Dr. Roberto Markarian is the head of the Dental Implant Clinic – ImplArt, widely recognized for his expertise in implantology. With over 24 years of experience, he has performed 12,000 dental implant and oral rehabilitation procedures, standing out for his excellence and innovation. A specialist in Implantology and Prosthetic Dentistry, he holds a Master's and Ph.D., solidifying his authority in the field. In addition to his clinical practice, he actively contributes to the advancement of dentistry by publishing scientific articles and book chapters with international impact. His dedication to education and innovation makes him a reference in the field, always striving to deliver the best results for his patients.
In this sense, digital radiology at the ImplArt Clinic is linked to the One Stop Solution concept, where patients can carry out everything from diagnostic examinations to complete dental treatment within the complete structure of the Dental Clinic.
Radiology Center of the ImplArt Dental Clinic
Digital radiographs and examinations at the ImplArt clinic help with rapid diagnosis and treatment planning
The ImplArt Clinic’s digital radiology center facilitates diagnosis and speeds up the start of treatment, since patients don’t have to travel to another address to have their tests carried out.
The ImplArt radiology center is equipped with a state-of-the-art digital x-ray machine (manufactured by Dabi Atlante), which enables digital panoramic x-rays and computed tomography, both with real-time image results.
With these high-precision tests, the diagnosis is made quickly and reliably. They also support treatment planning, avoiding wasted time, unnecessary procedures and possible surgical accidents.
Digital radiography is a way of capturing images by emitting x-rays, but with digital sensors rather than traditional film.
There are many advantages to using digital radiography:
Patient exposure to radiation is much lower in digital radiology compared to traditional film.
The patient doesn’t have to repeat the examination until the image is good.
Diagnoses are faster and more accurate, as the image captured in digital radiology has excellent resolution and the dentist can view it directly on the computer screen (no need to wait for it to be developed).
It allows small details such as tooth or root fractures to be analyzed. The dentist can enlarge the image when necessary.
It allows interaction between dentist and patient, since with the digital image on the computer screen, it is possible to better discuss the diagnosis and treatment planning.
It can be filed in the patient’s chart and opened by any member of the dental team involved in planning and treatment.
The test is sustainable, as there is no need to print film or use toxic chemicals to develop it.
Digital radiology – Panoramic radiography
A radiological examination used to visualize oral structures. Here are some situations in which it is very useful in dentistry:
Visualize the general condition of the supporting structures of the teeth (bone volume, tooth roots, periodontal ligaments, nerves, etc.)
Thishigh-precision radiological examination, available at the ImplArt Clinic’s Digital Radiology Center, is designed to visualize bone structures. In dentistry, it is very useful because the three-dimensional image makes it possible to analyze teeth, bones, joints, occlusion, soft tissues, nerve pathways, etc. Here are some of the main uses of CT in dentistry.
Diagnosing periodontal diseases, even at an early stage.
Measuring bone volume for planning dental implant surgery. Knowing the exact measurements of the bone tissue is an extremely important factor when planning dental implant surgery, because in this way it is possible to choose implants with dimensions suited to the needs of each patient and also to respect the limits of the tissues in order to avoid affecting sensitive structures such as nerves.
CT assists in what we call computer-guided surgery, a technique that makes surgery precise and less invasive, and therefore with the expectation of a quicker and smoother recovery.
Monitoring the implant healing process (osseointegration).
Identify possible problems with the implant, especially peri-implantitis (infection around the implant that can lead to mobility or falling out).
Identify fractures or defects in the maxilla or mandible that affect the health and stability of teeth or implants.
If you have any questions, please contact us or come and visit us. We at the ImplArt Dental Clinic will be happy to help you.
Dental contact lenses in São Paulo to improve the aesthetics of your smile
Contact lenses for teeth are ultra-thin porcelain veneers (0.3 to 0.7 mm) used to correct certain aesthetic problems in the teeth. They work like “covers” or ceramic fragments, which are bonded to one or more teeth to better cover stains, small fractures and other defects, as well as to change the shape and size of teeth. Dental contact lens treatment is often used to beautify the smiles of famous people.
At the ImplArt Clinic, dental contact lenses are completely designed on computer and then better executed in dental porcelain by milling machines (3D printers) in our digital laboratory. This method is far superior to the traditional manual method of working with dental porcelain. Dental porcelain is a vitreous ceramic material (lithium disilicate) that is very resistant and mainly imitates the texture and shades of natural teeth.
It is therefore an aesthetic material, safe and totally biocompatible with the human body. The computerized design is based on images obtained by an intraoral scanner – a high-precision camera available at ImplArt Odontologia.
Dental contact lenses step by step (in case of dental asymmetry)
Dental contact lenses before and after: See some of the work carried out at ImplArt Odontologia
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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.
At ImplArt Odontologia, a specialized clinic, we make dental contact lenses with work that is precise and personalized for each patient. This is only possible because we have a prosthetic laboratory on our premises, and the best CAD/CAM-based technologies, from the computerized design of the treatment to the execution of the dental contact lenses.
In most cases it can be done quickly by Dayclinic. Ask about fast dental lenses at Dayclinic. If you have any questions about the price of lenses, forms of payment, planning, and a better approximate value or treatment time, then please contact us.
Themain characteristic of metal-free prostheses is the absence of metal in their structure. For example, they don’t need a metal support for the porcelain to be applied. In this way, unitary prostheses or fixed bridges look more like natural teeth.
