Skip to main content

Author: Roberto Markarian

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.

Specialist dental clinic – Dental implants

A dental implant is a titanium or all-ceramic pin, in the case of Straumann‘s ceramic implant, which is surgically placed in the bone and has the function of replacing the root of a lost tooth. A fixed prosthesis is installed over the dental implant, which has the function and appearance of a tooth. It is a modern, simple treatment that aims to bring comfort to the patient.

The Implart Dental Clinic is a dental clinic specializing in dental implants, and therefore has the most modern options for those who need oral rehabilitation.

There are currently several types of fixed prosthesis on implants, including modern 3D computerized pure Zirconia crowns and Cerec porcelain, to be installed on dental implants. In this way, they use innovative computerized resources with 3D intraoral scanners and milling machines to create more precise and aesthetically natural prostheses.

Quality of life and self-esteem back with dental implants

What is a dental implant?

Treatment with dental implants aims to restore masticatory function as well as the aesthetics of the smile, which certainly gives people back their quality of life and self-esteem. After the dental implant is placed, its surface interacts with the bone, a phenomenon called osseointegration.

In short, it is responsible for the stability of fixed dental prostheses, offering the wearer security and comfort when chewing, speaking and smiling. This experience is completely different from using a mobile prosthesis, the so-called dentures, which for example can cause discomfort, move around and even hurt.

Dental implants: who can have them?

In principle, dental implants are indicated for almost all people who suffer from the absence of one, some or all of the teeth in an arch. Each person is assessed individually to determine the most suitable treatment.

The good news is that the ImplArt Dental Clinic, as an implant clinic, has the expertise and knowledge of the most modern surgical techniques to deal with almost all situations of missing teeth, even in people who have little bone volume. For these cases, there are short implants from the Swiss brand Straumann.

The new Standard Plus Short (SPS) implants from Straumann Implantes are the shortest pins available on the market (they are only 4mm long) and are indicated for patients who, for whatever reason, find themselves with limited bone availability.

Single implant, partial implant or total implant

A single tooth implant is used to replace a tooth that has been lost, usually due to an accident, root fracture, unsuccessful root canal treatment or decay. This tooth can almost always be replaced quickly using the immediate loading technique.

It is recommended that this tooth replacement be done as soon as possible to prevent bone loss, as losing a tooth and not having a dental implant can lead to bone loss and the movement of neighboring teeth, which can be aggravated by the absence of a tooth .

Advantages of single tooth implants:

  • Neighboring teeth remain intact
  • The new crown is attached directly to the dental 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
  • 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.

Losing multiple teeth can affect your ability to chew, as well as the beauty of your smile. The best option for replacing several teeth is undoubtedly to have dental implants fitted and a dental prosthesis fixed.

Partial implants are recommended for people who have lost some of their teeth. This treatment is a much more efficient alternative to a conventional bridge, as it offers better aesthetic results (there are no metal staples) and prevents bone resorption.

Total implants are recommended for people who have lost all their teeth. The loss is usually due to periodontal disease and inadequate oral hygiene. The implants are strategically distributed throughout the dental arch – ImplArt carries out the computerized planning of the guided total implant surgery.

The total implant treatment is able to bring the patient the incredible sensation of chewing and speaking safely and comfortably, as a fixed prosthesis that doesn’t move or hurt. The prosthesis will typically have a layer of artificial gum, but there are cases where the prosthesis can be made without the gum.

The presence or absence of gingiva in the prosthesis depends on various factors such as the resulting final aesthetics, bone and gum loss in the area, technical feasibility and dentist/patient preference.

Immediate loading – Rapid loading for implants

Due to scientific advances, it is now possible, in selected cases, to enter the office without teeth and leave at the end of the day with all your teeth fixed on dental implants (temporary prosthesis).

This technology, known as immediate loading, provides patients with great satisfaction due to its rapid results. In principle, immediately loaded implants can be used in the following cases:

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

Therefore, the immediate loading technique depends on certain conditions of the patient’s dental arch and general oral health. These conditions are assessed individually during a consultation.

Fixed implant prosthesis – 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 security and self-esteem to the edentulous person.

