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.
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.
For those patients who come from far away to have their Day Clinic treatment at the ImplArt Dental Clinic, accommodation in São Paulo is part of the pre-arrival planning.
The Day Clinic is an intensive dental treatment option at Clinica ImplArt, especially for people who come from other cities, states or abroad to have their complete dental treatment. Or even for those patients who have little space in their routine to carry out their dental treatment.
The ImplArt Dental Clinic has a complete structure so that your treatment can be carried out more quickly. Within the clinic we offer everything you need for your treatment, from radiographic examinations such as panoramic radiography and computed tomography, in our Digital Radiology Center, to surgeries. In addition, the ImplArt Clinic has its own digital prosthesis laboratory. Our laboratory is equipped with modern 3D printers that make crowns, restorations and complete prostheses, whether temporary or permanent, speeding up all stages of treatment. In addition to the modern protocol prosthesis in Pure Zirconia, a more aesthetically modern material with high resistance and durability, widely used in the United States and Europe.
The location of the ImplArt Clinic is privileged, which will allow you to enjoy the best of São Paulo’s cultural life, and combine your dental treatment with a sightseeing trip too! You’ll be close to museums such as MASP, Casa das Rosas, Japan House, as well as shopping centers such as Shopping Paulista and Shopping Cidade de São Paulo. Plus Avenida Paulista itself, which is a tourist attraction in itself!
For those arriving in São Paulo by plane, the nearest airport is Congonhas, with quick access via Avenida 23 de Maio. For those arriving via Guarulhos International Airport, access is also easy via expressways.
How does Day Clinic treatment planning work?
Planning a Day Clinic can start with a consultation with Dr. Roberto Markarian, right where you live! Through an online TeleOdontology consultation, you send the exams you have already had and Dr. Roberto Markarian will talk to you to understand your expectations and needs in order to define the stages of the treatment, as well as the estimated duration.
In general, the treatment will require the patient to stay in São Paulo for one to a few days(express dental treatment), depending on the complexity of the rehabilitation. In order to make this planning easier, we have listed some hotels in the region so that you can organize your trip to São Paulo.
Here are some accommodation tips for your Dental Day Clinic
Alameda Santos, 2233 – Jardim Paulista, São Paulo – SP, 01419-002
Phone: (11) 3069-2233
Book your Day Clinic appointment online
ImplArt Dental Clinic is one of the few dental clinics in São Paulo with the technological support and multidisciplinary team to offer day clinics. Equipped with a state-of-the-art digital prosthesis laboratory, the ImplArt Dental Clinic is able to carry out high-quality dental treatments in line with the most modern practices. In this way, it is able to attract visitors from all over the world who come to the ImplArt Clinic in search of this know-how and high technology.
Learn about some dental treatments that can be carried out intensively:
For patients with health problems who need care, we can schedule a Day Clinic in a hospital environment: Oswaldo Cruz Hospital (*valid for some types of treatment).
So, if you live far away, you should know that it is possible to plan your dental implant surgery remotely. The first step is to have an online consultation with our clinical director, implant dentist Dr. Roberto Markarian.
If you have any questions, please make an appointment or contact us. We at the ImplArt Dental Clinic will be happy to help you.
Accommodation for your Day Clinic at Implart Dental Clinic
On this page, we’ve put together a collection of frequently asked questions from patients about fast treatments with Day Clinic ImplArt (Dental Spa), both for dental implants and other treatments. If your question hasn’t been answered, please comment below or send us an e-mail.
What should I bring to my appointment?
Bring all the X-rays and tests you have so that we can follow the progress of your previous treatments. If you don’t have any tests, we’ll request the ones we deem necessary. Digital panoramic X-rays and CT scans allow us to observe general oral conditions. If you prefer, these tests can be carried out at ImplArt (at a separate cost).
Can I make an appointment and start treatment the same day?
In most cases we can start on the same day, but it’s always best to attend a planning appointment first. We will certainly have to carry out a detailed planning of your case and schedule specific appointments to organize the progress of your treatment.
Is it possible to finish the treatment in a single day?
Only if your treatment is very simple and we have time available. Many dental treatments are complex and, even with all the technology and our own laboratory, it will take a few days to plan and complete the treatment. You will certainly know how long your complete treatment will take once we have analyzed the clinical consultation and your exams.
How many days will my treatment last?
