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.
A Clínica Dentária ImplArt possui um laboratório de prótese dentária próprio, ou seja, integrado ao consultório. Dessa forma, podemos oferecer aos nossos pacientes tratamentos odontológicos mais rápidos e próteses cada vez mais precisas de acordo com cada necessidade.
Nosso laboratório interno é equipado com os mais modernos sistemas computadorizados, como por exemplo o sistema alemão Cerec Sirona e a austríaca Ceramill Motion II AmannGirrbach. Ambos os sistemas são compostos com softwares de última geração e impressoras 3D de dentes. Além disso, contamos com a mais moderna impressora 3D UltraCraft ChairSide Pro, com agilidade e precisão na impressão de próteses.
As impressoras 3D de dentes esculpem diversos tipos de próteses dentárias em bloco bruto de porcelana de acordo com projeto computadorizado personalizado para cada paciente, de Zirconia pura monolítica ou de resina. Os sistemas digitais de nosso laboratório de prótese dentária tornam os trabalhos protéticos mais rápidos e a comunicação mais precisa. Isto pode ser aplicado tanto para protese fixa, quanto para prótese protocolo sobre implante dentario, ou mesmo para coroa dentaria unitária ou proteses removiveis, as dentaduras.
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Todos os sistemas são baseados no sistema Cad/Cam, em que o modelo é escaneado em leitores por contato ou então por raios lasers. Todas as informações coletadas pelo computador são enviadas pela internet. Dessa forma, as próteses são produzidas de forma individual por robôs (impressoras 3d de dentes). Nosso laboratório de prótese dentária pode realizar uma gama de procedimentos com alta qualidade como por exemplo:
Translucent cubic zirconia is an evolution of conventional dental zirconia. Dental zirconia is increasingly being used as a material for making a dental crown or even for a fixed prosthesis on dental implants. As our dental Clinic is integrated with a dental Lab in Sao Paulo-Brazil, we can easily delivery zirconia crowns in a new days. Translucent Zirconia has certainly come to revolutionize the way dental prostheses are made, since it uses modern computer graphics resources to design the prostheses, and modern 3D milling machines to sculpt them.This makes treatment faster and more comfortable for the patient.
More about Translucent Zirconia crowns
In addition, Zirconia is the most resistant material compared to other types of crownsand allows for results with a high degree of naturalness, being the most similar to the appearance of natural teeth.
First and foremost, one of the greatest advantages of the Pure Zirconia dental crown is its strength and durability.In addition, its modern execution method, which doesn’t require the old mass moldings and only uses a 3D scanner, makes the treatment much more comfortable for the patient.It is therefore an excellent option for those who want metal-free treatment, a situation that is highly valued today with biological dentistry.
Translucent cubic zirconia crown for molar tooth (bottom), with hole for screwing into dental implant
These zirconia structures can be used both for implant prostheses, types of crowns on implants and for crowns on natural teeth.One of the pioneering companies in the development of durable and aesthetic zirconia dental prostheses is the Austrian company AmannGirrbach.Now it is introducing a new type of dental ceramic: Zolid FX translucent cubic zirconia.
It is a fully biocompatible material used to make first-rate prosthetic crowns, not only single-unit, but also bridges of up to 3 units. The main characteristics of Zolid FX are its super-high translucency, high strength and long-term stability.
It is therefore a strong alternative to the already established lithium disilicate (glass ceramic), and can therefore be especially suitable for cases that require high porcelain crown strength. Cubic zirconia crowns can be installed both anteriorly with excellent aesthetics and posteriorly. They can also be used in dental implant treatment.
What is the manufacturing process like?
The Zolid FX cubic zirconia crown is made using computerized CAD/CAM equipment.It starts with milling the rough block on a 3D printer to the shape of the tooth.The zirconia crown is finished with the manual addition of colors and shading so that the crown has natural visual characteristics, like the neighboring teeth.The pure zirconia crown is super aesthetic and is up to 10 times stronger than ordinary (feldspatica) porcelain.
Translucent cubic zirconia crowns are suitable for bruxism patients due to their resistance
Bruxism is an oral functional disorder characterized by involuntary grinding or clenching of the teeth. The excessive force generated by bruxism can cause not only muscle and joint pain in simpler cases, but also the destruction of part of the tissues (bone and gum), enamel or the structure of the dental crown in more advanced cases.
It is important to remember that before your permanent porcelain crown is made, you will receive a temporary crown. This is used to check the aesthetics and chewability of the permanent crown.