Rehabilitation basically goes through 3 relevant phases: the placement of dental implants, the healing phase (in which the patient uses a temporary prosthesis) and the finalization with the fixing of a definitive prosthesis on implants. We have a variety of materials that can be used to make a dental prosthesis:

Dental implants
Specialist dental clinic - Dental implants

Pure porcelain dentures (metal free)

It is an opaque white ceramic structure called zirconia, covered with an aesthetic porcelain sculpted to the shape of the teeth. It is 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.

It is the material that offers the best aesthetic results because it does not contain metals. Porcelain has very similar characteristics to natural teeth, including shade, translucency and strength.

metal ceramic total prosthesis for dental implants

Metal-ceramic dentures (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. Its advantage is the resistance and aesthetics of the porcelain, which leaves the prosthesis with an aesthetic and beauty similar to natural teeth.

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.

However, it has advantages over resin prostheses, such as better durability and resistance to wear, as well as no color changes over time.

Dental implants

Acrylic Resin (resin + metal)

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.

This material has one disadvantage compared to the 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. Watch the video on prosthetic materials for dental implants:

Do dental implants hurt?

The dental implant procedure is easier than you might think! Advances in techniques mean that dental implant surgery today is less invasive, avoiding excess tissue damage, pain and discomfort.

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.

One of the techniques is that ImplArt Odontologia performs computer-guided dental implant surgery. This avoids unnecessary cuts and damage to bone and gum tissue, even with full arch all on 4 implants.

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.

This system allows the surgeon greater surgical precision and better visibility during surgery.

Read about fractured teeth may need urgent replacement with dental implants

Learn more about prostheses, implants and treatments for the elderly

Price and value of dental implant treatments and dental aesthetics │ Dental implant average price

We often receive calls, emails and messages from people asking about the price and value of dental implants and dental treatment . We always try to explain that these questions can only be answered through a dental consultation.

In short, there are three main reasons for this: the first is that the Code of Ethics of the Federal Council of Dentistry prohibits dentists from carrying out consultations in person. The second is that dental treatments can only be indicated after a careful assessment of the patient.

The good news is that for those who live far away, abroad or in other states, there is the option of a preliminary online consultation.

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.

The third is the importance of being assessed by a professional dentist. Often patients 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 dentist is the professional qualified to look at oral health in general, as well as giving the necessary recommendations to keep teeth beautiful and healthy throughout life. The qualified implant dentist is also able to recognize, in most cases, the types of dental implants that exist by evaluating the panoramic radiograph.

We at ImplArt believe that dental treatment goes far beyond a simple monetary value.

There are important factors that influence a cost-benefit ratio, such as the health and well-being that healthy teeth provide, improved self-esteem, patient comfort during procedures, the relationship of trust between patient and dentist, and our empathy for the patient, who often brings with them anxieties, expectations, fears and even trauma from previous experiences. What do you think your smile is worth?

Is there a charge for the first consultation?

Yes, we charge for the first consultation. The patient will be assessed by the director of the dental clinic, Dr. Roberto Markarian, who has extensive experience in treatments for functional and aesthetic oral rehabilitation, with dental implants and dental prostheses.

If necessary, the patient may be asked to undergo some radiological examinations to help with diagnosis and treatment planning.

For your convenience, some of the main dental exams can be carried out in the clinic (at a separate cost). If you already have previous exams, please bring all recent ones (up to 1 year old) to your appointment, as they will be of great help.

My dentist doesn’t charge, 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. The culture in dentistry is changing and the number of dentists who charge for consultations is growing.

The dentist who will be attending you has studied at university and takes frequent postgraduate courses , so their time is valuable, just as it is in other health professions.

Do you accept any dental plans?

At the moment we do not accept dental insurance or any type of plan. Most dental plans don’t offer cover for dental prosthesis, implants or aesthetic procedures, which are precisely the focus of our clinic.

We only accept plans for the reimbursement system or free choice. There are companies that offer their employees this system, in which they will later receive the amounts paid. There is some bureaucracy involved, but we can help.

Dr. Roberto Markarian – Specialist in dental implants

Dr. Roberto Markarian is the creator and clinical director of ImplArt Odontologia, one of the main centers of technology in aesthetic oral rehabilitation and implantology in Brazil.

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 several training courses in the field of dentistry, both in Brazil and abroad.

