gums, which can turn red and bleed. Tartar is when this plaque becomes hardened (yellowish or whitish calculus) and can only be removed by a professional. When the gum becomes loose, it exposes the root and calculus can build up in this area. Bacterial activity in this area leads to the gradual deterioration of the bone around the tooth.
Medicines
Some medications can interfere with oral health and favor the onset of periodontal disease or make it difficult to cure. The main classes of these drugs are: contraceptives, antidepressants, anticonvulsants, antihypertensives, some used to treat cardiovascular problems and drugs to prevent organ rejection in transplant patients. It is important that patients inform their dentist of any medication they are taking.
Low immunity
Patients in this condition, in most cases as a result of AIDS or chemotherapy, find it more difficult to respond to infectious processes and are more susceptible to the progression of periodontal disease.
Diabetes
Diabetes can cause difficulty in healing, changes in blood circulation and a drop in immunity. Diabetics are more likely to suffer from periodontal disease than non-diabetics.
Bad habits and functional conditions
Smoking –smoking reduces vascularization and consequently oxygenation of the cells. This makes it difficult for the body to respond to any infection. It also hinders healing processes and reduces salivation (which is essential for removing and fighting bacteria on the teeth). Read more about the harmful effects of smoking on oral health.
Poor nutrition – a lack of intake of various nutrients, such as vitamin C, can reduce immune resistance and promote oral infections.
Poor oral hygiene – proper brushing is the best way to remove food residue that may stick to the teeth and gums. The accumulation of this waste serves as “food” for bacteria. In addition to brushing properly, flossing and antiseptic rinses are recommended.
Failing to visit the dental practice regularly – visits are essential for identifying problems at an early stage and for carrying out prophylactic professional cleanings.
Bruxism – the habit of grinding and clenching teeth can accelerate the process of destruction of bone and gum structures with active periodontal disease. Read more about treating and controlling bruxism.
Malocclusion and crooked teeth – conditions that can encourage food residue to accumulate on the teeth and make it difficult to remove.
Emotional causes
Stress – Stressed individuals may have an altered immune response to infectious conditions. Tension can also encourage bruxism.
Genetic factors
There are people who are genetically predisposed to periodontal disease, even if they maintain good oral hygiene habits and visit the dentist regularly. A test can be carried out to find the genetic marker that influences periodontal disease.
Hormonal factors
Pregnancy – During pregnancy there are intense hormonal changes and the woman’s body can be slow to respond to infectious conditions. In addition, there are studies that show that periodontal disease can influence premature birth.
Puberty and menopause – As with pregnancy, puberty and menopause are phases of intense hormonal changes that can certainly make the body more susceptible to infections.
How can periodontal disease be prevented?
Maintain proper and regular oral hygiene. Spend more time brushing. Don’t forget the inside. People tend not to brush the less visible areas of their teeth properly and it is precisely in these areas that plaque and tartar can build up;
Avoid excessive consumption of sugar and refined foods (the bacteria present in plaque feed on these sugars).
Even if you don’t notice these signs, regular visits to the dentist should not be abandoned. A professional eye can identify problems in time to treat them. Preventive care is certainly very important. They prevent problems in the future and can save you time and money.
The application of dental contact lenses is a modern technique that primarily serves to correct aesthetic problems in the teeth, making them more beautiful and uniform. This is one of the dental aesthetic procedures that the ImplArt dental clinic can carry out with more agility in Day Clinic service for patients who come from other states or even abroad.
What are dental contact lenses?
Dental contact lenses are very thin sheets of porcelain (only 0.2 mm thick) used to correct certain aesthetic problems with the teeth, such as stains, chips, exaggerated gaps between teeth (diastemas), very short teeth, asymmetrical teeth, among others.Dental contact lenses are therefore custom-designed on a computer and manufactured on 3D printers. They are made from computerized Emax porcelain, which is why they can be called Porcelain Lenses.
Porcelain is a biosecure material with visual characteristics very similar to natural teeth. Ultra-thin dental contact lenses are different from ordinary veneers, as they require less or no wear on the teeth to be applied. Other advantages of contact lenses at Day Clinic:
Completely painless procedure
Possibility of changing the shape, size and color of teeth
Preserves tooth structure
The lenses do not cause any discomfort to the chewing function
Long durability
There is no color change in porcelain over the years
How are dental contact lenses applied at the Day Clinic?
1 – ImplArt’s specialized professional takes a digital mold of the teeth using intraoral scanners.
2 – The result is then digitally simulated using software so that it can be presented to and approved by the patient;
3 – The approved model is then sent to the laboratory to have the ultra-thin, highly durable porcelain dental contact lens made. The lens is made using 3D printers, which guarantee the quality of the work;
4 – The dentist glues the dental contact lens with specific adhesive material to the front of the previously prepared tooth.