More translucent and resistant cubic zirconia crownsMore translucent and resistant cubic zirconia crownsMore translucent and resistant cubic zirconia crownsTranslucent zirconia crown for the front teeth. The two central incisor teeth (the largest) were made from pure dental zirconia
However, bruxism can be just as damaging to the structures of prosthetic crowns made from certain materials. For this reason, there has always been a need to develop prostheses with increasingly resistant and stable materials, and at the same time aesthetic (without metals in the structure).
The translucency and strength characteristics of Zolid FX are fundamental to making the prosthetic crown very comparable to natural teeth. The result is extremely aesthetic crowns and restorations with high strength and long-term stability.
ImplArt Dental Clinic only works with materials of the highest quality, developed by serious companies. For example, AmannGirrbach, which only introduces materials and equipment to the market after carrying out numerous tests and research.
When faced with serious dental problems, such as infections or severe decay of a tooth, the question arises: should you opt forroot canal ordental implant treatment? According to Dr. Roberto Markarian, implant dentist and director of the ImplArt Clinic, the choice depends on a careful evaluation, considering factors such as the integrity of the tooth, general oral health and the technological options available.
The good news is that there are resources that allow you to visualize the dental situation beforehand and thus guide the initial course of action to be adopted. Even so, it’s important to bear in mind that the treatment may be altered if, during the process, a root fracture or more severe dental impairment than initially anticipated is identified.
Root canal or dental implant? When root canal treatment is the best option
Root canal treatment is indicated when the pulp of the tooth has been compromised but its structure can still be preserved. This procedure is ideal for eliminating infection, restoring functionality and maintaining the natural tooth. According to Dr. Roberto Markarian,preserving the natural tooth whenever possible offers important advantages:
Dental Proprioception: Natural teeth have periodontal ligaments that allow them to feel chewing forces, something that is lost when using implants.
Maintaining Gingival Anatomy: Preserving the tooth helps to maintain the aesthetic harmony of the surrounding gums, facilitating a more natural restoration.
Possibility of placing crowns:After a successful root canal treatment , the tooth can receive a high-quality crown, guaranteeing functionality and aesthetics.
Root Canal or Dental Implant treatment?
Is it possible to be 100% sure about saving a tooth with an X-ray alone?
Some of the most common questions patients ask when deciding between root canal treatment or dental implants are: can you be absolutely sure that the tooth will be saved just by looking at the X-ray? Or even: is it possible to know for sure whether or not the tooth needs root canal treatment just by looking at the X-ray?
According to Dr. Roberto Markarian, implant dentist and director of the ImplArt Clinic, dentistry is not an exact science and, as in any area of health, it is not possible to offer 100% guarantees on results because we are talking about an organism. Although radiography is an essential tool for diagnosis, allowing the professional to assess the integrity of the root, the presence of infections and other structural conditions, it does not reveal all the details of the case. Microscopic fractures or conditions that are not visible on the scan can influence the success of the treatment and require the specialist to change their approach.
“Our mission as health professionals is to use the best available resources, such as advanced imaging exams and modern techniques, to offer the best possible prognosis,” says Dr. Markarian. At the ImplArt Clinic, we combine clinical experience with cutting-edge technologies to increase the chances of success in every procedure, whether it’s root canal treatment or the placement of dental implants.
Photo shows dental radiograph: Some radiographs make it possible to clearly see the need for root canal treatment, while others require a combination of clinical assessment, radiographs and the patient’s report
Professional experience makes a difference when it comes to root canal treatment or dental implants
Of course, the dentist’s experience and knowledge are fundamental. In addition to radiographic analysis, it is necessary to clinically assess the tooth, the extent of the damage, possible hidden fractures, and the health of the surrounding tissue.“Our commitment is to act responsibly and offer the best alternatives available to preserve the tooth whenever possible, with a focus on long-lasting, high-quality results,” adds Dr. Markarian. Therefore, if there is a possibility of preserving the tooth, root canal treatment is the first option. Only secondly, if it is not possible to keep it, or even if irreversible damage to the tooth is identified, do we opt for extraction and a dental implant in the same surgery.
This approach demonstrates the importance of relying on a specialized professional, using the best practices and technologies to guarantee the most effective treatment for each patient, whether for root canal treatment or dental implants.
Is root canal treatment 100% guaranteed?
We know that root canal treatment is the last resort to save a tooth and therefore there is always a chance of failure. We must remember that although it is possible to evaluate radiographic examinations, we are talking about a health treatment whose planning may change over the course of the treatment and the next step is extraction followed by a dental implant.
See the image below for an example of a particular case in which the X-ray alone could have led to uncertainty about the diagnosis. However, the combination of the clinical assessment(swelling, pus), the patient’s report ( pain after accidentally biting a bone) and the X-ray made it possible to identify that there was a fracture in the area, culminating in the indication of simultaneous extraction and dental implantation.