He is 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.

Run by implant dentist Dr. Roberto Markarian, the ImplArt Clinic in São Paulo specializes in dental implants.

ImplArt is one of the clinics most aligned with the latest scientific research and development of new dental implant solutions. For this reason, it has been voted the best dental clinic in Brazil, a position guaranteed above all by its expertise in Digital Dentistry, Modern Structure and Patient Satisfaction.

Above all, we treat the issue seriously, because we understand that missing teeth are one of the situations that most affect a person’s self-esteem and quality of life. Our humanized care, understanding the needs of each patient, is extremely gratifying when we see the patient’s happiness with the results achieved.

We are located in the heart of the city of São Paulo, in the Avenida Paulista area, with easy access and a wide range of shops and services for those who come from abroad or from other cities and wish to carry out their intensive Day Clinic treatment.

Dr. Roberto Markarian, clinical director of ImplArt, a dental clinic, is a specialist in implants ( implantodontist ) and dental prostheses. He constantly seeks to update and improve his knowledge, taking part in the main congresses and courses in the field with the aim of aligning the technological apparatus of the ImplArt Dental Clinic with the most advanced research in the field of dentistry in the world.

⭐️Guiados by our clinical director, Dr. Roberto Markarian, and made up of a great team of specialist dentists, technicians and receptionists with a passion for what they do, we are dedicated to improving the quality of life of our patients. We are driven by the satisfaction of seeing patients happy.

What is the Dentist Day Clinic?

Do you have no time to waste? Do you run all day, from work to home, from home to work? Do you live in another city? You may need day clinic treatment.

Do you need to start dental treatment, but due to lack of time you can’t afford to visit the dentist? Are you putting off getting a dental implant or replacing your dentures with full implants?

Dental Day Clinic Dental Spa by ImplArt

Fast and comfortable dental treatment

The simplest solution is to opt for the Dental Day Clinic, or ImplArt Dental Spa, where you can carry out as many dental procedures as possible in just one day at one appointment. This way, patients can set aside a day in their schedule or a few days in a week to dedicate to dental treatment, without it taking months to complete.

Procedures and visits are carried out in such a way that they don’t affect your day-to-day life, reducing the time you spend at the dentist. Sometimes we schedule quick DayClinic treatments for special dates such as weddings, Valentine’s Day or the end of the year.

Some quick dental treatments:

These are, for example, the procedures that can best be carried out at the Dental Day Clinic. However, we can virtually carry out treatments in all dental specialties, just by planning ahead. In the case of braces (orthodontics), we can schedule quick treatments with specific braces, but in this case we are talking about months of treatment and not days.

The best way to define what will be done is to have a prior plan based on the patient’s needs and wishes. In this way, the dentist will define the sequence of procedures and how they should be carried out.

The Day Clinic is only possible because ImplArt has a complete structure, so that patients don’t need to go to other addresses to complete their treatment. The durability of treatments carried out quickly in a Day Clinic is the same as that of a treatment carried out at a normal pace.

Complete structure for your Day Clinic

ImplArt has its own dental laboratory within the clinic, which certainly facilitates the rapid completion of work while maintaining high quality materials. The laboratory’s focus is on using high-tech materials such as zirconia and special porcelains by means of computerized Cad/Cam projects and execution by 3D tooth printers.

Another facility is that radiological examinations can be carried out in the clinic, thanks to our digital radiology center. Panoramic radiographs and CT scans with real-time results help with rapid diagnosis and the appropriate course of action.

Another novelty at Implart is sedation dentistry, where the patient remains relaxed throughout the procedure. They are best suited to people who are afraid of going to the dentist, of dental treatment or of the famous “dentist’s machine”, the motor. For patients with health problems that require care, we can schedule a Day Clinic at the hospital (*valid for some types of treatment).

Contact us to find out if your case can be treated in a Day Clinic. Radiological examinations can be carried out instantly at ImplArt. Contact us to find out if your case can be treated in a Day Clinic, as well as treatment plans, prices and deadlines.