Conheça as aplicações da computação na realização de próteses dentárias por AI
Metal-free, computer-engineered prostheses with artificial intelligence AI
The structure of metal free dentures is made of zirconia, a very resistant white ceramic material.
Its light shade is comparable to human dentin, so the inside of the prosthesis is discreet, even when subjected to light.
This is not the case with metal-framed dentures, which can have dark spots in the same situation. The use of dentures and artificial intelligence.
the use of dentures can be optimized with the help of artificial intelligence.
Computer dentures are an effective solution for replacing missing teeth. It can be a single prosthesis or a fixed bridge, providing a more natural look and similarity to natural teeth.
Metal-free dentures are made from zirconia, a resistant white ceramic material that has a light shade similar to human dentin. This ensures that the inside of the prosthesis is discreet even when exposed to light. In addition, the use of dentures can be optimized with the help of artificial intelligence.
New computerized dental prosthesis technologies, combined with artificial intelligence, offer more efficient work proposals and faster completion times.
Computerized dental prosthesis made of zirconia
Computerized planning of metal-free prostheses
More advantages of digital technologies and computerized dentures
In addition, other positive points of computerized dental prosthesis technology are: improved aesthetics, high durability, translucency and little chance of gray spots appearing in the gum areas. At ImplArt Odontologia, the entire molding process for metal-free crowns is done by computerized intraoral scanners.
The digital mold is the basis for planning the prosthesis and the crowns are made using 3D tooth printers. All systems are based on the Cad/Cam system. If you have any questions, please contact us or make an appointment.
The ImplArt Dental Clinic is constantly investing in modern technologies that are sure to make dental treatments faster, more precise and more comfortable. So, for those patients who can’t take a cast at the dentist, there are alternatives! The good news is that new digital molding treatments allow pure zirconia prostheses or pure porcelain crowns to be made using computerized molding.
The ImplArt dental clinic was one of the first dental clinics in Brazil to acquire the new intraoral scanner for taking color and computerized digital impressions, the Trios Scanner from the Danish company 3Shape. Our Trios scanner uses CAD/CAM technology to:
Advantages of the intraoral scanner for digital molding compared to conventional putty molding:
Comfort – the use of the intraoral scanner allows for faster and more comfortable molding for the patient, especially for those who report distress when using molding materials in the oral cavity.
Predictability of results – reading the different shades of the patient’s teeth allows restorations to be made that reproduce these same shades, leaving them looking natural as a whole smile. A recent joint study found that the Trios shade measurement is more reliable than that of the human eye.
Integration – the 3Shape system enables integrated communication between the dentist (requester) and the dental laboratory (executor).
If you have any questions, please contact us or make an appointment. We’ll be happy to help you.
Dr. Roberto Markarian, PhD CRO-SP 73583 (Technical Manager)
Knowledge, updating, experience, seriousness and transparency
Practice at Clinica Dentaria ImplArt
Meet Dr Roberto Markarian, implant dentist, 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.
Clinical History
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.
He also actively participates in the sector’s main congresses and fairs, both national and international. He is a member of important institutions in dentistry and related fields, such as the ITI – International Team for Implantology, the ADA – American Dental Association, and the EAO – European Association for Osseointegration.
Dr. Roberto Markarian is always striving to keep the ImplArt Clinic up to date and in line with the latest developments in world dentistry. He believes above all in teamwork and is particularly concerned about the quality of treatments, especially patient satisfaction.
In the case of patients who have already had a dental implant and wish to have a new prosthesis, in the vast majority of cases we are able to identify the type of implant by evaluating the panoramic radiograph. This is due to the expertise of our clinical director, implant dentist Dr. Roberto Markarian.
Scientific History Dr. Roberto Markarian
Dr. Roberto Markarian graduated as a dental surgeon in 2001 from the USP School of Dentistry in São Paulo. While still a student, he carried out research into improving dental materials, particularly in the areas of dentistry, prosthodontics and implantology. As aresult of this work, he received 5 awards in Brazil. He described his results in more than 30 scientific articles, which were later published in international journals.
In the meantime, he has taken postgraduate courses in prosthetics and dental implants and has become a researcher and assistant to the fixed prosthetics team at USP (São Paulo)and at the São Leopoldo Mandic College (Campinas), as well as teaching college students and dentists.
In the area of academic research, Dr. Roberto Markarian has been conducting courses and research in the area of implant dentistry since 1998, and in the area of digital dentistry since 2004. He also gives lectures and training courses on modern digital dentistry tools.
Clinical coordination and planning – Summary of academic titles
Acting as a Judicial Technical Expert in the areas of Dentistry as well asAssistant Implantology
More than 30 scientific articles published innational and international journals
Technical consultant for the EsteticArt CAD/CAM computerized prosthetics laboratory in São Paulo
Ambassador of the company S.I.N. Implant System – Research and development of solutions in Digital Implant Dentistry (guideddental implants and computerized prostheses)
Dr. Roberto Markarian – Director ImplArt Dental Clinic
Dr. Markarian’s Postdoctoral Research in Implant Dentistry
Title: Dental implant-abutment fracture resistance and wear induced by single-unit screw-retained CAD components after mechanical cycling, fabricated by four CAM methods, Univ SL Mandic – 2020.