Photo shows a tooth that was removed because it had a crack. Radiographically, the case could be mistaken for a root canal, but root canal treatment would not solve the problem because bacteria would be lodged in the cracked area.
Can I insist on a root canal?: Cases where a root canal doesn’t solve the problem
Root canal or dental implant? Even with technological advances, there are situations in which root canal treatment or retreatment doesn’t solve the problem. Root fractures, for example, can make the tooth unfeasible, making it necessary to remove it and consider alternatives such as dental implants.
Therefore, in the vast majority of cases it is not a choice between root canal treatment or dental implants, but a necessity. That’s why it’s essential to trust the professional in charge of the treatment, so that he or she can be sure of the best course of action.
Biological dentistry and root canal treatment
The current trend of biological dentistry, which is very widespread today, does not recommend root canal treatments on the grounds of toxicity. However, this claim still lacks scientific proof. Studies show that treatment, when carried out with biocompatible materials and modern techniques, is safe. At the ImplArt Clinic, we use the best practices to offer safe, long-lasting results and we value the patient’s well-being.
When Dental Implants Are Necessary
In cases where the tooth cannot be saved, dental implants are the definitive solution. The ImplArt Dental Clinic is a pioneer in technologies such as the use of zirconia prostheses and digital implant planning, detailed on our advanced dental implants page.
However, according to Dr. Roberto Markarian, “the implant, no matter how good, will never be superior to the natural tooth in terms of biology and functionality.” Some considerations about implants include:
Loss of Proprioception: Implants have no periodontal ligaments, eliminating the ability to perceive masticatory forces.
Need for Aesthetic Planning: To achieve optimal results, careful planning of the gingival anatomy around the implant is necessary
Therefore, whenever possible, the ImplArt Clinic chooses to preserve the tooth. Dental implants are only indicated when there are no other alternatives to save a severely compromised tooth.
Conclusion: Keep Natural Tooth with root canal treatment or dental implant?
Whenever possible, preserving the natural tooth is the best option, bringing biological and aesthetic benefits. However, in cases where this is not feasible, replacement with high-tech dental implants, such as those offered by Clínica ImplArt, may be the ideal solution.
Today there are very modern resources for your treatment, with various types of dental implant and types of dental crown available at the ImplArt Clinic. If you still have doubts or would like an assessment, contact our team and make an appointment to restore your smile with health and confidence.
Topics: Root canal or dental implant?
ImplArt Dental Clinic
⭐The ImplArt Dental Clinic is located in São Paulo and welcomes patients from all over the world. If you would like to know more about our treatments, ask questions about root canal treatment or dental implants, or schedule an appointment 📲WhatsApp(11) 3262-4750.
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.
Bone grafts are techniques to supplement the bone lost in the patient’s jaw. They can be performed simultaneously with the insertion of the dental implant, or require a healing period. Each indication will depend on an analysis of the patient’s case. But rest assured, today’s bone grafting techniques are very modern and painless for the patient. The results are certainly worth it because dental implants are the best solution for restoring missing teeth!
Know everything about dental bone grafts
Bone grafts are used to reconstruct the area that has lost height or thickness
In some cases, it is not possible to place dental implants without first doing bone grafts. People who have lost one or more teeth due to accidents or extractions always think about reconstructing their dental arch in order to smile without embarrassment and for this, dental implant placement is certainly an excellent option.
When people lose their teeth and don’t replace them immediately, they experience bone resorption. As a result, the bone in the area becomes thinner and taller, or has defects in its shape. In the upper jaw, the size of the maxillary sinus can increase, which in principle prevents implants from being placed. In addition, with tooth loss, expressions become limited, the mouth shrivels, chewing becomes difficult and speech can also be altered.
In this way , bone grafting serves to rebuild enough structure to allow the implant to be made, restoring the lost volume to the atrophied bone. For this technique, the dentist can use the patient’s own bone material, taken from the mouth (for small reconstructions) or taken from other sites, such as the hip bone (iliac) and skull cap (for large extensions).
There are different bone grafting techniques, each with its own particularities
In the case of smaller, more common grafts, the bone grafting procedure can be done in the office using local anesthesia. For larger areas, the surgical intervention is performed in a hospital by a larger, multidisciplinary team under general anesthesia. The patient does not lose teeth while the bone graft heals.
It is also possible to use a xenogenous bone graft crystal, when the bone comes from animals (freeze-dried bovine bone – Genox or Bioss), human bone from bone banks (bone transplant) or synthetic vitreous materials (synthetic hydroxyapatite). However, the most easily regenerated material is bone graft taken from the person themselves (autogenous bone).