If you prefer, we can serve you fluently in English and Spanish.

dental implant testimonials

ImplArt Dental Clinic Dental Implant Testimonials

Certainly one of the great delights of our work is receiving the feeback from our patients, who are always full of joy and satisfaction. The conclusion of a treatment is a moment of great expectation because it often involves the realization of dreams. In these dental implant testimonials, you’ll get to know a little more about some of our dear patients, who often travel from far and wide to have their treatment carried out at the ImplArt Dental Clinic.

Patients come from all over the world, from Japan, Australia, the United States and England to the most beloved parts of Brazil. The ImplArt Dental Clinic is certainly a center of knowledge and high technology in dental implants and computerized dental prostheses, a pioneer in Day Clinic Dentistry. In this way, patients come to us for our know-how as a team, based on all the knowledge of our clinical director, Dr.Roberto Markarian, implant dentist, PhD, a reference in implants and computerized prostheses in Brazil.

Thus, with all our knowledge we are able to offer the most modern implant techniques, total implant and protocol prostheses, Pure Zirconia Computerized Prostheses, as well as modern computerized contact lenses.

Below you’ll find the ImplArt Clinic dental implant testimonials that we’ve put together for you to learn a little more about our treatments and how they have the power to impact and improve patients’ lives.

Dental Implant testimonial video: ImplArt patient testimonial

The video above shows dental implant testimonials from a patient from São Paulo-SP, following dental implant treatment. Dental implants are indicated for patients who have already lost one or more natural teeth. The patient chose the ImplArt Clinic because it has extensive experience in the rehabilitation of total dental implant patients, with a portfolio of thousands of completed cases.

Read the testimony of Kazue, a patient who came from Japan to have her dental implant treatment at the ImplArt Clinic.

A patient came all the way from Japan to have her implants carried out with a Day Clinic at Clinica Dentaria ImplArt. Here’s what she has to say about her intensive treatment at ImplArt.
In her testimonial, patient Kazue says that the“ImplArt Clinic is TOP!”

Read another of the dental implant testimonials from a patient who came from another state to have treatment at the ImplArt Clinic.

Below is another testimonial about the dental implant and prosthetic protocol treatment carried out at the ImplArt Clinic:

These dental implant testimonials certainly bring us immense joy and satisfaction, knowing that we are always helping to improve our patients’ quality of life.

Meet Sandro, who came from the United States to have his dental implant and Zirconia protocol prosthesis treatment at the ImplArt Clinic.

Sandro came all the way from the United States for his total implant treatment and Translucent Zirconia protocol prosthesis, considered the most modern prosthesis available today. Read more dental implant testimonials:

More dental implant testimonials: patient Augusto Araújo came from the United States

Augusto came from the United States to have his dental implant treatment at the ImplArt Clinic. Here’s what he had to say about his treatment at ImplArt. Follow this heartfelt testimonial:“I recommend the ImplArt Clinic to anyone who wants to have a beautiful smile like mine!

Augusto talks about the stages of treatment and the team that attended to him: “I’m very happy with the results of the treatment!” “I recommend Dr. Roberto and the entire ImplArt team.”

See also other testimonials on dental implants, dentures and dental aesthetics

Here are some real dental implant testimonials from our patients, so you can see our quality from those who have experienced it. We pride ourselves on meeting your needs!

We would once again like to thank the dental implant testimonials that our patients have publicly expressed.


“I’ve been a patient of the ImplArt clinic for a few years, when I met Dr. Roberto Markarian. At the assessment appointment, he explained the treatment very clearly. I was someone who had a lot of trauma and fear of dentists, I couldn’t smile and I was very embarrassed.

I just have to say thank you for getting to know this clinic, which took very good care of me, excellent professionals, I was always attended to promptly throughout my treatment. Today I can smile. Congratulations to Clinica ImplArt and Dr. Roberto Markarian, and I can’t forget to mention Vivian, who has always been very attentive. How good it is to be able to count on professionals like you.”

Shirlei Gonçalves


“I am a patient of the ImplArt clinic, I had a total upper and partial lower implant treatment, assisted by Dr. Roberto, a highly competent professional, as well as his clinical staff! My treatment was carried out by Dr. Adriana, who is highly professional and attentive! I’m very happy with the result, it looks great and I get nothing but compliments.”