Supervisor: Prof. Dr. Fabiana Mantovani Gomes França. There was an international scientific publication resulting from this work in JPD (Journal of Prosthetic Dentistry) 2021 (USA).
Dr. Roberto Markarian’s Doctoral Thesis in Implant Dentistry (PhD)
Title: SEM analysis of the adaptation of screw-retained unitary abutments fabricated by four CAD/CAM methods after mechanical cycling, Univ SL Mandic – 2017.
Advisor: Prof. Dr. Fabiana Mantovani Gomes França. There was an international scientific publication resulting from this work at IJOMI 2017 (USA).
Master’s Thesis in Prosthodontics (MSc)
Title: Biomechanics of force transmission to single implants as a function of prosthetic crown stiffness: photoelastic and dynamic analysis – USP School of Dentistry – 2005.
Advisor: Prof. Dr. Claudio Luiz Sendyk (FOUSP)
Dental Implants Specialization Monograph
Title: Evaluation of the All-on-4 (All-on-Four) technique for the installation of fixed prostheses on four implants with immediate loading – graftless technique for atrophied maxillae, USP School of Dentistry – 2008
Advisor: Prof. Dr. Francisco Fernando Todescan (FOUSP)
Dr. Markarian giving a lecture on Digital Dentistry
Congress Awards and Scholarships
1st Place in Group C5 of Panels at the 22nd Annual Meeting of the SBPqO-Pc179, Brazilian Society of Dental Research (2005).
1st Place in Scientific Panel, XXVI CUBO – Brazilian University Congress of Dentistry (2001).
2nd Place – Oral Presentation, XXVI CUBO – Brazilian University Congress of Dentistry (2001).
Scholarship – Removable Prosthesis, FOUSP (2001).
4th Place – Oral Presentation – Honorable Mention, XXIV CUBO – Brazilian University Congress of Dentistry (2000).
2nd Place – XXV de Janeiro Award for Encouraging Scientific Initiation, Academic Center XXV de Janeiro (2000).
Scholarship – Restorative Dentistry II, FOUSP (2000).
Published articles and some scientific work by Dr. Roberto Markarian
MARKARIAN RA, GALLES DP, FRANÇA FBG. Dental implant-abutment fracture resistance and wear induced by single-unit screw-retained CAD components after mechanical cycling, fabricated by four CAM methods. Journal of Prosthetic Dentistry, 2021.
MARKARIAN RA, GALLES DP, FRANÇA FBG. SEM analysis of the adaptation of single-unit screw-retained CAD/CAM abutments after mechanical cycling. International Journal of Oral & Maxillofacial Implants 2018.
Evaluation of the marginal adaptation of single zirconia abutments customized by the CAD/CAM system: laboratory study. R MARKARIAN, EMF and Silva, R Manfro. Implant News 10 (3), 363-367, 2013.
MARKARIAN, Roberto Adrian . New materials for implant dentistry and the choice of rehabilitation material. Implant News Perio News magazine, internet, Feb. 24, 2012.
MARKARIAN R.A., UEDA C., LAGANÁ D.C., SOUSA R.M., SENDYK C.L. Stress distribution after installation of fixed frameworks with marginal gaps over angled and parallel implants. Journal of Prosthodontics, v. 16, n. 2, p.117-122, 2007.
LOPES F.M., SENDYK C.L., DUARTE C.P., MARKARIAN R.A., ARANA-CHAVEZ V.E. Swine teeth as potential substitutes for in vitro studies in tooth adhesion: A SEM observation. Archives of Oral Biology, v. 51, p.548-551, 2006.
ADDED, N. ; RIZZUTTO, M. A. ; CURADO J ; FRANCCI CE ; MARKARIAN, RA ; MORI, M. . Trace elementary concentration in enamel after dental bleaching using HI-ERDA. Nuclear Instruments and Methods in Physics Research (Print) (Ceased 1983. Disbanded in 2: ISSN 0168-9002 Nuclear iInstruments & Methods in Physic, v. 249, p. 684-687, 2006.
FALLA-SOTELO FO, RIZZUTTO MA, TABACKNICKS MH, ADDED N, BARBOSA MDL,MARKARIAN RA, QUINELATO A, MORI M, YOUSSEF M. Analysis and discussion of trace elements in teeth of different animal species. Brazilian Journal of Physics, v. 35, n. 3B, p.761-762, 2005.
BARCELOS DP, MARKARIAN RA, PINTO EG, CHELLOTTI A, HADDAD AE. Evaluation of the applicability of Carrea analysis in deciduous dentition Rev Ib-Am Odontopediatr Odontol Bebê, v. 8, n. 41, p.62-66, 2005.
MARKARIAN RA, LIMA RG, SOUSA RM, SENDYK CLTitle: The influence of the prosthetic materials on load transfer to dental implants. Technology Meets Surgery 2005, CD-ROM
UEDA C, MARKARIAN RA, SENDYK CL, LAGANÁ DC. Photoelastic analysis of stress distribution on parallel and angled implants after installation of fixed prostheses Brazilian Oral Research, v. 18, n. 1, p.45-52, 2004.
RIZUTTO MA, ADDED N, TABACKNIKS MH, LIGUORI NETO R, ACQUADRO JC, MACHADO LP, VILELA MM, OLIVEIRA TRCF, MARKARIAN RA, MORI M. External PIGE_PIXE measurements at the São Paulo 8UD tandem accelerator. Nuclear Instruments and Methods in Physics Research B, v. 190, p. 186-189, 2002.