Treatment time will depend on the degree of complexity of your case, the number of teeth involved, the techniques selected and the materials that will be used.
Who will carry out my treatment?
We have a complete team of professionals in all areas of dentistry. In this way, we will assign a specialist to each area in order to carry out the maximum number of procedures in the shortest time, with the highest possible quality.
Can I have my treatment under sedation?
In some cases it is possible to perform intravenous sedation, which can last up to 4 hours. To find out whether you can undergo sedation, you will need a medical assessment.
It can take several weeks or even months to complete some types of treatment. Contact us to find out what can be done in your case.
I live in another state and am planning a trip to São Paulo for dental treatment. How can I get an estimate in advance? In person or by sending some tests (X-rays, photos, etc.)?
We have a structure that allows treatments to be resolved in a shorter time than normal, in line with our Day Clinic philosophy. If you are interested in a more detailed study of your case, it would be very helpful if you could send us a panoramic x-ray and photos of your arch.
We can therefore guarantee that the current procedures are completely painless. Unfortunately, we can’t offer you a quote without first holding a face-to-face consultation and analyzing all your tests. If you have any further questions about Day Clinic ImplArt or anything else, then please contact us.
Zirconia is the most modern material for dental prostheses today, even for full arch implant prostheses. Zirconia is an advanced ceramic material, considered super realistic, which has become increasingly well-known in dentistry in recent years, especially for prostheses on dental implants.
It is also called Monolithic Zirconia, as it is made from a solid block of Zirconia that is shaped into a dental prosthesis using a modern computerized system. In the ImplArt Clinic’s digital prosthesis laboratory, impressive robotic arms, present in modern milling equipment, are responsible for sculpting the prosthesis design previously drawn up on the computer.
It’s certainly a very modern system that allows you to achieve aesthetically superior results in a more agile, fast and precise way.
Below is the result of a treatment with a Zirconia full arch prosthesis for a patient who came all the way from the United States to undergo treatment at the ImplArt Clinic.
What are the characteristics of the Zirconia prosthesis?
There are several reasons why zirconia is the most modern material for making dental prostheses:
Aesthetics: Zirconia prostheses are highly aesthetic and can be customized to mimic the natural appearance of teeth, with a translucency similar to that of tooth enamel. In addition, Zirconia does not fade or discolor over time, which guarantees a long-lasting aesthetic result.
Biocompatibility: Zirconia is a biocompatible material, which means that it doesn’t cause allergic reactions or inflammation in the patient’s soft tissue or bone. This is especially important for prostheses on dental implants, where the integration of the implant with the bone is crucial to the success of the treatment.
Resistance: Zirconia combines beauty and resistance, which guarantees its long-term durability. It has a high resistance to fracture and wear, which is important for dental prostheses that need to withstand chewing and the forces of the mouth.
The full arch implant prosthesis is a fixed prosthesis on dental implants that can be used to replace all the teeth in an arch. The prosthesis is fixed to the implants with screws or cemented into position, and can only be removed by the dentist for maintenance. The fixed implant prosthesis is a great option for patients looking for an aesthetic and functional restoration, as it is comfortable, durable and offers a natural appearance.
Detail of a Zirconia fixed prosthesis on a dental implant, considered the most modern material.
Zirconia is the most modern material for Full Mouth Reconstruction with dental implants
Zirconia is a material widely used in dental implant protocol prostheses due to its aesthetic properties, resistance and biocompatibility. Zirconia complete arch prostheses are a more advanced option compared to other materials such as acrylic, as they offer a more natural appearance and greater durability. In addition, Zirconia is highly resistant to stains and abrasion, which means that the prosthesis can maintain its color and shape over time.
The Zirconia full arch prosthesis also allows for a more precise fit and a more comfortable adaptation, thanks to CAD/CAM (Computer-Aided Design/Computer-Aided Manufacturing) technology, which allows for more precise and personalized manufacturing of the prosthesis. This means that the Zirconia protocol prosthesis can be perfectly adjusted to the dental implants and the space available in the patient’s mouth, providing an ideal aesthetic and functional restoration.
In addition, we should mention that the use of these 3D resources allows the entire treatment to be carried out without the old putty molds, which were so uncomfortable and became obsolete with the arrival of Zirconia. In this way, the entire treatment is carried out using a 3D digital scanner, which is the starting point for designing the new smile.