Solange Godoy


“I was very afraid of getting implants, but Dr. Roberto gave me so much reassurance that I had no doubts. I had the implants, I didn’t feel a thing and I didn’t have any problems. I was very pleased with the results, it even changed my self-esteem with the excellent work done. Dr. Brenda was an excellent professional, always attentive and explaining all the treatment procedures. A reliable team. The service was exceptional. I highly recommend it.”

Dulceni Paglione


“ImplArt has changed my life. It changed the way I smile and interact with people. I now have much more confidence in myself, my self-esteem has grown. I thank them for all their care and I say to anyone who is going to start treatment: you can trust them, because they are serious and their work is very good.”

Eliana Fagundes


“First world dental clinic, the tooth scanner only exists at Implart, I was impressed with the perfect result. Dr. Roberto is highly competent and gives us all the security we need when deciding to have an implant or more complicated surgery on our teeth. The team is top 10. I had my treatment with Dr. Roberto and his team and I highly recommend them.”

Valerie Hair


“I recently finished my treatment. I had Swiss implants and a porcelain prosthesis. I would like to praise the work of Dr. Roberto and all the qualified professionals in his team. These people work seriously and responsibly.”

Sebastião Melo


“Now that I’ve completed the full upper arch implant procedure I started about four months ago, I’m here to give my testimony to help anyone who needs treatment and has doubts about where to get it. I went through a real via crucis to get to Dr. Roberto’s clinic, because if you don’t have a referral, searching on the internet gives the impression that all dental surgeons are good, which is a total mistake.

Mentions like “graduated from such and such university” don’t mean much. Many don’t have the qualifications or equipment for more complex surgeries. Before arriving at Dr. Roberto’s clinic, I went to several that I thought were specialists, and I was frightened by the procedures suggested for my case. But as I’m very fearful, I didn’t agree to be treated at such clinics.

I continued researching and came across Dr. Roberto, who gave me a totally different solution from those who had gone before him, and so I began treatment. It was a blessing for me because I didn’t have to undergo surgery in a hospital under full anesthesia. It was easy, painless and I recovered quickly. “

Hideki Oshiro


“I found Implart through a Google search. I was looking for a clinic in São Paulo that would serve me with quality and speed, as I live in Miami. I wanted zirconia treatment, as is done here, and I found what I wanted at Implart. A committed team, a director with credibility and knowledge. I was very happy with my choice and came back very happy.”

Rafaela Nunes


“Having completed the first stage of my treatment, I’m taking the initiative to express my satisfaction with Implart. When I read the contract, I liked it. Objective, clear and transparent. Extremely professional. The clinic is well-kept, cozy, no-frills and very well equipped. I was able to see for myself that the materials used in my treatment were top quality. Very fine needles for anesthesia.This means that we feel almost nothing from the sting (of course, in this case, the professional’s hand is fundamental).

Anesthetics that left me wondering whether I was anesthetized or not, because the effect was so subtle. Powerful, though. Just as you hardly notice when the anesthetic wears off. There are no abrupt sensations. The restoration of a tooth that came in the way was carried out perfectly. The temporary prosthesis was very good. It fitted very well and the aesthetics were excellent. Very natural and very close to my original teeth.I love it!

Then the surgery! The next day it seemed like I hadn’t even undergone it, how comfortable I was. All of the above is very important, but for me the most important thing is Implart’s team of professionals. What really struck me was that everyone I spoke to was discreet, spontaneous, affectionate and welcoming. Dr. Roberto, congratulations on your clinic.And in my humble opinion I think it’s a model clinic.

If one day a dental student is able to do an internship at Implart, it would be a privilege. Believe me, everything I’m saying is the observation of a 60-year-old who has worked with a variety of professionals, from very good to very bad (all in private practice). I love being seen in a dental clinic. It’s more complete, modern and efficient.”

Setsuko Katayama, São Paulo-SP


“I thank and congratulate Dr. Roberto Markarian and his entire team for their competence, professionalism, ethics and respect. You have given me back the will to smile.”

Eva Bastos, São Paulo-SP


“The experience I’ve had with ImplArt dentistry couldn’t have been better. High professionalism, proper treatment and accurate information provided to patients are qualities that make ImplArt stand out in the dental field. Patients with limited time, as in my case, get a full guarantee of a service provided with precision.

