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.
Beautiful, aligned teeth with faster, more comfortable orthodontic treatment
What are self-ligating braces?
Self-ligating braces are advanced orthodontic appliances that use gentler forces to move teeth and achieve results in a simple way. This model of orthodontic appliance does not require the use of elastics to hold the wire to the brackets, as is the case with conventional orthodontic appliances.
The wire passes through the channels and is held in place by small caps on each bracket. The absence of rubber bands reduces friction during tooth movement, as the wire runs smoothly in the channels, providing faster and more comfortable treatment, as well as reducing the number of appointments (conventional braces require the patient to return to the office several times to change the elastics).
Other features of self-ligating orthodontic appliances:
Tomographic studies show that the use of light, constant forces in the self-ligating system stimulates a natural adaptive process that widens the arches, creating space and a full, beautiful smile.
This is why the self-ligating system allows various types of treatment to be carried out without the need for extractions to open up spaces.
Studies show that the treatment time using self-ligating braces is up to 7 months faster than other orthodontic appliances. This is due to the 99.5% reduction in friction.
Patients report 60% less discomfort than those treated with conventional braces, as well as great satisfaction with the results at the end of treatment.
Less force required on the device and therefore greater comfort
The absence of rubber bands makes oral hygiene easier, as they facilitate the accumulation of plaque
Self-ligating appliance options available at ImplArt Odontologia
Metallic (metal brackets)
Aesthetic-metallic (metal and transparent brackets)
Contact lenses are bonded to the front of the teeth individually and are used to correct certain aesthetic problems, such as misaligned teeth, stained teeth, pigmented teeth, cracked teeth, improperly shaped teeth, unwanted pain, irregular tooth size and correcting the position of the teeth.
They are bonded to the front of the teeth, individually, in order to correct certain aesthetic problems.These are cases of misaligned teeth, stained teeth, pigmented teeth, cracked teeth, improper shape, unwanted color, irregular tooth size, correction of tooth position.
Lenses are not recommended for unhealthy teeth, such as decayed teeth or teeth with periodontal disease. Contact lenses for teeth are capable of revolutionizing the aesthetics of smiles. Today we see many celebrities who have undergone the treatment and have undoubtedly had their smiles transformed.
Do I need dental contact lenses?
Contact lens treatment involves the use of advanced dental technology. It starts with taking a mold of the teeth. The digital impression is taken using an intraoral scanner that captures images of the teeth and gums and creates a three-dimensional model on the computer screen.
Based on these images, the dentist uses software that designs the dental contact lenses with customized shapes and shades for each patient.
Planning
The design can be for a single tooth or more. The approved computerized design is then sent to the digital prosthetics laboratory to make the dental lenses. A block of porcelain is placed in the 3D printer and the milling process begins until the block acquires the shape of the designed dental lenses.
Dental contact lenses are approximately 0.2mm thick. This ultra-thin thickness does not require any or little wear to the tooth surface in order for the lenses to be applied. They therefore differ from porcelain veneers.
Example of a treatment with dental lenses: 1 – Initial situation, 2 – Tooth preparation (wear) and gingivectomy (removal of excess gum), 3 – Temporary lenses, 4 – Installation of definitive porcelain lenses.
Bonding dental contact lenses
Bonding is carried out after the tooth has been prepared, which involves professional cleaning to remove possible plaque and tartar buildup. The lenses are then bonded with cement specifically for dental use, without pain or the need to apply an anesthetic.
It’s a quick treatment and can even be carried out in a Day Clinic. The durability of dental contact lenses is undetermined. Porcelain is a very resistant material and has very similar characteristics to natural teeth.
Its surface is stain-resistant and does not require the patient to be cautious with highly pigmented foods and drinks, such as beet, carrots, wine, coffee, teas, etc.
Porcelain veneers for front teeth
This ultra-thin thickness does not require the tooth surface to be worn down in order for the lenses to be applied, so they differ from porcelain veneers. They are applied after the tooth has been prepared, which involves professional cleaning to remove possible plaque and tartar buildup.
The lenses are bonded with cement specifically for dental use, without pain or the need to apply an anesthetic. It’s a quick treatment which, in some cases, can be carried out in a Day Clinic. The durability of dentalcontact lenses is undetermined.
Porcelain is a very resistant material and, above all, has very similar characteristics to natural teeth. Its surface is resistant to stains and does not require the patient to be cautious with highly pigmented foods and drinks, such as beet, carrots, wine, coffee, teas, for example.
The average price of dental contact lenses can only be given in a dental consultation, as it depends on a face-to-face clinical examination, and the Federal Council of Dentistry prohibits non-face-to-face consultations. If you have any questions, please contact us through one of our service channels.
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.
The desire for a renewed, more harmonious and healthier smile is the first step towards a major life change. However, a common doubt can lead to insecurity: “What will the final result look like?”. Fear of the unknown is one of the main barriers preventing many patients from realizing their dream of a new smile. That’s where the Digital Smile Design with Artificial Intelligence carried out at the ImplArt Clinic comes in. With it, we can predict the results of your treatment.
The ImplArt Clinic, under the direction of Dr. Roberto Markarian, a reference in Brazil and abroad in Dental Implants and Computerized Prosthesis, has just incorporated the newest Artificial Intelligence tool focused on Dentistry that allows you to accurately visualize the final results of a dental treatment planned with computer graphics.
This way we can give you the chance not just to imagine, but to visualize your future smile before any procedure is even started! Can you imagine seeing yourself with a new smile before you’ve even had it done?