In summary, the Zirconia All-on-X prosthesis is an excellent option for patients who need a complete restoration of the dental arch, offering a natural appearance, durability and comfort, as well as precision of fit and ideal adaptation. Undeniably, all these characteristics make Zirconia the most modern material for protocol prostheses, dental crowns or fixed prostheses.
Zircônia é elaborada mediante moderno sistema de projeto computadorizado
Zirconia Bridges at ImplArt Dental Clinic
The ImplArt Dental Clinic specializes in implant dentistry and dental prostheses, and offers advanced and personalized treatments for its patients. The Zirconia full arch prosthesis is one of the treatments offered by the clinic, using high quality materials and advanced technology. We always strive to offer modern, metal-free dental treatments.
At the ImplArt Dental Clinic, the Zirconia protocol prosthesis is made by a team of experienced and qualified professionals who use modern techniques and state-of-the-art equipment to guarantee the precision and quality of the treatment. The Clinic has a multidisciplinary team led by PHD Dr. Roberto Markarian, an implant dentist. It is made up of specialist prosthodontists, trained to provide complete and humanized care.
Treatment begins with a careful assessment of the patient’s oral condition and the choice of the best type of implant for each case. This is followed by implant surgery, where the implants are placed in the patient’s mouth. After a period of osseointegration, in which the implants integrate with the bone, the Zirconia protocol prosthesis is installed.
The prosthesis is manufactured using CAD/CAM technology, which allows for a precise fit and ideal adaptation. The zirconia used in the prosthesis is of high quality, resistance and aesthetics, guaranteeing a long-lasting and natural result. The prosthesis is fixed to the implants with screws or cemented in position, providing optimum stability and security.
ImplArt Dental Clinic offers complete treatment follow-up, with regular maintenance appointments and oral hygiene care. The clinic’s team of professionals is always on hand to answer questions and provide personalized, high-quality care.
ImplArt Dental Clinic is certainly an excellent option for those looking for advanced and personalized treatment in Zirconia protocol prostheses. The clinic has an experienced multidisciplinary team, advanced technology and high-quality materials. In addition, the Clinic offers a complete and excellent treatment for its patients, such as ceramic implants or zirconia protocol prostheses and dental contact lenses.
Zirconia is the Most Modern Material for Fixed Full-Arch Prosthesis with Dental Implants
Dr. Roberto Markarian is a reference in dental implants and computerized dental prostheses in Brazil. As well as having more than 10,000 implants installed, he is a researcher who produces knowledge that is published worldwide in renowned scientific journals in the field of dentistry. He is responsible for promoting knowledge and high technology applied in all the treatments offered by the ImplArt Clinic.
All on four is a technique for full-arch oral rehabilitation, i.e. restoring full dentition to those who have lost all the teeth in an arch. It is a much more comfortable and safer option than a mobile prosthesis (denture), as the fixedprosthesis is attached to 4 dental implants distributed throughout the arch, like a protocol prosthesis. The technique is more economical than a protocol prosthesis and has different characteristics. Find out more about the technique used at Clinica Dentaria ImplArt below and whether it is suitable for your case.
How does the All on 4 technique work? Is this technique right for me?
The All on 4 protocol consists of the surgical placement of 4 implant pins strategically distributed throughout the arch, followed by the fixing of a complete dental prosthesis.
The technique is generally indicated for people who have lost all their teeth in a full arch, upper or lower. Many of them wear mobiledentures and have advanced bone resorption(low bone volume), i.e. they have bone loss and are unable to place several dental implants in the arch.
We can therefore define the All on 4 technique as a dental implant alternative for people with little bone volume. Therefore, there is no need for bone grafts.
Another option for those with little bone volume is to use short or thinner implants, often avoiding bone grafting procedures.
We have performed over 1.000 cases of all-on-four implants since 2008, at ImplArt Clinic !
The choice of which technique is best for your case should be discussed between the patient and the dental surgeon, in consultation, after clinical and radiological assessment. Find out more about smaller dental implants here.
The immediate loading technique can be defined as one in which the prosthesis is fixed more quickly after the implants have been placed. Most of the time, on the same day.
What is the difference between the All on four technique and the traditional protocol prosthesis technique?
In the conventional technique, 6 dental implant pins are generally used throughout the arch to support the protocol prosthesis.