Types of bone graft materials
The procedure can be carried out in fragments or as a block. Many people are afraid of undergoing a bone graft, but in fact the procedure can be very simple. All the materials are biosecure and undergo strict controls to prevent contamination.
Smaller bone grafts are non-invasive and can be used to supplement the bone around a newly placed implant. However, in people who have lost their teeth many years ago, larger bone grafts may be necessary. ImplArt’s philosophy is to avoid bone grafts and has mastered alternative techniques such as:
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 their teeth, the body resorbs the bone in the maxilla or mandible because it understands that the bone no longer has a function (which was to provide support for the teeth). This loss is progressive and over the years the person has little bone volume in terms of height and width, which at first makes it difficult to place dental implants.
What are bone grafts?
Maxillary sinus lift or sinus lift
A sinus lift is a surgical procedure for bone grafting in the posterior region of the upper jaw. The aim is to increase the amount of bone in height so that a longer dental implant can be placed.
When a person loses one or more teeth in the upper arch, there is a loss of bone in height and the maxillary sinus shrinks (fig.1). The procedure is carried out in this way: First, a small opening is made in the gum in the lateral region of the bone defect (fig.2).
A variable amount of bone regeneration precursor material is then placed inside this opening (figs.3,4). The surgery is quick and usually takes no more than 30 minutes with an experienced surgeon. Bone regeneration takes between 4 and 9 months (fig.5), and then the implants are placed (fig.6), but radiographic examinations are carried out beforehand to check the progress of bone regeneration.
Materials used in bone grafts
Nowadays we have a variety of materials that can be used for bone grafts in the maxillary sinus:
Studies show that all materials are favorable for this type of graft, depending only on the surgeon’s preference.
Bone Graft Before and afterBone Graft Before and after – X rays
The ImplArt Clinic has experience in various grafting techniques
Dr. Roberto Markarian, coordinator of Clinica Dentaria ImplArt, is an experienced dental implant specialist with thousands of implants installed. Due to his extensive clinical and surgical experience, he has been able to carry out countless cases of rehabilitation without the need for bone grafting and which had been indicated for grafting by other specialists.
Each case is assessed individually during a consultation. If you have any questions about the price of treatment, values or planning, please contact us or schedule a consultation 📲WhatsApp(11) 3262-4750. Bone grafts are different from gum grafts in terms of techniques and objectives.
Dental implant recovery and care of dental implants before and after surgery
The post-operative period for dental implants and the preparation before dental implant surgeryare certainly fundamental to the success of the procedure. We have therefore prepared recommendations for patients who are going to have a dental implant, which can also be applied to minor dental surgery.
We should certainly point out that the care of dental implant surgery is considered a simple and minor intervention from a medical point of view, with low risk for the patient. The duration of surgery is short and recovery after implant surgery is also considered to be easy for the patient, even in cases of complete oral rehabilitation.
Eat normally before the procedure if the surgery involves local anesthesia. If you have opted for sedation, follow the specific guidelines for your case, which may involve fasting.
Take the prescribed medication 1 hour before arriving at the clinic. If indicated for your case, preferably come accompanied by someone who can drive.
Stitches for dental implants should be removed between 7 and 10 days.
After implant surgery – care of dental implants urgery
What should I do afterdental implants, after implant surgery (for 48 hours)?
Apply ice to the face to prevent swelling
Avoid physical exertion
Sanitize the area with a cotton swab moistened with an antiseptic solution (Periogard, Listerine, Plax).
For 2 days: you should eat cold or iced food. For example: ice cream, jelly, juices, smoothies, soups.
Also avoid hard, crunchy foods such as bread, peanuts, etc.
On the third day you can warm up the food more and normalize your diet according to your own tolerance
What can I do 3 days after my dental implant?
Apply warm compresses to the face to reduce swelling
Exercise in moderation
Tip: In cases where a surgical guide has been used to install the implants, the expected post-operative period is milder than in normal implant surgeries.
What can I do one week after my dental implant?
Brush the operated area lightly
Mouthwash with antiseptic solution
Physical activity released
Remove the stitches at the dentist
Are there implants without cutting or stitches/care of dental implants?
There are modern computer-guided planning techniques that minimize the need to cut into the gums and therefore often do not require stitches. This is computer-guided dental implant surgery, a very up-to-date and safe procedure for implant surgery.
Post-operativecarefor implants, medication and procedures make a difference
Frequently asked questions about post-operativeimplants:
Is dental implant post-op swelling normal? What is the post-operative period of implants like?
Swelling can occur in the first few days after implants, which is why anti-inflammatory drugs are prescribed to be taken as soon as necessary. Cold food and ice help to reduce swelling in the mouth.