Digital Smile Design in Brazil with Artificial Intelligence: Preview your Future Smile at ImplArt Clinic
Whether your treatment is a dental implant, dental crown, prosthetic protocol or dental contact lenses, now, with the use of Artificial Intelligence at the ImplArt Clinic, you can see the results of your treatment and participate in the process of realizing the aesthetics of your new smile.
See above in this practical video how digital planning technology and artificial intelligence allow you to anticipate your result with impressive realism.
Digital Smile Design: How Does Technology Turn Predictability into Reality?
DigitalSmile Design (DSD) is a protocol that integrates cutting-edge technology, artificial intelligence and the artistic sensibility of our team to create a reliable preview of your treatment. It transforms the initial consultation into a co-creation experience.
Understand the steps that allow us to design your new smile:
1. Complete Digital Diagnosis: The process at the ImplArt Clinic begins with high-precision documentation. Using a modern intraoral scanner, which replaces the old moldings, we create an exact 3D model of your mouth. We complement this with professional photographs and videos that capture the dynamics of your smile and your facial harmony.
2. The Design of the Smile (The Digital Architecture): With this data, Dr. Roberto Markarian and his team use advanced software with Artificial Intelligence to digitally design every detail of the new smile. We analyze the proportion, shape, color and alignment of the teeth in relation to your lips, gums and facial features, seeking a natural and personalized result.
3. Visualizing the Future (Your Participation): This is the moment when we present you with the simulation, like the one you saw in the video above. You will be able to see the “before and after”, give your opinion and ask for adjustments. Your feedback is crucial so that the end result is not only technically perfect, but also fully reflects your wishes.
At the ImplArt Clinic, Digital Smile Planning involves intraoral scanning and smile design with computer graphicsand the use of modern artificial intelligence resources.
Advantages that Go Beyond Aesthetics with Digital Smile Planning with Artificial Intelligence
Millimeter precision: Digital planning serves as a guide for all subsequent procedures. It ensures that dental implants and zirconia crowns are made with unparalleled precision.
Clear communication: Visual simulation is the most effective form of communication. It allows you to understand each stage of the proposed treatment and actively participate in decisions.
The Perfect Connection: From Digital Planning to State-of-the-Art Treatments
The project you approve is not just an image. It becomes a digital map that guides our most advanced treatments:
Dental implants: For guided surgery implants, digital planning determines the exact position, angle and depth for implant installation, making the procedure faster, safer and minimally invasive.
Zirconia Crowns and Dental Contact Lenses: The design of the smile is exported to our CAD/CAM (computer-aided design and manufacturing) systems, which make the zirconia or lithium disilicate restorations with a perfect fit and impeccable aesthetics, faithfully reproducing what was planned.
Photo shows 3D printing stage of zirconia prosthesis, a product of Digital Smile Planning
Your New Smile Starts with a Clear Vision of the Future
At the ImplArt Clinic, cutting-edge technology and human sensitivity go hand in hand to offer you not just a treatment, but a transformative and safe experience.
Always at the forefront of dental treatments, the ImplArt Clinic has positioned itself as a reference clinic for high-quality dental treatments. ImplArt is continually mentioned as the best dental implant clinic in Brazil, due to its expertise and high technology. Always thinking of offering the most modern treatments to patients, Dr. Roberto Markarian, PhD, invests in continuous innovation, always linked to the most modern practices worldwide.
We invite you to take the first step. Schedule an appointment with Dr. Roberto Markarian and discover the potential of your smile with the help of the latest dental technology.
Dr. Roberto Markarian is a reference in dental implants and computerized dental prostheses in Brazil. As well as having more than 12,000 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.
Zirconia crowns are dental prostheses indicated for restoration and dental rehabilitation in people whohave had damage to one or more teeth. Rehabilitation with dental crowns aims to restore the aesthetics and functionality of the smile, improving not only chewing, the appearance of the teeth, but also self-esteem.
Index
Zirconia crowns: excellence for aesthetic results
However, some materials used to make dental crowns are not strong enough to be used in patients suffering from bruxism. As is well known, bruxism is a disorder of oral function movements, characterized mainly by involuntary grinding or clenching of the teeth.
Translucent pure zirconia crowns
Pure zirconia crowns. Translucent zirconia is 10 times stronger than ordinary porcelain.
It occurs mainly during sleep. This excessive load on the teeth and musculoskeletal structures of the face can cause problems with the teeth and correct occlusion in general.
Although the cause of bruxism is not very clear, it is certain that this condition most often affects people who suffer from emotional problems, such as stress, anxiety and excessive worry.
Just as the excessive force generated by bruxism can wear down teeth, it can also damage dentures made of certain materials.
In these cases, our team has the option of recommending porcelain crowns with a pure zirconia internal structure, which are proven to be more resistant and can withstand a greater load, even in patients with bruxism.
Zirconia acquires this strength because it goes through a controlled process called sintering, which is heating it at a high temperature in a special furnace. This process modifies its particles, creating a solid and very strong prosthetic piece. Other properties of crowns with a pure zirconia structure:
How do I know if I can have a crown with pure zirconia even if I have bruxism?
First of all, it’s important to assess the degree of oral impairment that bruxism has caused so far. If you have untreated bruxism for many years, there may be advanced wear of the dental crowns and/or root fractures.
Therefore, before receiving prosthetic crowns to rehabilitate and restore your smile, you will probably need to undergo treatment to correct these defects (e.g. root canal treatments, vertical dimension increase, clinical crown increase). Dr. Markarian, our general manager, saysthat controlling bruxism is essential to avoid future problems and porcelain crowns with a pure zirconia structure may be indicated.