With the All on four technique, four dental implant screws are used, the two posterior ones being longer. They are placed at a greater angle than conventional implants, around 45°. The longer length of the post is intentional to increase the contact area between the implant surface and the bone. This reduces the need to recreate a vertical bone augmentation through bone grafting surgery.
1 – Full denture for lower arch; 2 – X-ray showing 4 dental implants distributed throughout the arch. The two implants in the posterior region are placed at an inclined angle (45°).
As well as increasing the contact area, the use of longer, tilted implants allows them to be placed in a stronger portion of the bone, so that they are securely attached.
Eventually, someone might ask whether this technique would be less efficient than the conventional one, imagining that the load distribution on 4 implants would be greater than 6 pins, for example.
Biomechanical studies show that tilted implants, when they are part of the prosthetic support, have no negative effect on load distribution. Implant tilting has been used in clinical practice for over a decade and has shown favorable results.
Advantages of total prosthesis on All-on-4 implants compared to dentures:
The dental prosthesis is stable because it is attached to the implants. This makes speaking and chewing more comfortable and secure. With a mobile prosthesis, the wearer may feel their prosthesis is unstable.
Dental implants are, in most cases, able to maintain bone volume. In contrast to implant-supported dentures, mobile dentures are unable to prevent bone loss and, as a result, the bone can become thinner and smaller. This is also one of the factors that makes dentures loose due to maladjustment.
The aesthetics of the prosthesis for rehabilitation in undoubtedly much better than a mobile prosthesis. Ceramics, applied zirconia and pure zirconia are advanced technology materials that more faithfully reproduce the characteristics of human teeth, for example, strength, shine, translucency, shades and textures, whereas mobile prostheses are made of acrylic or resin, materials that scratch, fracture and stain more easily.
All on four or All on 4 implant techniqueAll on four or All on 4 implant techniqueAll on four or All on 4 implant techniqueAll on four or All on 4 implant techniqueAll on four or All on 4 implant techniqueAll on four or All on 4 implant techniqueAll on four or All on 4 implant techniqueAll on four or All on 4 implant techniqueAll on four or All on 4 implant technique
Computer-guided implants for less invasive surgery and faster recovery
Rehabilitation with All on 4 implants is best performed using computerized planning, better known as guided implant surgery.
Due to the limited bone volume, we perform a CT scan to accurately measure the width and height of the available bone. With this information, it is much easier to choose implants with diameters and lengths appropriate to the volume, as well as to choose the areas with the best conditions for insertion.
Implant surgical guide planning
Once the measurements of the implants have been defined, as well as the positions in which they will be placed, we make a plastic guide that will serve as a surgical template.
Aesthetic oral rehabilitation is a treatment or set of dental procedures aimed at restoring the oral function and aesthetics of a person who is suffering from missing teeth and needs implants, or whose oral function is compromised by other dental problems that affect chewing, speech and the aesthetics of the smile.
Accordingly, depending on the case, single or partial dental implants can be carried out, or so-called total implants with a protocol prosthesis, which are implants for the entire arch. Porcelain crowns or zirconia crowns can be made, designed with modern computerized systems that allow patients to regain their confidence to smile, as well as their chewing function. It is important to note that dental implant surgery is simple, and allows for major transformations in the patient’s life.
Aesthetic oral rehabilitation: which procedures?
In addition, oral rehabilitation also aims to prevent other problems from arising in the future. A complete, better and well-articulated set of teeth will certainly prevent problems with the jaw, mandible and temporomandibular joints.
ImplArt specializes in prosthetics and restoring dental aesthetics
Periodontist – treatment of diseases affecting the teeth, roots, gums and supporting bones, such as cavities, gingivitis, plaque, periodontitis.
Restorative dentistry – aesthetic treatments such as whitening, application of dental contact lenses and aesthetic planning.
Oral and maxillofacial – specialist in the surgical correction of facial anomalies, such as asymmetries, TMJ dysfunctions and bone grafting.
Prosthodontist – Dental surgeon specialized in making aesthetic and conventional dental prostheses.
Prosthetist – laboratory technician specialized in making dental prostheses.
Radiologist – specializes in radiological examinations that help with diagnosis and treatment planning.