The MSN patient support service provided by the administrative assistant makes Implart stand out and gives us the guarantee of an infrastructure prepared to meet all our needs with comfort and credibility. No matter the distance, time or need, IMPLART has shown that it makes a difference at national and international level. Thank you to everyone who makes ImplArt a differentiated and reliable service.”

Jomo Löw – Sacramento – California


“I’m very anxious about going to the dentist and I’ve always avoided it as much as possible. Now it’s been five years without treating my teeth, so I ended up losing some dentures, had a lot of cavities and an episode of pain. Then I came across the IMPLART clinic and this sedation technique. It was very easy to have the treatment this way. The doctor who saw me was very attentive and looked after me until the end of the procedure. I also found that the dentist worked quickly and did some implants and treated the cavities while I was asleep. It was a bit magical but when I woke up everything was ready, I thought it was great.”

M.R.R., businesswoman, São Paulo-SP


“It’s very easy for me to write in the form of testimonials about the dental implants I had for two years with Dr. Roberto from the ImplArt Clinic, because what seemed impossible at first, through Dr. Roberto’s skillful hands, became concrete every day.When I arrived at the office for a consultation more than two years ago, I had periodontal disease that had already compromised most of my teeth, both upper and lower. After the consultation, Dr. Roberto informed me that it was a difficult case, but not impossible to treat, and his suggestion was to implant both upper and lower teeth.

In a very didactic way, he explained the treatment step by step, showing me that one of the main elements in the whole stage would be patience and that’s what I had during the long process of surgeries and tests, but my calm, patience was due a lot to the confidence that Dr. Roberto gave me, his security, his intelligence, his education and affection were essential for me to go through this trajectory very calmly and sure that I would ultimately achieve my KOLYNOS smile, which can be COLGATE, SMILE.”

Cida Santos, University Professor, São Paulo – SP


“I was recently in São Paulo because I travel frequently for work. Due to the sudden need for emergency treatment, I came across the ImplArt Clinic, which promptly solved my problem. My time in the city, about a week, was enough for a definitive treatment to be completed. I was very pleased with the speed of treatment and the quality. I recommend it!”

Albert Cardoso, Fortaleza – CE


“As I have known Dr. Roberto for some time, I let him know in advance that I was coming to São Paulo, as I visit my family periodically. Dr. Roberto asked me to send him some tests in advance, which I promptly did by email. I was impressed by how useful technology can be even for dental treatment. I prefer the service in Brazil, as the dentists here are very cold and the prices are much higher.”

Regina Abreu, London – England


“I remember one Friday when I was performing at the Sala São Paulo, a jacket that was right in front of me broke. I called Dr. Markarian, made an appointment, he examined me and said that if I waited for surgery to finish, he would put an implant in. The result: I had the implant, left the office, came home, got ready and went to the repair, driving normally.

I arrived after midnight enraptured by the music and without remembering that I’d had an implant. I know a lot of people who have implants, get sick, have inflammation, get down, stop exercising. Thanks to the doctor’s safety, competence and in-depth knowledge, I never had any problems and everything went smoothly. That’s why I say that I was even sad, regretting the end of the treatment. A big hug to all of you and much success to the Clinic, especially to Dr. Roberto.”

Sueli Nakamura – lawyer – São Paulo – SP


Schedule your appointment at the ImplArt Clinic

Find out more about treatments at Clinica ImplArt

To find out more about the treatments at Clinica Dentaria ImplArt, check out the images of our treatments on Instagram https://www.instagram.com/clinicaimplart/.
Our videos on Youtube: https://www.youtube.com/@ImplArtImplanteseestetica
See our Pinterest page: https://br.pinterest.com/implante/

To see our photo gallery of our treatments, click here!
Contact us by WhatsApp (11) 99598-1866

Dr. Roberto Markarian, implant dentist

Text written by DR. ROBERTO MARKARIAN – CRO-SP 73.583
Founder and Director of the ImplArt Dental ClinicDr. Roberto’s Linkedin profile

Dr. Roberto Markarian implant dentist
ImplArt Dental Clinic Dental Implant Testimonials

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 and produces knowledge that is published worldwide in renowned scientific journals in the field of dentistry. He is responsible for promoting knowledge and high technology applied in all the treatments offered by the ImplArt Clinic.

schedule your appointment at the implart clinic by phone or whatsapp

como é feito um implante dentario
ImplArt Dental Clinic Dental Implant Testimonials

📲(11) 99598-1866

📲WhatsApp(11) 99598-1866

Gum grafting to improve the aesthetics of teeth

What is gum grafting?