How long does it take to resume physical activity after a dental implant?
Each case is assessed individually, but in general you should wait 7 to 10 days before returning to the gym in full.
How many days to remove the dental implant stitches?
On average, you should remove the stitches from the implant surgery within 7 to 10 days.
Is it normal to feel pain after a dental implant or bone graft?
ImplArt Clinic’s care of dental implants conclusion
If you have any questions about post-operative implants, value, price or the best technique, please contact us or schedule an appointment with our specialized team via 📲WhatsApp (11) 3262-4750. Here at Clinica Dentaria ImplArt in Brazil your first consultation is with our clinical director, implant dentist Dr. Roberto Markarian, so you can clear up all your doubts about dental implants and discover that the surgery is simpler than you think!
The Dental Day Clinic at Clinica ImplArt is a type of intensive care, in which we carry out one or more dental treatments in the shortest possible time. In this way, we can plan the dental treatment as a whole, whether it’s a dental implant, fixed prosthesis, protocol prosthesis or dental crown.
It is certainly an option for people with limited time because of their day-to-day tasks, or for people who suffer from odontophobia (fear of the dentist), as intensive treatment is a relief for these patients. ImplArt is one of the few dental clinics in São Paulo with the technological support and multidisciplinary team to offer day clinics*. Find out more about this convenience in the following video:
ImplArt offers a wide range of fast and efficient dental treatments. This includes dental implants, dental contact lenses, porcelain veneers and teeth whitening. Our highly qualified team is ready to provide the best care in a comfortable and welcoming environment. That’s why we guarantee that you will leave with a renewed and confident smile after your treatment at ImplArt.
Clinica Dentaria 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 above all on using high-tech materials such as zirconia and special porcelains by means of computerized Cad/Cam designs and 3D printing of teeth. Performing a dental treatment in one day is possible in some cases (subject to analysis).
Another facility is that radiological examinations can be carried out within the clinic, in our digital radiology center. Panoramic radiographs and CT scans with results in real time certainly help with a rapid diagnosis and, consequently, the course of action that should be adopted. Another novelty at the ImplArt Dental Clinic 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, or of dental treatment or the famous “dentist’s machine”, the motor. For patients with health problems and who need care, we can schedule the Day Clinic at the Hospital (*valid for some types of treatment). All these factors make your dental day clinic experience at ImplArt more comfortable and productive.
We are aligned with the One Stop Solution concept, which aims to enable patients to carry out all the activities necessary for their dental treatment within the Clinic itself. This way, there is no need to travel for external examinations or even surgery, as the ImplArt Dental Clinic is equipped with everything you need.
Planning accommodation for my Dental Day Clinic
For those patients who come from far away to have their Day Clinic treatment at the ImplArt Dental Clinic, accommodation in São Paulo is part of the pre-arrival planning. We have therefore prepared a list of accommodation recommendations in São Paulo to help you plan your visit to ImplArt. To access these accommodation recommendations CLICK HERE.
Keep in mind that the location of the ImplArt Clinic is privileged, which will allow you to enjoy the best of São Paulo’s cultural life, and combine your dental treatment with a sightseeing trip too! You’ll be close to museums such as MASP, Casa das Rosas, Japan House, Mirante do Sesc Paulista, as well as shopping centers such as Shopping Paulista and Shopping Cidade de São Paulo. Plus Avenida Paulista itself, which is a tourist attraction in itself!
If you have any questions, please make an appointment or contact us. We’ll be happy to help you.
All about my Dental Day Clinic at the ImplArt Clinic
Dental contact lenses are a type of ultra-thin porcelain veneer (0.2 mm) used to correct certain aesthetic problems with the teeth.
Dental contact lenses to transform the appearance of your teeth
Aesthetic treatment for stained, misaligned, asymmetrical or broken teeth
Dental lenses work like “covers” that are glued onto one or more teeth to cover stains, small fractures and other defects, or to change the shape and size of teeth. Dental contact lens treatment is the smile of the famous.
Dental contact lenses are completely computer-designed and then made from dental porcelain using milling machines (3D printers). Dental porcelain is a vitreous ceramic material (lithium disilicate) that is very resistant and mimics the texture and shade of natural teeth.
It is also a safe material and therefore totally biocompatible with the human body. The computerized design is based on images taken by an intraoral scanner – a high-precision camera.
Dental contact lenses step by step (in case of dental asymmetry)
At the end of the milling process, the dental contact lenses have a shape, color and texture comparable to natural teeth, even imitating the characteristics of neighboring teeth. Because they are ultra-thin, installation requires little or no wear on the natural teeth.
The lenses are then bonded with dental cement activated with a light-curing device. ImplArt uses one of the best contact lens light-curing devices on the market, making treatment more efficient and safer. Find out more.