Treatment for aesthetic oral rehabilitation: 1 – Stained and scratched restorations, missing diastema teeth, short teeth, malocclusion. 2 – Aesthetic dental treatment for the installation of lenses and veneers, replacement of restorations, tooth whitening, implants and crowns
1 – Short teeth, 2 – Gingivetomy (gum lift) and tooth preparation, 3 – Temporary dental contact lenses (mockup), 4 – Permanent dental contact lenses – Whiter and longer teeth, more beautiful and harmonious smile.
All these areas can work in isolation or better together to achieve complete oral rehabilitation. ImplArt’s team of professionals is supported by a number of facilities and the best technologies, all at the same address:
They do everything from computerized three-dimensional design to milling teeth in ceramic material. Find out more by clicking here.
Digital radiology laboratory
With a digital panoramic X-ray machine and computerized tomography.
Computerized treatment and surgery planning
Exclusive software that plans and simulates various dental treatments. This way, patients know how their treatment will go before they even start it.
Day Clinic
The Day clinic is a type of service that carries out one or more dental treatments intensively. In this way, oral rehabilitation can be achieved in the shortest possible time (subject to assessment of the complexity of each case).
One of the main features of aesthetic oral rehabilitation is the porcelain dental crown
This is a dental reconstruction that aims to cover or encase a tooth that has had its structure compromised, or even after root canal treatment. Teeth with a root canal almost always need a reinforcing post to give the dental crown a better structure. The dental crown can be made from a number of porcelain options currently available.
In some cases, dental crowns can be better made in one day with the CEREC 3D dental prosthesis and crown in our clinic thanks to the technologies in our laboratories. Dental posts (cores) can be metal or aesthetic (zirconia or fiberglass).
Oral rehabilitation with ready-made porcelain lenses
Above all, the ImplArt dental clinic, coordinated by Dr. Markarian, seeks to conduct treatments with clarity, respect and seriousness, so that its patients feel confident, calm and satisfied. So don’t suffer from dental problems.
We understand your fears and expectations, which is why we invest in treatments that are less and less invasive and uncomfortable.
If you have any questions about aesthetic oral rehabilitation 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!
Improve your quality of life and self-esteem with dental implants
Dental implants must be planned by a specialist in order to achieve the desired success. Initially, when studying dental implants, examinations are carried out in order to:
Intraoral examinations to determine current dental conditions. The examinations mainly involve casts to analyze the arch, X-rays and CT scans.
Digital panoramic radiography and computed tomography make it possible to observe general oral conditions and a detailed analysis of the bone and adjacent structures such as nerves, maxillary sinuses and teeth. These examinations can be carried out at ImplArt Odontologia (at a separate cost).
What resources can dentists use to plan implants?
It is important to explain that the dentist uses photos, examinations and clinical assessment in an integrated manner for precise dental implant planning.
Radiographic examinations: Panoramic radiographs and CT scans also offer a three-dimensional view, allowing bone quality to be assessed, anatomical structures to be identified and pathologies to be detected.
Clinical Evaluation: Detailed intraoral examinations reveal more in-depth periodontal conditions, the presence of infections and specific characteristics of the oral tissue, providing crucial information for implant success.
Precise measurements: Using specific measurement software, the professional assesses the thickness and height of the available bone, thus ensuring the proper selection of the implant.
Virtual Planning: Specialized software allows for virtual simulations, making it easier to choose the ideal position for the implants, considering aesthetics and function.
The combination of these elements also allows the dentist to carry out personalized planning, increasing the predictability and success of the dental implant procedure.
Planning is important for successful dental implant treatment
Dental implants are performed in the dentist’s office under local anesthesia, with care and attention from the implant dentist. Even those who are afraid of the dentist can have bone implants without any problem.Titanium implants are placed inside the bone and you have to wait three to six months for osseointeraction (calcification of the implant in the bone).
Once healing has taken place, the patient can wear a temporary prosthesis which allows them to better maintain their daily activities and also prevents the process of bone resorption (when the area is left without teeth for a long time, it can lose bone volume). Also during this period, the dentist makes the molds for the fixed dental prosthesis that will be placed after the implants have osseointegrated.
Temporary prosthesis for dental implants – planning
Despite the initial discomfort due to the implants and also the temporary prosthesis, the patient should wear it most of the time to facilitate adaptation. At first, the patient may feel nauseous, produce more saliva than usual and their pronunciation may also be strange. Of course, any discomfort in the meantime is temporary and must be overcome in order to achieve the best possible result.