The Day Clinic service is a great option for people who want or need to solve aesthetic problems with their teeth in just a few days, such as during a quick trip to São Paulo or due to the proximity of an important event.
In less complex cases, the ImplArt dental clinic applies dental contact lenses with all the convenience of Day Clinic planning. Normally, this whole process takes between 7 and 30 days, but with ImplArt’s Day Clinic planning, this time can be reduced. The application of this technique, as well as the shortened time frame, depends on a clinical analysis to verify feasibility and ensure a good indication.
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Make an appointment to see if you could benefit from this technique or if you have any questions, please contact us.
Learn about the latest orthodontic treatment techniques for correcting teeth used at ImplArt. Aesthetic braces, self-ligating orthodontic braces, transparent aligners (invisible / transparent orthodontic braces) are some examples of how the evolution of techniques allows us to meet the various needs of those who need to align their teeth and achieve a more beautiful smile.
Braces types
Orthodontics is a dental specialty aimed, among other things, at correcting teeth, treating functional and aesthetic irregularities of the teeth and dental occlusion. Orthodontic treatment aims not only to correct crooked teeth, but also to adjust the complete functioning of the mouth, facial muscles, bones and joints.
Anomalies in any of these areas can interfere with oral health, speech, swallowing, breathing and the aesthetics of the face. ImplArt Odontologia performs orthodontic treatments with the most modern types of fixed and mobile orthodontic appliances.
Self-ligating orthodontic braces align teeth faster and more comfortably
The main feature of this type of appliance is that it doesn’t need elastics to attach the archwire to the brackets. In self-ligating braces, the archwire passes through small channels in each bracket and is attached to the caps.
In conventional braces, there is friction between the elastics and the metal archwire, which creates resistance and makes movement slightly slower. The absence of elastics in self-ligating braces allows the archwire to run more smoothly inside the bracket channels, making tooth movement faster and more comfortable for the patient.
Treatment to correct teeth with orthodonticsTreatment to correct teeth with orthodonticsTreatment to correct teeth with orthodontics
Self-ligating orthodontic appliances: metallic, aesthetic-metallic and aesthetic
It can be made up of all-metal, aesthetic-metal or all-aesthetic parts (aesthetic fixed braces with brackets made from sapphire, porcelain or transparent or tooth-coloured polycarbonate).
Indication: various problems that cause dental malocclusion, from the simplest to those that require major movement, the most common being diastemas, misalignment of teeth, crowding, overbite, open bite, crossbite, among others.
Conventional braces to correct teeth
Conventional orthodontic braces are made up of wires, brackets and elastics. They can be metal or aesthetic (polycarbonate, porcelain or sapphire), while the elastics can be colored or transparent. Fixed orthodontic braces work by first bonding the brackets to the teeth. Next, an archwire is placed on each bracket and secured by elastic bands.
During treatment, a certain amount of force is gradually applied to each tooth in order to align and position them properly. The patient needs to visit the clinic regularly (determined by the orthodontist) to make the force adjustments and eventually change the rubber bands that have lost their elastic capacity over time.
Discomfort and a feeling of tightness may be felt in the first few days after these activations, but this is considered normal.
Conventional and aesthetic braces
This model of braces requires the patient to take special care with oral hygiene to avoid food debris and plaque forming around the elastics and brackets.
Indication: various problems that cause dental malocclusion, from the simplest to those that require major movement. The most common problems are diastemas, misalignment of teeth, crowding, overbite, open bite, crossbite, among others.
Transparent aligner plate to correct teeth discreetly
Completely free of metal parts and made from a biocompatible thermoplastic composition, transparent aligner plates are considered the most aesthetic option among orthodontic appliances.
Because they are transparent and have the same shape as the teeth, the aligner plates are almost imperceptible. This modern technique consists of the sequential use of aligner plates with small adjustments to each one (called attachments).
The plates are manufactured according to a computerized plan based on a mold of the patient’s arches. Each movement is planned and the patient is given an estimate of the duration of their treatment and the expected results. The patient receives the set of plates to be changed every 15 days (or at the dentist’s discretion).
It is a type of mobile orthodontic appliance or removable orthodontic appliance, meaning that the patient can take it out to eat and clean their mouth. However, it is extremely important that the patient does not stop wearing them for the prescribed time.
Indication: This technique is especially suitable for simpler orthodontic corrections. It is an option for adult patients who need orthodontic treatment but do not want visual impairment.
The duration of orthodontic treatment varies greatly, as it depends on the complexity of each case, as well as the body’s biological response, the type of appliance used and the patient’s cooperation. It’s always worth remembering that orthodontic treatment should be carried out by a specialized professional and never bought online or from street vendors.
Price of orthodontic braces to correct teeth
Price of orthodontic bracesto correct teeth: the Federal Council of Dentistry states that treatment prices can only be provided after a face-to-face consultation in which each patient’s clinical particularities will be assessed.
If you need your teeth corrected and have any questions, please contact us.
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