Indications for dental contact lenses:
Covering stains
Change in the shape of the teeth
Change in tooth color
Enlargement of small teeth
Aligning crowded teeth
Covering small fractures
Uniformization of uneven and asymmetrical teeth
Advantages of lenses:
High resistance and long durability of the dental contact lens
Very aesthetic look, comparable to natural teeth
Minimally invasive restorations
Completely painless procedure
They don’t require much tooth grinding to be installed
Preserves the structure of the teeth
No discomfort in chewing function
Porcelain doesn’t change color over the years
Incredibly natural and harmonious result
It can be designed and executed in a short time, in some cases even in a Day Clinic.
Before and after contact lenses: find out about some of the treatments performed at ImplArt:
At ImplArt Odontologia, all this work is certainly done in a precise and personalized way for each patient. This is only possible because we have CAD/CAM-based technologies on our premises, which not only carry out the computerized design of the treatment, but also the execution of the dental contact lenses. If you have any questions, please contact us.
At the ImplArt Dental Clinic we strive to offer quality care and the greatest possible convenience. That’s why our team is made up of professionals from all dental specialties. They are:
Implantology
Implantology is the area of dentistrydedicated to the treatment of edentulism (the absence of one or more teeth) with prosthetic rehabilitation supported or retained by dental implants, which can be made of titanium or even ceramic. This is the new, modern ceramic implant, the white implant, for those looking for a metal-free implant. Read more
Orthodontics
Orthodontics is the specialtyresponsible for correcting the position of teeth and jawbones for proper occlusion and alignment. The main objective of orthodontic treatments is functional improvement (chewing, articulation, speech, breathing and to avoid “opportunistic” periodontal diseases such as cavities and plaque build-up and tartar formation), but it also aims to restore an aesthetic and harmonious smile. Learn more
Correction of facial anomalies of the jaw or mandible, reconstruction of bone defects, problems of the temporomandibular joints (TMJ), orthognathic surgery, treatment of retained teeth, tumors and cysts.
The specialty of prosthodonticsaims to make dental prostheses to replace lost teeth, with the aim of restoring oral function and aesthetics. It is considered dental art, since this specialty has the mission of creating prostheses that are increasingly similar to natural human teeth (in shape, color, translucency and texture). Dental prosthesis models range from the mobile type (dentures), protocol prosthesis, to dental crowns that are fixed to dental implants. Learn more
Endodontics
Endodontics is the area of dentistry responsible for treating diseases of the dental pulp, root canal system and periapical tissues. It carries out root canal treatment with the aim of maintaining the tooth and avoiding its extraction. Read more
Periodontics
Periodontics isresponsible for identifying and treating periodontal diseases, the most common of which are caries, gingivitis, plaque build-up, tartar formation and periodontitis (inflammation of the bone tissue that supports the tooth). This specialty also performs surgery to correct gummy smiles. Learn more
Dental Radiology
Dental radiology is of fundamental importance, especially for diagnosing functional problems and oral diseases using X-ray images. It also helps other specialties to plan dental implant surgery and monitor the progress of treatment or surgery that has already been carried out. These exams include panoramic radiography and computed tomography. Find out more.
In addition, the structure of the ImplArt Dental Clinic includes the main technologies used in modern dentistry, both for diagnosis and for treatment and follow-up. At Clinica Dentaria ImplArt you will find:
Two of the main computerized systems for digital smile design, Cerec and 3Shape
ImplArt serves all dental specialtiesImplArt serves all dental specialtiesImplArt serves all dental specialtiesImplArt serves all dental specialtiesImplArt serves all dental specialtiesImplArt serves all dental specialtiesImplArt serves all dental specialtiesImplArt serves all dental specialtiesImplArt serves all dental specialties
This breadth of dental specialties guarantees peace of mind and convenience for the patient, who doesn’t have to travel to different locations to undergo their full treatment or radiological examinations. If you have any questions, make an appointment or contact us. We’ll be happy to help you. For those coming from far away, you should know that it is possible to make an online appointment and even plan your dental implant surgery remotely, and organize your Day Clinic.
Topics in this article about dental specialties and ImplArt dental clinic
When extractions are unavoidable due to periodontal disease, it is likely that teeth will need to be replaced with dental implants. However, dental implants can only be placed immediately after periodontitis has been treated. If the disease is not well controlled, the success of rehabilitation with dental implants will be compromised.
Periodontal disease (periodontitis) without proper treatment can lead to tooth loss. This is because the bacterial infection gradually destroys the structures that support the teeth. As a result, the teeth soften and, depending on the case, are unable to be maintained.