BALLESTER RY, MARKARIAN RA, LOGUERCIO AD Dimensional alteration of amalgam and gallium-based alloy Pesquisa Odontológica Brasileira, v. 15, n. 4, p.341-347, October to December 2001.
Dental Bleaching: Trace element concentration in enamel using particle accelerator. FRANCCI C, MARKARIAN RA, SPADA AE, NAKAMA R, MORI M, ADDED N, RIZZUTTO MA. International Academy of Dental Research, Honolulu, Hawaii – CD-ROM OF Abstracts, 2004.
Trace elements in human, bovine and swine dentin by PIXE. QUINELATO A, YOUSSEF F,MARKARIAN RA, YOUSSEF M, MORI M, RIZZUTTO MA, TABACNICKS MH, ADDED N, FALLA-SOTELO F. International Academy of Dental Research, Honolulu, Hawaii – CD-ROM OF Abstracts, 2004.
Analysis of trace element concentration in enamel after dental bleaching using particle accelerator. FRANCCI C, MARKARIAN RA, SPADA AE, NAKAMA R, MORI M, ADDED N, RIZZUTTO MA. J Appl Oral Sci, 12(sp. Issue):p.46, 2004.
Biomechanics of stress transmission to implants as a function of prosthetic crown stiffness – photoelastic analysis. MARKARIAN RA, SENDYK CL, LIMA RG, SOUZA RM. Brazilian Oral Research, 18(suppl):198 (pb333), 2004.
Evaluation of the elastic recovery of addition silicones in contact with astringent solutions. SILVA, MG, MARKARIAN RA, LISBOA MV, RODRIGUES-FILHO LE, MUENCH A. Pesq Odontol Bras, 17(2):199 (pb321), 2003.
Dissipation of stresses generated in the installation of suprastructures with marginal mismatches on parallel and angled implants. UEDA C, MARKARIAN RA, SENDYK CL. Pesq Odontol Bras, 17(2):255 (pc368), 2003.
Dissipation of stresses generated during installation and after loading of fixed prostheses on parallel and angled implants. MARKARIAN RA, SENDYK CL, UEDA C, LAGANA DC. Pesq Odontol Bras, 16(suppl):60 (Ia222), 2002.
Comparison of the elemental composition of human and bovine tooth enamel using nuclear techniques. MARKARIAN RA, OLIVEIRA TRCF, M, MORI M, ADDED N, VILELA, MM, CAMPOS TN, RIZZUTTO MA, TABACNICKS MH, MACHADO LP, LIGUORI-NETO R. Revista da Pós Graduação da FOUSP, 8(3):p.276 (IC04), 2001.
Comparison between the elemental composition of human and porcine dental enamel using nuclear techniques. OLIVEIRA TRCF, MARKARIAN RA, M, MORI M, ADDED N, VILELA, MM, CAMPOS TN, RIZZUTTO MA, TABACNICKS MH, MACHADO LP, LIGUORI-NETO R. Revista da Pós Graduação da FOUSP, 8(3):p.276 (IC05), 2001.
Comparison between chemical elements of human and bovine tooth enamel.MARKARIAN RA, OLIVEIRA TRCF, M, MORI M, ADDED N, VILELA, MM, RIZZUTTO MA. Pesq Odontol Bras, 15(suppl):29 (I060), 2001.
Copper and strontium in healthy human, bovine and porcine enamel. OLIVEIRA TRCF,MARKARIAN RA, M, MORI M, ADDED N, VILELA, MM, RIZZUTTO MA. Pesq Odontol Bras, 15(suppl):29 (I062), 2003.
Hybrid layer: effects of dentin treatment with glutaraldehyde and/or sodium hypochlorite on microleakage of composite resin restorations in bovine teeth.MARKARIAN RA, BALLESTER RY, LOGUERCIO AD. Revista da Pós Graduação da FOUSP, 7(suppl):p.18 (47), 2000.
Microleakage in healthy teeth. MARKARIAN RA, BALLESTER RY. Revista da Pós Graduação da FOUSP, 6(3):p.303, 1999.
Study on Mycroleakage in salutary teeth. MARKARIAN RA, BALLESTER RY. Academy of Dental Materials Annual Meeting Abstracts, Banff, Canada, 1998.
MARKARIAN RA, SENDYK CL, LIMA RG, SOUZA RM. Biomechanics of stress transmission to implants as a function of prosthetic crown stiffness – photoelastic analysis. PANEL. 21st Meeting of the Brazilian Society for Dental Research, Águas de Lindóia, 2004.
MARKARIAN RA, UEDA C, SENDYK CL. Dissipation of stresses generated by the installation and application of fixed prostheses on implants with marginal misalignments. PANEL. 21st International Dental Congress of São Paulo, São Paulo, 2003.
MARKARIAN RA, UEDA C, SENDYK CL, LAGANÁ DC. Dissipation of stresses generated during installation and after loading of fixed prostheses on parallel and angled implants PANEL. 21st Meeting of the Brazilian Society for Dental Research, Águas de Lindóia, 2002.
MARKARIAN RA, UEDA C, SENDYK CL. Dissipation of stresses generated during installation and after loading of fixed prostheses on parallel and angled implants PANEL. 20th International Dental Congress of São Paulo, São Paulo, 2002.