ImplArt Odontologia has its own dental laboratory with the Cerec 3D, Cerec Primemill, Trios 3Shape and Ceramillsystems, which speed up the fabrication of crowns with pure zirconia and metal-free ceramics, in some cases even in just a few hours in an ImplArt Day Clinic or Dental Spa, where you can carry out the largest number of dental procedures in just one appointment or in just a few days. 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.
If you have any questions about treatment with metal-free aesthetic crowns, please make an appointment or contact us by clicking on the button below. We will be happy to assist you.
Know more about the risks and dangers of dental implants
Crucial to the success of the procedure is the thorough planning of the implant surgery and the choice of specialist professionals who are qualified to carry out the dental implant surgery. This increases the chance of success of this important treatment, and therefore the chances of any complications are minimal.
So rest assured that you can enjoy all the benefits that this rehabilitative and safe treatment offers patients. The implant-supported prosthesis is made to resemble the person’s other natural teeth and also offer similar chewing strength.
Oral rehabilitation with dental implants is usually the best option for re-establishing the patient’s aesthetic and chewing functions, a treatment called total dental implantation.
Patients who grind or clench their teeth (bruxism) can exert a lot of force on the implants, with an increased chance of breakage or fracture of the implants or the parts that make up the implant prostheses.
Patients who bruxism also increase the risk of loosening the screws that fix the implant crown. When this happens, the patient reports that the implant is “soft”. However, we mustn’t confuse the prosthesis becoming loose with the implant pin coming loose from the bone (which is much more serious).
Most commonly, when the problem is just the loose implant tooth, the patient feels no pain, while when the implant is lost there is always pain. If the implant fractures or comes loose from the bone, it must be replaced, starting the dental implant process all over again.
Check complete PODCAST about 5 biggest risks for dental implants:
Is it the dentist’s fault that my implant fractured?
There are several factors to consider, some of which would be the material of the prosthesis, the number and positioning of the implants, correct surgical technique, material of the dental implant, type of prosthetic components chosen, type of prosthetic connection chosen.
Assuming that the professionals are working to do their best, it’s rare that there will be any negligence in this regard. What really counts is the willingness of the patient and the professional to start again, perhaps trying to improve or perfect one of the strategies.
Apresentação das partes do implante dentário: implante (no osso), pilar + coroa dental (dente artificial)
2 – Inflammation in implants and risks
Inflammation can occur in a dental implant, manifesting itself as pain, swelling, pain when chewing, bleeding, and even the formation of pus in the implant. Please note that in any area of medicine where an artificial part is used inside the human body, there can be an adverse reaction of rejection.
This rejection phenomenon can occur in relation to the dental implant or an associated material such as a bone graft or a protective membrane. Bacterial infection can also occur in the implants, which can even prevent bone integration.
The implant on the left in the image has inflammatory bone loss, while the implant on the right has a normal bone level
That’s why all treatments at ImplArt begin with a thorough oral cleaning, as well as the removal of any infectious diseases such as cavities and periodontal disease. The patient will only have implant surgery if their mouth is clean and their oral health is good.
This is possible even if the patient doesn’t have all their teeth yet. When the prostheses on implants are finished, we teach the patient how to properly clean the dental implant. This correct hygiene is very important and certainly contributes to the chances of success of the dental implant.
Inflammation in implants leads to aesthetic, gum and bone problems
3 – Risk of facial nerve damage
If the surgery is not well planned, with the use of CT scans and other imaging tests for mapping,damage to the jaw nerve can occur during dental implant surgery. In the area at the back of the mouth in the lower arch, there is a nerve that can be very superficial, especially if the patient has been without teeth for many years.
In patients with advanced periodontal disease, bone loss can also put the nerve at risk due to its proximity.To reduce the risk of nerve damage and paresthesia, the implant dentist will carry out imaging tests. The most commonly requested exam is a panoramic X-ray, but a cone beam CT scan helps to measure the bone and plan the implant.
Computer-guided surgery – reducing risks
To minimize the risks even further, we can perform computer-guided partial or total implant surgery, which offers little invasiveness and allows for perfect positioning of the dental implant, with no room for error.
Crooked or poorly positioned implants can have poor bone integration or even rejection. It is not in all cases that we are able to recover the patient from oral nerve damage or poorly placed implants.
Depending on the severity of the problem, an injury to the jaw nerve can lead to sequelae such as numbness in the jaw or loss of sensation in the tongue or to the sensation of tastes (gustation).
At the ImplArt dental clinic, 100% of cases are operated on with a CT scan, which can be done in our own radiology center.
Guided implant surgery reduces the risk of dental implant positioning errors
4 – Risks in the bone around the implants
Bone loss can occur in an implant that has suffered infection while healing in the bone. In addition, in cases where immediate loading is carried out, i.e. a temporary or permanent tooth is placed in position immediately after surgery, there is a greater risk of bone and implant loss.
This is because the newly placed dental implant does not yet have a mature attachment to the bone and needs to rely exclusively on its mechanical locking into the bone in order to fix itself. Most of the time, if the indication and technique are correct, immediate loading works well.
But in cases of immediate failure, the consequences can be serious, for example leading to major bone loss in the area. There are more advanced dental implant models that have improvements to the fit of the tooth and also in the chemistry of the surface so that healing in the bone occurs faster and more efficiently.
Implant shapes and models have to do with clinical indications
5 – Increase in risk factors – patient health and habits
There are risks to the success of implant treatment that don’t depend on the professional or the materials used, but on patient factors. Failure to clean the teeth,smoking and diabetes increase the chance of problems with the dental implant.