This is what is known as peri-implantitis, i.e. infection around the implants. Peri-implantitis hinders osseointegration (a phenomenon necessary for implant fixation) and can lead to implant loss.
Immediately after tooth extractions, the surgeon assesses whether the bone and gum structures are compromised through clinical and radiographic examinations. He may perform minor surgery to clean the area and administer antibiotics to control the infection. The patient is instructed to maintain proper oral hygiene. In the meantime, the patient can wear a temporary prosthesis. The recovery time for periodontitis is not established, as it depends on each case.
Replacement of problematic teeth with implants,in this case protocol prosthesis
Replacing teeth with dental implants
If the bone loss after periodontitis is reasonable, dental implants can even be immediately loaded (in selected cases). If bone loss is severe, it may be necessary to perform a bone graft to rebuild the structure before placing the implants.
Unfortunately, this process is not so quick, as it is primarily necessary to wait for complete healing (from 3 to 6 months on average). After dental implants have been placed, clinical follow-up is particularly important in these cases, in order to prevent periodontitis from returning.
Dental visits should be more frequent for patients with a history of periodontal disease than in cases where tooth loss has occurred for other reasons. The surgeon may order additional imaging tests to monitor the osseointegration of the implant. Care should be taken with oral hygiene at home.
This treatment, when carried out by a specialized team and together with the patient’s valuable collaboration in terms of oral hygiene, correct use of medication, regular visits to the clinic and the patience to wait for the results, has a high chance of success.
The ImplArt Dental Clinic specializes in replacing teeth with implants after periodontal disease. Its team is made up of serious periodontists and implant dentists, trained at the country’s leading universities.
Dr Roberto Markarian, implant dentist, is the creator and director of the ImplArt Dental Clinic. The ImplArt Dental Clinic is certainly one of the main centers of technology in aesthetic oral rehabilitation and implantology in Brazil. As a result of its know-how and high technology, the ImplArt dental clinic receives patients from all over the world who are looking for high technology and knowledge to carry out their dental implant treatment.
Our clinical director holds a doctorate in implant dentistry, a master’s degree in prosthodontics, and two specializations in dental implants and prosthodontics. In addition, he has completed several training courses in the field of dentistry, not only in Brazil, but also abroad.
Replacing teeth with periodontal disease with implants
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 Clinic.
Is it possible to carry out my dental implant treatment quickly and have the permanent prosthesis fitted straight away? This is a very common question and we understand this demand of fast dental implants. Nowadays, time is increasingly valuable and scarce, which leads to a need to complete dental treatment quickly.
So let’s take a closer look below and find out more about these modern dental implants. Fortunately, there are now several types of quality dental implant to choose from. All to make your implant treatment faster and more comfortable. If you’re short of time, try using rapid implants and the computerized prosthesis preparation system. With them, treatment is faster and more agile because it requires fewer treatment steps. In addition, treatment becomes more predictable and offers better technical and aesthetic results.
Fast healing dental implants: is there such a thing?
In recent years there has been a significant advance in dental implant technology. This is an expected movement, since each person has a specific demand, and implantologists and implant manufacturers need to respond to these demands. The demand for fast dental implant treatment is constant, precisely because of today’s lifestyle.
But another major demand from people is undoubtedly to speed up their oral rehabilitation by reducing the time it takes to install implants and a permanent fixed prosthesis. Pure zirconia crowns help to reduce the total treatment time.
After much research, Straumann has developed an implant surface technology called Slactive. It favors and accelerates osseintegration (a term that defines the healing and fixation of implants in the bone). In some cases, the healing period can be reduced from 6 to 1 month.
3 – Installation of a temporary prosthesis, in the case of total implants or front tooth implants, which allows the patient to wait until the implants have completely healed. Dental implant healing can vary from 1 month to 4 months, depending on the type of implant chosen. It’s important to bear in mind that the chance of a successful dental implant is quite high, but it can be compromised if the patient is a smoker and doesn’t have good hygiene habits.
4 – Installation of the final prosthesis. After this phase, which may involve making prototypes to study the color and shape of the new smile, the final prosthesis is installed on the chosen type of denture.
The use of StraumannSlactive implants means that, in some cases, the period of use of the provisional prosthesis can be reduced or even eliminated. Studies carried out by Straumann have already shown that the survival rate of the Slactive implant using the immediate loading technique after 10 years is 98.2%. This is the fastest dental implant available for those who want to speed up treatment.
What is Slactive surface technology for rapid dental implant treatment?
It is based on a sandblasting technique with large granules, which generates macro roughness on the titanium surface, followed by acid etching, which overlays the micro roughness. The resulting surface provides an ideal structure for the adhesion of bone-forming cells, which are necessary for osseointegration (integration between bone and implant). This amazing technology allows Straumann Slactive implants to be the fastest healing implants on the market.