MARKARIAN RA, SENDYK CL, UEDA C. Dissipation of stresses generated during installation and after loading of fixed prostheses on parallel and angled implants PANEL. 3rd APCD International Congress on Osseointegration, São Paulo, 2002.
MARKARIAN RA, OLIVEIRA TRCF, MORI M, ADDED N, VILELA MM, CAMPOS TN, RIZZUTTO MA, TABACKNIKS MH, MACHADO LP, NETO RL. Comparison of the chemical composition of human and bovine tooth enamel using nuclear techniques. PANEL. 26th Brazilian University Congress of Dentistry, São Paulo, 2002.
OLIVEIRA TRCF, MARKARIAN RA, MORI M, ADDED N, VILELA MM, CAMPOS TN, RIZZUTTO MA, TABACKNIKS MH, MACHADO LP, NETO RL. Comparison of the chemical composition of human, bovine and porcine tooth enamel using nuclear physics. ORAL PRESENTATION. 26th Brazilian University Congress of Dentistry, São Paulo, 2002.
MARKARIAN RA, OLIVEIRA TRCF, MORI M, ADDED N, VILELA MM, CAMPOS TN, RIZZUTTO MA, TABACKNIKS MH, MACHADO LP, NETO RL. Comparison of the chemical composition of human and bovine tooth enamel using nuclear techniques. PANEL. 9th FOUSP Research Meeting, São Paulo, 2001.
MARKARIAN RA, OLIVEIRA TRCF, MORI M, ADDED N, VILELA MM, CAMPOS TN, RIZZUTTO MA, TABACKNIKS MH, MACHADO LP, NETO RL. Comparison between the chemical composition of human and bovine tooth enamel using nuclear physics. PANEL. 53rd Annual Meeting of the SBPC, Salvador, 2001.
MARKARIAN RA, LOGUERCIO AD, BALLESTER RY. Hybrid Layer: Effects of dentin treatment with glutaraldehyde and/or sodium hypochlorite on microleakage of composite resin restorations in bovine teeth. PANEL. 8th FOUSP Research Meeting, São Paulo, 2000.
MARKARIAN RA, BALLESTER RY. Microleakage in healthy teeth. PANEL. 19th International Dental Congress of São Paulo, São Paulo, 2000.
MARKARIAN RA, LOGUERCIO AD, BALLESTER RY. Hybrid Layer: Effects of dentin treatment with glutaraldehyde and/or sodium hypochlorite on microleakage of composite resin restorations in bovine teeth. PANEL. 8th USP International Symposium on Scientific Initiation, Ribeirão Preto, 2000.
MARKARIAN RA, BALLESTER RY. Microleakage in healthy teeth. PANEL. 7th FOUSP Research Meeting, São Paulo, 1999.
MARKARIAN RA, BALLESTER RY. Microleakage in healthy teeth. PANEL. Academy of Dental Materials annual meeting, Banff, Alberta, Canada, 1998.
Many patients have doubts about the types of dental crowns that exist and their differences. This article has been prepared to educate you. This way, you’ll know the characteristics of all the types of dental crowns available here at the ImplArt Dental Clinic, always knowing that the most up-to-date technology in the world is here!
Did you know that there are different types of dental crowns?
They differ from the point of view of execution, whether computerized or traditional, as well as the aesthetic refinement they achieve. They can be used both on dental implants and on tooth roots. Some are made using exclusively digital molding, while others still use the old mass molding.
A good indication for people who need to rebuild their teeth and make their aesthetics uniform are porcelain dental crowns or zirconia crowns, which restore the natural appearance and make the smile complete.
Follow us in this article to learn how to differentiate between the types of crowns and choose the one that best suits what you’re looking for as a final result.
What are dental crowns for and what are their types and indications?
The purpose of a dental crown is above all torestore the shape and functionality of the tooth. In short, it is a prosthetic piece (artificial tooth) with the shape and function of a natural tooth. There are a few types of dental crowns that can be selected for your treatment.
The choice of material will depend on a conversation between the dental specialist (prosthodontist) and the patient, which mainly aims to clarify the purpose of the dental crown (aesthetics vs. strength), andthe expected durability (temporary vs. permanent).
What are the types of materials for porcelain dental crowns and what are their differences?
In the past there were other types of dental crowns that we now consider outdated, such as all-metal crowns, gold crowns, resin veneer crowns or porcelain veneer crowns with metal, as well as procera crowns, alumina crowns, inceram crowns, empress crowns, pivots and jackets.
We will therefore present the 4 most modern materials with which we currently make dental crowns in our clinic. In other words, we classify Pure Zirconia as the most modern, followed by Pure Porcelain, both made using computerized systems. In second place are the handmade crowns, called applied zirconia and metal-ceramic.
Types of dental crown and their technical differences. All these types of dental crowns are available at our dental clinic and laboratory. * The technical name refers to the type of porcelain used in the dental crown. ** The strength of porcelain crowns is measured according to the ISO technical standard for flexural strength, measured in MPa. Estimate of aesthetics and durability express the opinion of the author of this article. In the case of MC and ZC crowns, the strength of the structure is high, around 1000 MPa, but problems occur because the thin layer of more fragile porcelain stands out.
Classification of different types of crown based on manufacturing technique:
Below you’ll find different types of dental crowns, classified according to the material they’re made from and how they’re made.