Gum grafting is used to try and reconstruct an area of the mouth that has suffered from receding or lost gum tissue. Gum recession can occur due, for example, to brushing too hard, gum disease, bruxism or prolonged use of braces. To reduce the effect of the problem, gum grafting is usually indicated.

This is a surgical procedure that consists of removing a piece of mucosa from the patient’s own palate (roof of the mouth) and then placing it over the defect. The material is removed under local anesthesia and the person feels no pain, only slight discomfort.

Update: It is now possible to perform gum grafting without removing gum from the roof of the mouth, using a synthetic material for this purpose.

When healthy, the gums form a protective collar around the tooth. There are two types of gum: the inserted gum, which is a pink, thicker tissue that surrounds the tooth and is adhered to by the bone tissue, and the mucosa (non-inserted gum), a thin, soft and highly mobile tissue that forms the inside of the cheeks and lips. When the gums are unhealthy, we first need to restore their health by removing the bacteria with a periodontal scraping.

Gum defect needs grafting

A gingival defect (receding gums) usually occurs as a result of gum inflammation, caused by a tooth fracture for example. It happens when the gum tissue retracts, almost always due to excessive force when brushing the teeth. The retraction of the gum tissue leaves the tooth root exposed, causing tooth sensitivity and compromising the aesthetics of the teeth. In the case of dental implants, receding gums can expose the base of the implants.

There can also be gum loss due to trauma, accidents or periodontal disease. In these cases, the gums lose their original shape and the aesthetics of the smile can be compromised, especially in the area of the front teeth. In some cases, the placement of dental implants leaves the gums with an inappropriate shape, and this defect can also be corrected with the gum grafting technique.

It is important to note that the gingival grafting procedure does not guarantee success. Even if the procedure is carried out perfectly in terms of technique, there may be tissue necrosis and a consequent loss of the grafted tissue.

gum grafting

After gum surgery

To prevent pain, the patient uses medication (anti-inflammatories) before and after surgery. The dentist can also use “surgical cement”, a protective barrier that is fixed in place where the operation took place. It sticks to the teeth and gums for around five days.

The donor area is not left unprotected after the procedure, as it is sutured (stitched) and this protection helps to maintain its aesthetics and shape, even after a small piece has been removed. Among the main precautions after gum surgery, diet is the most important. The patient should follow the post-surgical recommendations, which are the same as for implant surgery, eating soft, cold food for the first few days to avoid bleeding, infections, and to help with analgesia and healing.

Acidic foods should also be avoided so as not to irritate or sting the gums. As an alternative to gum grafts, prostheses can be made to disguise the aesthetic problem, either with more favorable tooth shapes or with prostheses containing artificial gum. Each case is assessed individually.

If you have any questions about gum grafting, treatments or treatment prices, please contact our team. We at ImplArt Dental Clinic are happy to help you.

enxerto em bloco

Alternatives to dental bone grafting

Dental bone grafting is a subject that often generates a lot of doubts and even fear in patients. It is a technique indicated for reconstructing bone structures in the mandible and maxilla when patients have little volume or defects, especially those who wish to place dental implants.

Implants without dental bone graft: are there alternatives?

However, every patient is assessed individually. And today we have new techniques for bone grafting. In fact, for some, the indication of bone grafting is inevitable, while for others, there are alternatives to grafting, such as:

  • Short implants (little vertical bone volume)
  • Small diameter pins (little horizontal bone volume)
  • Roxolid Straumann reinforced titanium implants (smaller and stronger)
  • Implant + simultaneous graft
  • Bone micrografts or small grafts
  • All on four” technique for full arches
  • Inclined implants
  • Zygomatic implant
  • Guided surgeries with short or tilted implants
Short and narrow grafts can be an alternative to dental bone grafting techniques
Short and narrow grafts can be an alternative to bone grafting techniques

Small bone grafts or micrografts are alternatives to bone grafts

ImplArt Odontologia’s philosophy is to avoid bone grafts as much as possible and has mastered alternative techniques to avoid their use whenever possible. By avoiding dental bone grafting, treatment becomes faster and the patient undergoes fewer surgical steps. However, nowadays bone grafts are small and very restricted to the implant site. In the past, only large grafts were performed.