Upper total dental prosthesis with milled zirconia framework and veneered with aesthetic dental ceramic on dental implant
Fast dental implants treatment with Slactive implant + pure zirconia or pure porcelain prosthesis
Pure zirconia or pure porcelain prosthesis for rapid implants: the gold standard in complete oral rehabilitation
Many people have the perception that a porcelain or zirconiaprosthesis is a heavy piece and therefore not suitable for quick installation because it would hinder the healing of implants. But contrary to what it might seem, porcelain prostheses are much lighter than you might think. In addition to being the most modern and resistant options for the patient, they are also aesthetically superior.
By way of comparison, a full porcelain prosthesis weighs around 30g, while a tube weighs 25g. In addition, each dental implant supports a weight of 100kg, meaning that the weight of the prosthesis does not interfere with the implant.
The possibility of having a permanent porcelain prosthesis fixed on dental implants is a great relief for people who are determined to change their smile quickly. And no wonder. Pure porcelain or purezirconia are undoubtedly the most advanced materials available for the manufacture of dental prostheses.
Firstly, Pure Zirconia and Pure Porcelain are the materials that most closely resemble natural teeth, both in strength and appearance. Secondly, because these materials have been designed for fabrication in computerized systems (CAD/CAM), which greatly speeds up the entire programming of rapid dental implant treatment.
Fast dental implants treatment with Slactive implant + pure zirconia or pure porcelain prosthesisFast dental implants treatment with Slactive implant + pure zirconia or pure porcelain prosthesisFast dental implants treatment with Slactive implant + pure zirconia or pure porcelain prosthesisFast dental implants treatment with Slactive implant + pure zirconia or pure porcelain prosthesisMultilayer pure zirconia crowns. Austrian AmannGirrbach technology. Computer-designed, manufactured on 3D printers.
Can anyone have rapid treatment with Slactive implants and porcelain prostheses?
As we have seen, advanced technology means that many more people have an indication for rapid dental implant treatment. However, each case needs to be assessed individually in consultation. Undeniably, oral health and health in general need to be well assessed before anything else.
In addition, certain habits that may prevent successful rehabilitation, such as smoking and bruxism, need to be considered. If you would like to have a treatment like this or find out more about rapid dental implants, please contact our team. Alternatively, you can schedule a consultation via Whatsapp by clicking on the button below. We at Clinica odontológica ImplArt would be delighted to hear from you!
Explore Dental Treatments at ImplArt Dental Clinic
Learn more about treatments at
ImplArt Dental Clinic
,
and explore our photos, videos and educational
content on social media.
ImplArt Dental Clinic is located in
São Paulo, Brazil, near Paulista Avenue.
We welcome patients from around the world
seeking our clinical experience, specialized expertise
and advanced technology in
dental implants, prosthodontics,
digital dentistry and full-mouth rehabilitation.
International recognition · 2026
ImplArt Ranked #1 in Brazil by GCR
In 2026, ImplArt Dental Clinic
ranked first among Brazilian dental clinics
listed by Global Clinic Rating (GCR),
an international healthcare ranking.
This recognition highlights the clinic’s
standing in dental care, including its focus on
dental implants and digital dentistry.
Dr. Roberto Markarian
is a recognized implant dentist and prosthodontist
based in São Paulo, Brazil.
He specializes in
dental implants and computer-designed
dental prostheses
,
with a particular focus on digital dentistry
and oral rehabilitation.
The ImplArt website also discusses emerging
technologies, including
3D-printed bone grafts
.
Dr. Roberto Markarian has clinical experience
placing more than 12,000 dental implants.
He is also a researcher who contributes to
scientific knowledge shared through international
publications in dentistry.
His clinical interests include advanced implantology,
prosthodontics and digital restorative techniques.
The clinic also shares educational information
about
dental implants and prostheses for older patients
.
Dr. Markarian promotes the integration of scientific
knowledge and advanced technology into the
treatments provided at
ImplArt Dental Clinic.
12,000+
Dental Implants Placed
Dr. Roberto Markarian’s clinical experience
in dental implantology, prosthodontics
and oral rehabilitation.
International Scientific Research
Dr. Roberto Markarian contributed to
an international scientific publication
exploring the
use of Artificial Intelligence
in dental prosthetics
.
He co-authored the chapter
“
Artificial Intelligence in Prosthodontics
”
,
published by
Springer Nature / Springer,
Cham, in the book
Dental Clinical Procedures Using
Artificial Intelligence
.
Explore Dr. Roberto Markarian’s
Scientific Publications
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