In this article, we only discuss the RISKS in dental implants, however the success rates of dental implants are very high, especially for current implant dentistry techniques performed by a dental implant specialist.
Dental implants are an excellent treatment if they are well indicated, planned and executed.
Come and see our work! The ImplArt Dental Clinic has been dedicated to implant dentistry and oral rehabilitation for 18 years. We are located in São Paulo, Brazil.
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.
Dental implant surgery is not a complicated process. Certainly, with current techniques, it’s a common procedure with no unforeseen problems. Implant surgery can take as little as half an hour in the simplest cases, is done in the clinic, in the implant dentist’s own office, with local anesthesia and the patient feels no pain.
Here at the ImplArt Clinic, we get a lot of questions from patients, especially about how dental implants are done in practice. So, to answer this and other questions about implant surgery, we’ve prepared this article to answer all your doubts about the treatment.
What is the best dental implant?
Today there are various types of dental implant with different technologies and healing times. There are even implants that heal in 30 days, called fast-healing implants, such as the Slactive implant, from the Swiss company Straumann, which is a fast-healing dental implant. In addition to this implant, there is the option of the ceramic implant, the only zirconia implant available on the market that is titanium-free and more biological, making it an excellent option for those who don’t want to have metals installed in their mouths.
Dental implant surgery can also be performed with intravenous sedation, for those patients who have a phobia of dentists, or even for those looking for extra comfort.
How to do a dental implant procedure
Is it dangerous to have dental implants? Dental implant surgery is a more straightforward procedure than you might think
Dental implant surgery is a safe procedure, and increasingly has more modern resources to make it faster and more comfortable. Here at Clinica Dentaria ImplArt, we have modern systems and expertise.
Here’s a step-by-step guide to the implant procedure:
Step 1 – The procedure consists of making a small incision in the gum in order to expose the bone bed. The dentist needs to have good access to the area in order to install the implant correctly. If the dental implant surgery is performed with a Surgical Guide, it will be a blunt dental implant surgery
Step 2 – Small drills are then used to perforate the bone. The process is carried out in such a way as to progressively expand the cavity so that it can receive the implant of the size selected by the dentist.
Step 3 – The implant is then inserted into the cavity and given a protective cap.
Step 4 – The area is sutured, or in cases of Guided Surgery, the surgery is completed without the need for stitches.
Watch the video below explaining how dental implant surgery is performed:
In the classic implant treatment, the pin is surgically fixed into the bone and then the gum is sutured. The site is left to rest for around one to six months, depending on the type of implant used. The implant screw remains inside the bone tissue and must therefore undergo the osseointegration process, protected from chewing forces and food residue.
Shortly after the waiting period, a small cut is made in the gum and then the implant receives a piece called a healer, this process is called reopening. The implant cap can remain exposed in the mouth while the implant heals. Afterwards, the healer is removed without anesthesia (because it is not necessary), and a metal abutment is adapted to receive the prosthesis.
Recovery from dental implant surgery / after dentalimplants?
During the rest period, the patient can use a temporary prosthesis for day-to-day activities. This also helps prevent bone resorption, which would require the use of bone grafts in the future. In some selected cases, the implant can be inserted without cutting, through a small circular opening made in the gum.
This greatly favors the healing of the area as well as patient comfort. Implant surgery should be performed by a dentist specializing in implant dentistry, who certainly has the experience and knowledge in the field to determine the best treatment for each patient. In order to have a good post-operative period, people who undergo this procedure should follow the dentist’s instructions, take care of their oral hygiene and avoid smoking, which can compromise the success of dental implant treatment.
Photo of dental implant surgery showing implant being inserted into bone
After dental implant treatment, it is always important to carry out cleaning and prophylaxis every 6 months, as a way of looking after the results achieved and monitoring oral health.
A modern resource for aesthetic and fast orthodontic treatment
Aesthetic braces and self-ligating braces: what are the advantages over conventional orthodontic appliances?
Braces that don’t use rubbers
In conventional braces, the metal wire (orthodontic archwire) is attached to the brackets by small rubber bands. In self-ligating orthodontic braces, the wire is passed through a channel in each bracket and attached by small caps, thus eliminating the need for rubber bands.
Self-ligating braces are more aesthetic
The absence of rubber bands in self-ligating aesthetic braces is certainly what makes this model more discreet compared to conventional orthodontic appliances. In addition, the brackets can be made of translucent material on the front of the appliance. The pieces are also smaller than in other types of braces, making them more discreet.
More hygienic
The advantage of this method is that the absence of rubber bands makes oral hygiene easier and the patient doesn’t run the risk of losing some of them during treatment, which would loosen part of the wire. Absent rubber bands also help prevent the accumulation of food residue as well as plaque and cavities.
Faster treatment with self-connected devices
There are studies that prove that orthodontic treatment with self-ligating braces can be faster (up to 7 months faster than conventional braces). This advantage is mainly due to the lower friction between brackets and wire in this model, which makes tooth movement faster.
As a result, visits to the dentist’s office become less frequent, as there is no need for a lot of maintenance to change the rubber bands (rubber bands lose their elastic properties and strength over time, so they need to be constantly changed).
Self-ligating metal bracesSelf-ligated aesthetic-metalAesthetic self-ligating braces
The auto-on device is more comfortable
For the patient, the greater freedom in moving teeth with self-ligating braces means more comfort and fewer episodes of pain during treatment, as self-ligating braces exert a lighter and more gradual force than conventional braces. Self-ligating braces also require fewer tooth extractions to be installed.