These new composite materials have lower strength than traditional porcelain crowns. However, they look good and can be used in some cases as long-term provisionals or even as permanent crowns.
Dental crowns made by 3D printing of composite materials, resins with a quantity of porcelain reinforcement in the composition. Our in-house dental laboratory is capable of producing such work with great speed and quality.
The porcelain crown remains the best material and can be made using different techniques
Please note that the term porcelain crown is a generic term but can have subtypes. The correct selection of the crown material has a major impact on the final result, how it is made and even on the budget
Learn more about the types of dental crowns and choose the best one for you
Dental materials differ in the way they are prepared clinically and in the laboratory, as well as in their aesthetic results and degrees of resistance.
The appearance of some types of dental crowns. The construction methods in the clinic and in the dental laboratory are different. MC = metal ceramic (fabricated by hand), ZC = zirconia and ceramic (fabricated by hand), P = pure porcelain (fabricated by computerized methods), ZP = pure translucent zirconia (fabricated by computerized methods).
Porcelain + metal dental crown (metal ceramic is porcelain applied by hand to metal) – MC
Porcelain applied over metal (metal-ceramic) is an old technique for making dental crowns, and it’s also the one that ends up having the lowest final value for the patient and the lowest manufacturing cost for the dentist (see photos of the MC crown). Even though they are not as aesthetic as porcelain crowns without metal, metal-ceramic crowns are still used to restore teeth in the back of the mouth.
All metal-ceramic crowns have a structural underlying metal layer and then the porcelain/ceramic on top of it. The metal structure is thin, strong and fits perfectly on the prepared teeth. A layer of porcelain is applied over the metal structure (called a coping). The porcelain layer is 1.5 mm to 2 mm thick, depending on the area of your tooth.
The porcelain layer is resistant, withstands chewing forces very well and resembles natural teeth. However, metal-free porcelain crowns are the most widely used today, as they easily match the color of adjacent teeth better than metal-ceramic crowns. Metal-ceramic crowns are more opaque and not as natural-looking as today’s best dental crowns.
In some cases, porcelain on metal wears, chips, cracks or breaks over time, exposing the metal and making the work unsightly and non-functional. In addition, in cases of gum recession, dark lines may appear near the gums or parts of the metal.
Because of these limitations, metal-ceramic crowns are more suitable for back teeth and should not be used on front teeth. Other disadvantages of metal-ceramic crowns include the possibility of causing allergies and gum irritation.
A zirconia crown with porcelain applied is similar to a metal-ceramic crown in the way it is made. A crown with a zirconia structure also has 2 layers, but instead of metal, we have dental zirconia, a very resistant white material. You can see the two layers of material in the dental crown in the photo below.
Zirconia + porcelain dental crown cut in half. Note the structural layer of white zirconia, and the yellowish part is the porcelain that gives the tooth its aesthetics and final color.
Zirconia is considered to be an artificial diamond and is as resistant as a metal. In fact, dental zirconia has properties similar to metals, with the advantage of being white and therefore more aesthetic. The composition of zirconia crowns + applied porcelain does not include metal, improving the aesthetic results.
The zirconia dental crown with porcelain is also suitable for replacing a large restoration when the tooth structure has deteriorated.
Type of Dental Crown
Materials
Indications
Main Features
Emax Computerized Porcelain Crown
Lithium disilicate
Anterior and Posterior Teeth
Superior aesthetics, similar to the natural color of the teeth – Fast preparation
Porcelain crown with metal base (Metaloceramic)
Porcelain, Metal
Posterior Teeth
Functional and sturdy but poor aesthetics – Slow to produce
Zirconia crown with ceramic application
Ceramic, Zirconia
Anterior and Posterior Teeth
High resistance, aesthetics and biocompatibility – Slow production
Translucent 3D Pure Zirconia Crown
Zirconia
Anterior and Posterior Teeth
High resistance, aesthetics and biocompatibility – Rapid production
Resin crown
Acrylic resin
Anterior Teeth
More economical alternative, but less resistant than other materials.
Metal crown
Metal (Precious Metal Alloy)
Posterior Teeth
Good resistance, especially in areas of high masticatory load. poor aesthetics.
Temporary crown
Acrylic or Temporary Resin
Provisional phase before Permanent
Temporary use during treatment or until the permanent crown is made.
This table provides an overview of the different types of dental crowns, including the materials used, clinical indications and the main characteristics associated with each type. Remember that the choices between these types of crowns may vary depending on the specific needs of each patient
CAD-CAM pure porcelain dental crown (Emax – lithium disilicate) – P
Pure porcelain crowns – the EMAX system – are made using the CAD-CAM (Computer Assisted Design) technique for the computerized production of special porcelain crowns and restorations. They are therefore highly translucent and resistant. Their long-lasting and highly aesthetic results enable excellent results to be achieved quickly. These are the main properties of an Emax crown, which make them one of the best options for restoring front teeth.
Dental crowns of different types seen from the inside, which is usually hidden. Aesthetics differ between crown types, as does the method used to make them. MC = metal ceramic, ZC Zirconia and ceramic, P = emax pure porcelain, ZP = translucent pure zirconia
Emax all-ceramic dental prostheses and crowns are rapidly gaining popularity in aesthetic dentistry due to their excellent aesthetics, durability and strength. The Emax system is mainly suitable for the fabrication of crowns and dental contact lenses in the anterior region. After preparing the final tooth shape, a digital mold of your teeth will be made with an intraoral camera.