However, in some cases, the dentist may opt to carry out the immediate loading procedure, in which the temporary prosthesis is fixed immediately after the implants are placed. This takes a maximum of 72 hours and, like all treatments, must be planned in advance to avoid problems in the future.
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Permanent fixed prosthesis for implants
Finally, a permanent prosthesis will be fixed a few months after the implants have healed and the person will experience a significant improvement in chewing, quality of life and the aesthetics of their smile. The materials for the permanent prosthesis can also be chosen by the patient together with the dentist.
There are several options for implant materials, especially in the case of full arches, the so-called protocol prosthesis. Contact our clinic or make an appointment if you have any questions about the treatment, average price or techniques. We’ll be happy to help you!
Computerized dental aesthetics uses computerized programs for digital smile planning that have certainly helped dentistry.They are used to plan and simulate various dental treatments, including implants, dental contact lenses and fixed prostheses. They make it possible to design completely personalized treatments.
Predictable results with digital dental treatment planning
As a result, they increase the patient’s understanding of the stages of their treatment, thus aligning expectations with the proposed treatment, and above all allow the dentist to have greater predictability of results.
With computerized dental treatment planning, the dentist can design crowns, restorations, aesthetic treatments, dental contact lenses as well as plan the placement of dental implants.
The purpose of digital smile planning is to create a personalized treatment, seeking the harmony of the smile, as well as avoiding unnecessary procedures and consequently making treatment faster, more comfortable and more accurate.
Now, with the latest Cerec Primemill milling machine, the results are even more precise and more detailed.
Computerized dental aesthetics (Smile Design)
A great feature of computerized dental treatment planning programs is image overlay. This involves positioning the digital plan over the patient’s photo, making it easier for the patient to understand their treatment before they even start.
Digital smile design begins with capturing the patient’s oral images using an intraoral scanner. These images are transformed into a computerized 3D model of the dental arches.
In this way, the dentist visualizes the initial state and designs crowns, restorations or dental contact lenses to solve various problems that compromise the aesthetics and harmony of the smile.
Intraoral scanning for digital smile planning
Some cases that can be planned on a computer:
Increase in the length or volume of one or more teeth.
Aligning asymmetrical teeth
Making restorations for broken or decayed teeth
Making dental contact lenses
Harmonization of teeth with facial biotype
Even tooth shade
Replacing unsightly restorations with porcelain restorations
The dental treatments planned on the computer also allow for quick dental treatments in the Day Clinic (or Dental Spa – intensive care modality).
Digital smile planning with dental implants
Digital planning of dental implants helps to ensure that the treatment result is tailored to the patient’s needs. It also helps to ensure that the treatment is efficient and as minimally invasive as possible, thus avoiding surgical accidents (such as hitting sensitive structures).
Planning begins with a computerized tomography scan. In this sense, the three-dimensional images of the tomography allow the implant dentist to know details such as the volume and dimensions of the bone in order to determine the best positions for the implants and the choice of implants with dimensions suited to the needs of each patient.
The dentist also has the option of ordering a surgical guide, which is made based on the information from the CT scan. The surgical guide acts as a template, with the exact indications of where the perforations should be made.
As a result, unnecessary cuts and punctures are avoided, meaning treatment is less invasive and recovery is quicker and more comfortable.
At the same time, guided surgery makes it possible:
Prior surgical and prosthetic planning, resulting in a more precise procedure;
Respect for bone structures and the path of nerves and vessels;
A reduction in the indication for bone grafting surgeries, as this requires detailed prior planning of the case;
Planning aesthetic and functional procedures;
Better post-operative recovery;
Better communication between patient and dentist, contributing to greater trust during treatment.
Digital orthodontic treatment planning
Digital orthodontic treatment is fully computer simulated and planned using an intraoral scanner and specialized software. The intraoral scanner is used to capture precise images of the teeth and gums and thus create a three-dimensional color mold of the arches. The software uses these images to simulate the movement of the teeth to the desired position.
Models with the proposed final treatment can be 3D printed for verification if the orthodontist prefers. Digital molds can be used not only to plan orthodontic treatment with conventional braces, but also with braces in the form of aligner plates(Invisalign or Compass).
ImplArt Odontologia uses the main technologies ever developed for computerized dental treatment planning. From intraoral scanning to the execution of prostheses, restorations and aesthetic dental contact lenses on 3D printers.