Indications of auto-on devices
Self-ligating aesthetic orthodontic braces, like conventional braces, can be used for a variety of orthodontic problems. However, it has a slight advantage in treatments that require arch expansion (smile opening). Self-ligating orthodontic braces can be used, for example, for:
Misaligned teeth
Missing teeth
Teeth growing in the wrong place (roof of the mouth, next to the tongue, rotated as well as crowded)
Open bite
Crossbite (the top teeth fit inside the bottom teeth when you close your mouth)
Aesthetic orthodontic braces in the form of transparent plates
Transparent aligner
Almost imperceptible device
ImplArt clear aligners are a new option for orthodontic treatment. The main advantage of this method is that clear aligners are very discreet and hardly anyone will notice that you’re wearing them. Just to illustrate, unlike conventional fixed orthodontic appliances, ImplArt clear aligners are plate-shaped and do not have brackets, metal wires or colored rubber bands.
The way they work is similar, but there are other differences, as you’ll see below. It consists of the sequential use of different plates, with minor adjustments to each one. The patient wears each aligner for about 2 weeks and the teeth move progressively until they reach the ideal position.
The aligner plates are custom-made for each patient, based on a digital mold taken from the teeth and a detailed plan made by our specialist team using an intraoral scanner.
In this computerized planning, tooth movement can be simulated in advance with three-dimensional images and the patient can follow the progress. Other advantages of ImplArt transparent aligners:
They can be removed by the patient for regular oral hygiene and eating;
They don’t interfere with speech;
Prevents irritation to gums and mucous membranes;
They require fewer office visits for strength adjustments;
More aesthetic than conventional braces.
Indications for transparent braces
Problems such as tooth misalignment, crowding, gaps between teeth (diastema), dental malocclusion, crossbite and overbite can be solved with orthodontic treatment.
Aligning plates can be designed to move some or all of the teeth, depending on the needs of each case. Many orthodontic problems, if not treated correctly, can damage your health and well-being throughout your life.
The most common problems are: pain in the muscles and bones of the face, pain and clicking in the temporomandibular joint, facial asymmetry, the appearance of periodontal disease, plaque build-up, tartar, gingivitis, tooth decay, snoring, sleep apnea, speech and chewing problems, among others.
Orthodontic treatment with transparent aligners is a great success worldwide, and now you can find it at the ImplArt Clinic with aligners using national technology. Make an appointment now to see if your case could benefit from this technique.There are no age restrictions on the use of these techniques.
If you have any questions about the types of braces, price and value, please contact us.ImplArt Odontologia has a team specialized in orthodontics and in the technique of self-ligating orthodontic appliances and clear aligners.
Straumann implants are considered to be the best dental implants in the world. Based in Basel, Switzerland, Straumann is a world leader in implant dentistry and oral tissue regeneration.
With over 60 years of experience, Straumann has stood out for the excellence of its dental implants. Its products are recognized for their high quality and precision, providing long-lasting and aesthetically pleasing results. In addition, the company constantly invests in research and development, seeking to improve its implant technologies and techniques. This makes Straumann implants highly reliable and widely used by dental professionals around the world.
Straumann implants are considered the best dental implants in the world
Straumann implants advantages
In collaboration with leading clinics, research institutes and universities around the world, Straumann has been researching and developing high-techdental implants, surgical instruments, prosthetic components and biomaterials for oral tissue regeneration since 1974.
Straumann’s products and services are available in more than 70 countries. This standard of excellence certainly allows dentists to offer their patients less traumatic, less invasive treatments with predictable long-term results, both aesthetic and functional.
Straumann implants are manufactured with three basic requirements in mind: reliability (scientific research),simplicity (ease of use) and versatility (diverse applications).
The brand has an extensive range of implants with different sizes, diameters, angles, material composition and surface technologies, which considerably increases the possibilities for rehabilitation in various situations.
Straumann Implants Technologies
Regarding the level of implant positioning compared to the bone and gingiva:
Straumann Bone Level Implants –bone level implants with internal connection, with the aim of preserving bone and gum tissue, as well as favoring aesthetic results.
Regarding the material that makes up the implant and its healing time
PURE Ceramic impl ants – pure white ceramic, zirconia implants that are mainly indicated for the anterior region of the arch. This provides a better aesthetic result for the treatment (estimated healing time = 2 months)*.
SLActive implants – implants with surface technology that not only favors but also accelerates the osseointegration process (estimated healing time = 21 days – 1 month)*
Roxolid SLA implants– implants made with titanium and zirconia reinforcement. They are small in size and highly resistant, making them ideal for patients with little bone volume (estimated healing time = 2 months)*.
* According to the manufacturer. Compliance with the deadline will depend on other factors such as the quality of the bone, the presence or absence of a bone graft, associated tooth extraction, infections at the site and insertion torque.
Straumann Pure ceramic: White ceramic implants, suitable for highly esthetic situations.
Regarding the type of connection between the implant and the dental prosthesis – type of platform
Cone Morse connection – a locking system that favors better stability of the tooth and thus prevents it from loosening in the future. In addition, the cone-morse connection promotes a better seal in the implant-tooth connection, reducing infiltration and the number of bacteria around the implant. This effect is known as Platform Switch in scientific literature.
Straumann short implants
Straumann Standard Plus Short (SPS) implants are the shortest implants available on the market (they are only 4mm long) and are especially suitable for patients who, for whatever reason, find themselves with limited bone availability.
The lack of sufficient bone height in the mandible contraindicates the use of normal-length implants, unless this height is first reconstructed with bone grafting. The most common cases that compromise bone availability are:
Severe mandibular bone resorption – very common in people who have been edentulous for many years;
Poor bone quality; History of periodontal disease;
Patients with other medical conditions, such as diabetes, osteoporosis, etc.