That’s why the micrograft technique is better and has less pain after surgery. Dental implants without grafting before and after Dr. Roberto Markarian, the clinic’s coordinator, is an experienced dental implant specialist with more than a thousand implants installed, and cases of before and after implants.

Read more: Immediate implants

Thanks to its extensive clinical and surgical experience, ImplArt has been able to treat countless cases without bone grafts – which may have been indicated by other specialists. The indication of techniques depends on a thorough examination of the patient, as well as their tests, such as CT scans and X-rays.

If you have them, come to your assessment appointment with all your tests. If you don’t have them, for your convenience they can be carried out in our digital radiology center inside the clinic (at a separate cost).

Implant all your teeth individually one-by-one with confidence

The main indication for implant treatment of all individual teeth is when the patient is close to losing all their teeth but has preserved bone.

Placing individual dental implants is an effective solution for restoring oral function and aesthetics. It also allows patients to regain the ability to chew and speak properly. It is important to note that the process of placing implants and individual teeth (one by one) requires detailed assessment and planning, taking into account the patient’s oral health and bone structure. It is therefore essential that a specialized professional carries out the procedure safely, to ensure the success of the treatment. There are currently several types of titanium implants to choose from, as well as zirconia implants.

Implantation of all the individual teeth is the technique that fixes a crown to each of the implants distributed throughout the arch.

However, this is a very advanced technique in implant dentistry and its indication and feasibility need to be examined by the implant dentist, who must determine whether the patient is a good candidate for implants of all the individual teeth. In principle, these are the basic requirements for implanting all individual teeth:

  • Have abundant bone (no bone loss)
  • Having a preserved amount of gum compared to natural teeth
  • In an open smile, the patient cannot show the gums

In this technique, each missing tooth will be replaced with an implant post + an individual dental crown. However, this is only possible in certain cases, please contact us.

Because of the bone and gum loss that usually occurs as a result of tooth loss, the result of the gingival appearance of a dental implant treatment of all individualized teeth is different from that of a natural dentition, and also bolder.

The main change in the shape of the gums after losing a tooth is that the gums become flat, without the arches that characterize a natural set of teeth. However, if your smile is very open, it will be necessary to make a prosthesis with a layer of artificial gum to simulate the appearance of normal gums. Read more about gum characterization in dentures.

Frequently asked questions about dental implants one by one:

Can I do a bone or gum graft to increase the bone/gum volume first to allow for an implant of all the individual teeth?

Yes, but even if there is a volume gain in these tissues, the shape of the gums will not be the same as those of a natural set of teeth (arch shape). This is because in all cases of tooth extraction there is a small loss of volume in the bone in the area, which cannot be recovered even by performing a bone graft or gum graft.

Grafting in these cases will not recover all the lost gingival volume but will only allow implants to be placed. The rest of the lost tissue will need to be replaced with dental prostheses.

individual teeth

What are the contraindications to implanting all individual teeth?

Considerations on implanting all individualized teeth – splendid results

Because of the bone loss that occurs as a result of losing teeth without immediate replacement, it is most common for patients not to be able to have all their individual teeth implanted. However, it is possible to use a fixed prosthesis with individual teeth, which gives excellent results: a total implant with fewer distributed implants and a full-arch fixed prosthesis.

Can people who have lost all their teeth get implants? What about the gums?

Dentures may or may not have a layer of gum to simulate the appearance of natural teeth. The gum is not designed to make the prosthesis look ugly. Many patients are reluctant to use artificial gums in their dentures, as they think they look like dentures.

However, with advances in the techniques and materials used, the artificial gingiva of the prosthesis is able to reproduce the aesthetics and naturalness of natural gingiva reliably. The types of total implant prostheses are:

If you have any questions about the value and price of a dental implant, the best treatment, please contact our team or schedule an appointment with our specialized team. We at the ImplArt dental clinic would be delighted to hear from you!