This mold is then transmitted via the internet to the computer in our dental laboratory, which controls the design and milling procedure. The color of the dental crown needs to be chosen in advance to resemble natural teeth. With the design approved, a milling machine cuts the monolithic block of lithium disilicate to produce the required shape of the prosthesis, already with the right color.
As the crown is made from a single block of material and has a single layer, we can call it a monolithic crown. The dentist then tests the fit of the crown to the tooth, makes any necessary adjustments and fixes it to the tooth with a special adhesive.
Crowns made from cubic zirconia are becoming increasingly common and offer a number of advantages. They are made using CADCAM computerized methods, from the digital mould to manufacturing.
The power of pure zirconia
First andforemost, one of the greatest advantages of pure zirconia for dental crowns is its strength and durability. Imagine how much force your back teeth exert on the food you chew. Your crowns need to be made of a strong material , so translucent pure zirconia can be a good option for crowns at the back of the mouth. In addition, they show little wear, which can be interesting for patients with bruxism, as it doesn’t allow for the destruction of the tooth that bruxism often causes.
Super realistic multilayer translucent dental zirconia
Durability of dental cubic zirconia
Dental zirconia-based crowns have performed just as well over 5 years as metal-based crowns, according to a scientific study. Those made of zirconia, called monolithic zirconia crowns, are especially durable.
Zirconia is the choice of many dentists because of its biocompatibility, which means that the body is less likely to provoke a reaction or immune response such as inflammation. Zirconia is such a biocompatible material that there are white zirconia dental implants. There is a current today of more natural biological dentistry, which advocates the use of more biocompatible and metal-free materials, and the pure zirconia dental crown fits the bill perfectly. It is therefore important for you to know that there is currently the possibility of carrying out a ceramic dental implant treatment, without metal, and combining it with a Pure Zirconia or Pure Porcelain dental crown, thus obtaining a metal-free treatment!
Types of dental crowns: discover the 5 main modelsTypes of dental crowns: discover the 5 main modelsTypes of dental crowns: discover the 5 main modelsTypes of dental crowns: discover the 5 main modelsTypes of dental crowns: discover the 5 main models
Discover our complete structure – in the Avenida Paulista area/ Downtown São Paulo-Brazil
Here at the ImplArt Dental Clinic, all prostheses, crowns and restorations are made in our own prosthetics laboratory using computerized systems.With computerized dental crowns, which can be used in any area of the mouth, the appearance, shape and alignment of the teeth are improved, as well as their strength, which also benefits.
If you have any questions, please contact us, visit our photo gallery or book an appointment with our team📲WhatsApp(11) 3262-4750. We’d be delighted to hear from you!
Dr. Roberto Markarian is one of the leading specialists in dental implants and computerized prostheses in Brazil, with more than 10,000 implants performed. In addition to his vast clinical experience, he is a renowned researcher, contributing to dentistry with publications in international scientific journals. At the ImplArt Clinic, Dr. Roberto applies high technology to all his treatments, offering patients innovative solutions and superior quality.
Types of dental crowns: discover the 5 main models
Odontophobia is a term that defines a person who is afraid of the dentist, i.e. the patient may experience symptoms ranging from mild anxiety to panic, dizziness and fainting. Other patients experience nausea or motion sickness during dental treatment.
The dentist for phobics can help you take care of your oral health
This condition often leads to people neglecting their oral health and putting off important care at an early stage.
This leads to problems such as cavities, plaque buildup, gingivitis, periodontal disease, root canal problems, fractures, dental malocclusion, tooth mobility and dental aesthetics, among others. Many of these problems, if not treated in time, can lead to tooth loss.
We at ImplArt Odontologia understand that this is a serious issue. We know that many patients who seek dental care carry expectations and anxieties, and some even have bad previous experiences.
That’s why we strive to provide patients with a calm and transparent service, especially those with odontophobia.
Sedation is completely safe, as it is carried out by a specialist doctor who first interviews the patient and requests complementary tests (if appropriate), and monitors the patient’s functions whileall the dental procedures take place.
When all the procedures are finished, the doctor stops the sedation and the patient wakes up instantly without any difficulty. In extreme cases of odontophobia, dental procedures may be performed under general anesthesia in a hospital setting.
ImplArt Odontologia was a pioneer in designing the Dental Day Clinic in Brazil. This is a model of care in which one or more dental procedures are carried out intensively, in the shortest possible time.
The Day Clinic is one of the ways to bring comfort and confidence to patients with odontophobia, because they spend less time in the office and don’t stop taking care of their oral health and smile. Find out more about the ImplArt Day Clinic.
If you have any further questions or would like to give your testimony, please contact us. ImplArt can help you whether you’re looking for a dentist for people with fear in sp or a dentist for people with phobia in sp.
Please note: we do not treat children or special patients.
The post and core is an important part for installing a prosthetic crown to replace a tooth that has been badly destroyed, usually as a result of decay or fractures. In cases where it is possible to preserve the root with root canal treatment, the core is installed inside the root to support the prosthetic crown.
The core is the internal reinforcement part of a dental crown
This is an important stage in providing support and strength to the porcelain dental crown. See more about dental core materials. If the crown were installed without a core, the prosthesis would probably not be able to withstand the masticatory effort and consequently its duration would be shorter.