Poor bone quality;
History of periodontal disease;
Patients with other medical conditions, such as diabetes, osteoporosis, etc.
Severe mandibular bone resorption – very common in people who have been edentulous for many years;
Poor bone quality;
History of periodontal disease;
Patients with other medical conditions, such as diabetes, osteoporosis, etc.
Short implants for difficult rehabilitation cases
These implants give the dentist more confidence to recommend them to patients who were not previously candidates to receive them. They also improve the predictability of treatment and the chances of acceptance.
Because these implants are very versatile for use in patients with compromised bone availability, the indication of bone grafting for vertical reconstruction can be dispensed with in many cases, offering greater peace of mind and speed of treatment. Standard Plus Short implants are indicated for:
Fixed partial dentures/units with splint (one implant per unit);
Cases of pontics in combination with a longer implant;
Totally edentulous cases with at least two SPS implants in combination with two longer implants in the anterior region.
Straumann Standard Plus Short (SPS) implants are made from a titanium-zirconium alloy called Roxolid, which is proven to be stronger and better than pure titanium.
They also have a surface with SLActive technology which facilitates the start and acceleration of the osseointegration process. The indication of this or other dental implant models is subject to professional analysis of each case.
Straumann implants price
It’s common to be asked about the price of Straumann dentalimplants online. However, the price varies according to the clinical indication, the need for grafting or not, the number of implants used and the professional.
That’s why the price of a Straumann dental implant can only be estimated once the patient has been assessed in person. We are talking about the best brand of dental implants, accepted by patients who want the best for their dental treatment.
Slactive Straumann rapid healing implants. Favorable cases can be rehabilitated in just 1 month
Tooth replacement in just 1 month with Straumann implants and CAD/CAM crown
In selected cases, it is possible to install a dental implant with a CAD/CAM-designed crown within 1 month. This is possible because the ImplArt Clinic works with Straumann Slactive implants.
These implants have surface technology that favors and accelerates healing and the biological interaction between implants and bone (osseointegration). It’s worth remembering that dental implant surgery doesn’t hurt at all, and that implants can be placed at the same time as the bad tooth is extracted.
Successful osseointegration is certainly what guarantees the stability of the implant to support the prosthesis and the masticatory load over the years. With normal implants, osseointegration usually takes place between 6 and 8 months, while with Straumann Slactive implants the healing time can be reduced to 3 to 4 weeks (21 days).
Temporary prosthesis for healing and aesthetics
During this healing period, the patient wears a temporary prosthesis so that they don’t lose their tooth. In the meantime, our prosthetics laboratory carries out the digital CAD/CAM design and makes the definitive prosthesis using 3D printers.
The project starts with a digital mold that is taken using an intraoral scanner, an intraoral camera that captures precise images inside the patient’s mouth. This way, with these three-dimensional images, it is possible to design a prosthesis with the best fit and perfect shape for each need.
The prosthesis is made using a 3D printer. It can be made of porcelain, a very resistant, aesthetic material comparable to natural human teeth, and with a metal or zirconia internal structure.
It is worth noting that the possibility of installing a dental implant and definitiveprosthesis in just one month is only possible in selected cases. An assessment by our specialized team will determine this possibility taking into account certain characteristics, such as the volume of bone available and the patient’s general state of health.
Fixed dental prosthesis for Straumann implants
The rapid installation of a dental implant with a permanent crown restores chewing ability, the aesthetics of your smile and the confidence to speak and smile. The decision on which implant is best for you will be made between you and your ImplArt dentist.
The advantages and disadvantages of each system will be presented so that the choice can be made carefully. ImplArt Odontologia relies on all this technology to promote the treatment of its patients.
Some smiles rehabilitated with fixed prostheses on dental implants
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We have been accredited in the use of Straumann implants since 2002. Dr. Roberto Markarian, ImplArt’s scientific coordinator, is a member of the ITI – International Team for Implantology, an entity linked to Straumann that brings together the world’s best specialists for the development of new products and techniques. Service in English and Spanish.
If you have any questions, please contact us or make an appointment. We offer face-to-face and online consultations, especially for people living in other cities, states and countries.
Bruxism and Dental Clenching, popularly known as the habit of grinding and dental clenching are dysfunctions that affects around 40% of the Brazilian population, according to data from the World Health Organization (WHO). At the ImplArt Clinic, located in São Paulo, this disorder is one of the most frequent complaints from patients seeking treatment for orofacial pain, tooth wear and temporomandibular joint (TMJ) problems.
Dr. Roberto Markarian, director of the ImplArt Clinic, stresses that it is important to emphasize that the treatment of bruxism and clenching must be individualized, taking into account the specific needs of each patient. A consultation with a dental surgeon is essential for a proper diagnosis and definition of the best therapeutic approach. Even patients with dentures and dental implants who suffer from bruxism should seek treatment.
What is bruxism and how does it manifest itself?
Bruxism can occur both during sleep(nocturnal bruxism) and while awake(daytime bruxism). In both cases, the patient performs the unconscious act of grinding or clenching their teeth with excessive force, causing consequences such as pain in the jaw, temples, etc.
According to Dr. Roberto Markarian, specialist in implant dentistry and clinical director of ImplArt,
“Bruxism is often silent and is only noticed when the symptoms become more intense. These include jaw pain, headaches, tooth wear and fractures in restorations or dentures and even dental implants.”
Main causes of Bruxism and Dental Clenching
Bruxism and dental clenching are associated with multiple factors, including:
Emotional stress and anxiety
Changes in sleep (such as apnea)
Dental malocclusion
Use of medication such as antidepressants
Neurological or muscular problems
Dental clenching, on the other hand, is a form of bruxism in which the patient keeps their teeth pressed together without lateral movements, and is equally harmful.
Pain caused by bruxism and dental clenching
Most common symptoms
Tooth wear or fracture
Pain or tiredness in the chewing muscles
TMJ clicking
Headaches, especially on waking
Tooth sensitivity
Insomnia or non-restorative sleep
Personalized diagnosis at the ImplArt Clinic for Bruxism and Dental Clenching
The ImplArt Clinic carries out the diagnosis by means of a detailed clinical assessment, imaging tests (such as CT scans and intraoral scans) and functional analysis of the bite. Dr. Markarian highlights:
“In many cases, bruxism is discovered during planning for dental implants, dental contact lenses or oral rehabilitation, as signs of wear are visible on the tooth surfaces. That’s why a multidisciplinary approach is essential.”
Effective treatments for bruxism and clenching
The treatment of bruxism is very specific and often multidisciplinary, as it is usually linked to the patient’s mental state, in the vast majority of cases. Given that modern lifestyles are accompanied by a great deal of stress, it is important to find out the reasons that trigger the symptoms and try to treat them.
Major-relaxing bite plates or occlusal plates
Miorelaxing bite plates are removable intraoral devices, usually made of acrylic resin, which cover the surfaces of the teeth. Their purpose is to protect the teeth from damage caused by clenching or grinding and to reduce the associated muscle sensitivity. The use of these plates can reduce the activity of the masticatory muscles, helping to relieve the symptoms of bruxism. At the ImplArt Clinic, myorelaxing bite plates are made and designed using modern computer graphics systems to study the patient’s ideal bite.
Major-relaxing bite plates: Custom-made devices used during sleep, usually made of acrylic resin, which cover the surfaces of the teeth.
They reduce tooth wear and relieve muscle tension.
Major-relaxing bite plate for bruxism and clenching
💉 Botulinum toxin (Botox)
The application of botulinum toxin type A to the masticatory muscles, such as the masseter, has been used to reduce the excessive muscle activity associated with bruxism. This approach can relieve pain and muscle discomfort, improving symptoms.
Applied to the masticatory muscles to reduce the force of clenching.
Effective results for up to 6 months.
💊 Medicines
In some cases, medication may be indicated to control bruxism. Muscle relaxants can be prescribed to reduce muscle activity during sleep. In addition, in specific situations, anxiolytics or antidepressants can be used, always under medical supervision.
Muscle relaxants or anxiolytics (when indicated by health professionals).
Relief of symptoms related to pain and tension.
🧘 Complementary therapies
Bruxism is often associated with stress and anxiety. Cognitive-behavioral therapies, relaxation techniques, meditation and other psychological approaches can be effective in reducing bruxism episodes, especially when emotional factors are involved.
Psychotherapy, relaxation techniques, mindfulness and physiotherapy.
Treatment of the emotional or postural cause of bruxism.
Occlusal rehabilitation
In cases where there is occlusal interference or bite problems, occlusal adjustment may be indicated. This procedure aims to correct inadequate dental contacts that may contribute to bruxism. In addition, dental rehabilitation, including restorations and prostheses, may be necessary to restore proper bite function.
Adjustments to the bite or replacement of missing teeth with prostheses or implants.
In advanced cases, occlusion correction is essential.
Is it possible to eliminate bruxism and dental clenching?
According to Dr. Roberto Markarian, it is important to emphasize that in order to mitigate the effects of bruxism, multidisciplinary treatment should be adopted, with a view to the patient’s well-being in a holistic way, i.e. treating the individual as a whole and not just from a dental point of view.
If we think only of a bruxism plate, what is expected is an immediate reduction in the symptoms of bruxism, but the plate itself will not cure bruxism and teeth clenching. The bite plate helps to redistribute the pressure on all the teeth, protecting the teeth from the force of the bite and easing the patient’s pain.
With this in mind, the ImplArt Clinic offers patients who need Porcelain Crowns and ProtocolProstheses, and who suffer from bruxism, the option of using Zirconia Prostheses. Zirconia is a highly resistant and biocompatible material that is very suitable for those who suffer from bruxism precisely because of its high resistance.
When Bruxism and Dental Clenching are not treated
Untreated bruxism can lead to:
Loss of tooth structure
Need for rehabilitation with dental implants or fixed prostheses
Chronic pain in the temporomandibular joint
Aesthetic impairment of the smile
Dr. Markarian adds:
“We have seen several patients who, after years of untreated bruxism, suffer from constant headaches and tooth wear. In addition, intensive clenching can lead to tooth fractures and even dental prostheses such as implant protocols.”
Schedule your evaluation at the ImplArt Clinic
If you feel pain in the jaw joint, or even notice that your teeth are wearing down, schedule an evaluation with Dr. Roberto Markarian, director of the ImplArt Clinic. Early diagnosis and proper treatment can prevent serious consequences for your oral health.
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.
*Accessmore videos about the treatments on the ImplArt Clinic YouTube channel and see how a dental implant is made: ImplArt Dental Clinic YouTube videos
The human papilloma virus (HPV) is a sexually transmitted infection that can affect various areas of the body, including the mouth. When an HPV infection occurs in the mouth, symptoms usually include the appearance of whitish lesions or warts. These lesions can develop, so it’s crucial to recognize and treat the infection early.
HPV infection in the mouth can manifest itself in different ways, such as frequent canker sores and lesions on the tongue, cheeks and roof of the mouth. This clinical condition can cause discomfort, but also raises concerns due to the potential risk of it developing into more serious problems. It is important to be aware of the symptoms and seek medical advice to determine the appropriate treatment.