See also this article on our blog which talks a little more about root canal treatment, core and porcelain crown. Today, the reinforcement core (dental post) can be made from various types of materials: from metal to zirconia, fiberglass and carbon fiber.
The choice of material depends on a number of factors, such as the location in the dental arch and the masticatory load that the crown will be subjected to.
The metal core is considered more resistant (especially suitable for the most hidden and used area of the arch), while zirconia is considered more aesthetic because it is white (suitable for the most visible area, i.e. the front of the arch).
The prosthetic crown can be made from two different materials: resin (plastic with a metal core) or porcelain (with a metal or aesthetic core). Porcelain is more resistant and aesthetic than resin.
In some cases, root canal treatment is performed to preserve the root;
The root and tooth are prepared to receive the core;
When made of metal, the impression is taken directly inside the root;
When in zirconia, the post is cemented into the root;
A core mold is taken to prepare the prosthetic crown. At ImplArt, this mold can be made conventionally (with putty) or digitally using intraoral scanners;
The crown is installed on the core;
The duration of the procedure varies, as it depends on the complexity of each case. For some people it can be carried out in a Day Clinic.
Advantages of the technique:
The dental crown restores chewing ability as well as the aesthetics of the smile;
The appearance of this type of prosthesis is very similar to natural teeth, so it is indistinguishable when fitted;
Your smile will be beautiful and complete again, free of unsightly spots such as cavities, metal restorations, absences, etc;
The roots are protected and healthy;
Why is it necessary to place a post and core to make a dental crown?
Dentures are very durable, but they may need to be replaced after a few years. This need is verified during regular visits to the dentist’s office.
In cases where teeth are weakened and it is no longer possible to rebuild the tooth with a crown, dental implants are recommended. If you have any questions, please make an appointment or contact us. We’ll be happy to help you.
With the teeth whitening technique, you can achieve a more beautiful smile and get rid of discomfort. Teeth whitening is an ideal option for looking after your dental aesthetics and keeping your oral health up to date.
Many people are embarrassed to take photos, smile or even talk because of their teeth. Yellowing and stains on the teeth cause discomfort and discomfort.
Laser teeth whitening technique
Procedure improves smile presentation and self-esteem
Teeth whitening is a process that removes pigments and stains from tooth enamel and dentin using a special gel enhanced by laser light. Because the treatment is simple, most people can undergo it, and there are even techniques for children as young as 10.
Application of whitening gelActivation with laser lightFinal result of the 1st session
However, in order to better define how whitening will be carried out, the dentist needs to assess each patient individually, looking at details such as the cause of the darkening, age and the integrity and shade of the teeth. However, older age and grayer stains make the process more difficult.
In which cases can the laser teeth whitening technique be used?
Before starting laser whitening, the person needs to undergo a better assessment of the oral tissues, taking into account the teeth, gums, tongue and internal mucosa. As each case is different, there is no whitening standard. In principle, teeth that are yellowed, brown, evenly darkened or with black, brown and yellow stains (as a result of drinking tea, coffee, cigarettes and plaque build-up) are more easily removed.
On the other hand, in cases where teeth are blue in color, have streaks caused by antibiotics or irregular stains, the whitening process is likely to be more difficult. In short, the worst cases are teeth with old endodontic problems and very dark stains. Dentures and restorations are not whitened with this technique.
In addition to the laser whitening technique, home whitening is a better option for those who don’t want to go to the dentist for sessions. It can be done by the patient themselves using a special gel and trays. Learn more about the technique below.
Home teeth whitening technique
Home teeth whitening done by the patient themselves is gaining a lot of followers due to its convenience and practicality, since the person doesn’t need to go to the dentist’s office to have the procedure done. However, it’s worth noting that, even if it’s done at home, the teeth whitening technique can only be recommended by a dentist after an assessment of the patient in consultation.
The technique is indicated for people who want to take care of their dental aesthetics and have stained teeth, yellowish pigmentation or who suffer from old endodontic problems. However, before starting whitening, oral health is assessed, as it must be up to date, with no sores, bleeding, cavities or tartar.
Applying the gel to the trayMoulding set in the teeth
To whiten teeth at home, the patient uses a carbamide peroxide gel with a carbopol concentration of 10%, 16% or 22%. Flexible trays are then used to deposit the gel, which are then fitted to the teeth to start the treatment.
Duration of Whitening Treatment
The home procedure takes between 1 and 3 weeks to complete. The gel can be used in one session lasting 3 to 4 hours. Another option is two short sessions of 30 minutes to 1 hour. Although this technique takes longer to show results than laser whitening, it is considered less aggressive to the patient, as faster treatments can cause temporary side effects.
In addition, the professional must monitor whether the technique is being carried out correctly and, finally, whether the steps are being followed. If you have any questions, please contact us through one of the channels below or book an appointment with us.
There is also teeth whitening that combines both techniques, laser whitening and home whitening.
The combined whitening technique works very well and is considered better than the two others individually. You’ll also like to know about it:
Learn about other treatments for dental aesthetics
If you have any questions about teeth whitening prices, values and techniques, then please contact our team via one of the channels below or come and visit us. We’ll be happy to help you! If you have any questions about price or treatment, please contact us or book an appointment. We’ll be happy to help you!
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.
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