Dr. Roberto Markarian, a specialist in implant dentistry at the ImplArt Clinic, warns that “patients often come in worried about lesions in the mouth that don’t heal or appear repeatedly. HPV is one of the possible causes and, when diagnosed early, allows for more effective control of the infection.
Understanding HPV in the Mouth and its Transmission
The human papillomavirus (HPV) is a virus that can affect the skin and mucous membranes, leading to different health problems. It is linked to diseases such as cancer of the mouth, cervix and oropharynx. Transmission occurs through direct contact with the skin, often during sexual activities.
HPV Types and Association with Cancer
There are more than 200 types of HPV, around 40 of which are associated with the genital and oral areas. Among these, some are considered high risk because they are linked to the development of cancers, such as cervical and oropharyngeal cancer. In particular, types 16 and 18 are the most frequently associated with cervical cancer.
The low-risk types generate manifestations such as warts on the skin and mucous membranes. The immune system’s defenses play a crucial role in eliminating the virus, and not all infections progress to serious illnesses. Prevention and early diagnosis are key to minimizing the impact.
At the clinic, we’ve seen patients who reported small warts on the oral mucosa and didn’t pay much attention until they started to grow or bother them. When these lesions are ignored, the evolution can be worrying,” explains Dr. Roberto.
Mechanisms of Transmission of the HPV Virus in the Mouth
HPV is transmitted through direct contact with the skin or mucous membranes of an infected person. This can occur during vaginal, anal or oral sex, with oral sex being a significant route of transmission for oral infections. Kissing can also be a form of contamination, although it is less common.
The use of condoms offers partial protection, since contact is not limited to the area covered. Autoinoculation, where one area of the body transmits the virus to another, is possible, increasing the risk of lesions in other regions. Vaccination is recommended to reduce the spread of the virus, protecting against the most dangerous types.
Vaccination is an effective measure to prevent HPV infections, including those that affect the mouth. The vaccine is offered free of charge by the Brazilian health system and is a proven way of reducing the incidence of severe forms of HPV that can lead to cancer. In addition to the vaccine, the use of condoms during oral sex can reduce the risk of transmission.
Sex education plays a crucial role in prevention. Informing young people and adults about the ways in which HPV is transmitted and the importance of having preventive exams can help control the spread of the virus. Educational programs and public health campaigns focus on raising awareness by offering clear information about the virus.
“There is still a lot of ignorance about the transmission of oral HPV. Many patients are surprised to learn that this infection can be linked to common habits, such as unprotected oral sex,” says Dr. Roberto.
Treatment Options and Procedures
Treatment for HPV in the mouth varies according to the symptoms presented. Cryotherapy is a common option, where the warts are frozen to make them easier to remove. For more complex lesions, it may be necessary to resort to surgical procedures or the use of topical acids.
Considering the possibility of cancer, a biopsy may be recommended for suspicious lesions. If cancer is identified at an early stage, more intensive treatment, such as surgery or radiotherapy, may be necessary. Early treatment is vital to prevent the infection from progressing and to protect the patient‘s health.
HPV in the Mouth: Symptoms, Treatment and Prevention
Frequently Asked Questions about HPV in the Mouth
What are the symptoms of HPV in the oral region?
HPV symptoms in the mouth include white or reddish lesions that can look like canker sores. Lesions in the mouth or throat can be difficult to detect at first due to their subclinical appearance.
How is HPV transmitted to the mouth?
HPV transmission to the mouth usually occurs through direct contact with infected mucous membranes. This can happen through oral-genital intercourse or through other forms of intimate contact.
Are there any effective treatments for oral HPV?
Treatment for HPV in the mouth includes monitoring the lesions and, when necessary, medical interventions to remove them. Depending on the type and severity of the lesions, additional treatments may be considered.
What is the relationship between oral HPV and oral cancer?
Oral HPV is associated with an increased risk of mouth and throat cancer. This is due to the virus’s ability to cause cellular changes that can lead to the development of cancer.
How can I prevent HPV infection in my mouth?
Prevention includes using protection during oral sex and avoiding sharing personal objects that could be contaminated. Vaccination also plays an important role in preventing infection.
Does the HPV vaccine also protect against the oral version of the virus?
Yes, the HPV vaccine offers protection against the types of virus known to cause oral infections. It is recommended to prevent not only genital contamination but also oral forms of the virus.
Conclusion and Final Considerations
HPV in the mouth is a serious condition that can be prevented and treated with appropriate measures. Early diagnosis and vaccination are the main tools for avoiding more serious complications. Awareness of the risks and the adoption of safe habits are fundamental for oral and general health.
The ImplArt Clinic Experience
With 18 years’ experience, the ImplArt Clinic stands out in implant dentistry and oral rehabilitation. We have recently expanded our operations to include facial harmonization, offering complete care for aesthetics and oral health.
If you have any questions about oral HPV or any other dental problem, we invite you to visit the ImplArt Clinic. Make an appointment and find out how we can help you!
Before following any trend, I recommend seeking out a qualified professional who can present an individualized treatment plan based on a complete diagnosis. In this way, we guarantee not only a beautiful smile, but also a healthy and long-lasting one,” says Dr. Roberto Markarian, Clinical Director of the ImplArt Clinic.
HPV in the Mouth: Symptoms, Treatment and Prevention
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.
*Accessmore videos about the treatments on the ImplArt Clinic YouTube channel and see how a dental implant is made: ImplArt Dental Clinic YouTube videos
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