If you have any questions, please contact us or come and visit us. We’ll be happy to welcome you!
Orofacial harmonization is a relatively new dental specialty, but it allows the specialized dental surgeon to perform aesthetic and functional procedures on the face and neck.
This specialty has emerged as an artifice to complement orofacial aesthetics, and always combined with dental treatment, it aims to create harmony with the patient’s smile and other facial features.
What is orofacial harmonization?
A dentist specializing in orofacial harmonization is one who is qualified to carry out techniques and procedures to balance aesthetics and oral function, improving some aspects of the patient’s face, but always seeking benefits for their health. The aesthetic and functional procedures of orofacial harmonization bring benefits for a more rejuvenated appearance, above all improving personal self-esteem.
Orofacial harmonization is a dental specialty and is duly regulated by the Federal Council of Dentistry (Resolution 198/2019),
Dentists specializing in orofacial harmonization need to complete a specialization course with a minimum of 500 hours to be recognized.
Here are some of the procedures included in orofacial harmonization:
Bichectomy
What Bichectomy is for
The surgery is mainly indicated to thin the face and improve its shape by reducing the size of the cheeks, but it can also be indicated to reduce trauma in some cases of people who bite their cheeks on the inner mucosa of the mouth. It is an aesthetic procedure that has already been widely adopted by celebrities, but is now much more accessible to everyone.
Orofacial harmonization
Bichectomy surgery
The surgery is performed by a dentist trained in this technique and consists of removing two fatty tissues located on either side of the face between the jaw and the mandible, called Bichat’s balls. First, an anesthetic is applied and then small incisions are made in the oral mucosa (inside of the mouth) to remove the Bichat’s balls with the help of tweezers. Finally, small sutures are made and the patient is given instructions on how to recover after the operation, which should be calm and with little or no pain.
Bichectomy risks: there may be asymmetry in the result, but this is rare and is more likely to happen if performed by professionals who are not trained in this technique.
Value of Bichectomy: procedure values can only be provided after a consultation and evaluation of each case.
Bichectomy cons: the procedure is indicated with great caution, assessing each case and the patient’s needs. In principle, the procedure is not indicated for people undergoing cancer treatment, people with active local infections, pregnant women, people with heart problems or diseases that could compromise coagulation and healing, people with limited mouth opening and minors.
Lip Filling with Hyaluronic Acid
Orofacial harmonization
The lip filler procedure performed with hyaluronic acid is a resource for harmonizing the shape of the lips and making them more proportional to the face. It is indicated for increasing lip volume, improving lip contour or correcting lip asymmetry.
The technique is an alternative for people with very thin lips, or for lips that have become thin, flabby and wrinkled as they age or as a result of smoking. It is also a resource for harmonizing the lips after dental treatment, such as a new dental prosthesis.
Lip fillers how it’s done: the procedure consists of applying a local anesthetic and then applying hyaluronic acid to the inside of the lips using a microcannula or needle. The substance does not cause any side effects or rejection in the body.
The technique is carried out by a dentist specializing in orofacial harmonization to obtain a natural lip filling, without exaggeration and which favours the aesthetics of the smile and face. It is normal for swelling to occur immediately after a lip filling, which can last up to 48 hours after application.
Orofacial harmonization
How long does lip filler last?: The result of a filler is temporary because the hyaluronic acid is slowly absorbed. However, the effect can last up to a year and a half.
Lip filler sp price: the cost of the procedure can only be given during a face-to-face consultation to assess each case.
Contraindications: in principle, minors, pregnant women, active local infections (such as herpes) and people with autoimmune diseases.
Filler for Chinese Moustache (Nasogenian Furrow)
Orofacial harmonization
The Chinese moustache is characterized by a deep wrinkle that runs from the nasal wing to the corner of the mouth (smile mark). It affects both men and women and is associated with skin ageing, in which there is a natural loss of fat and collagen, with unprotected sun exposure which leads to sagging skin and with smoking. It is also related to a genetic predisposition, excessive loss/gain of body weight, as well as repeated sleeping in the prone position with the face resting on the hand.
There are a number of ways to improve the appearance of this expression mark, and the procedure depends on the degree of depth, the main one being filling with hyaluronic acid. This involves applying the biomaterial subcutaneously to the area in order to fill and elevate the depressed line, leveling it with the skin.
What is the Chinese moustache filling procedure like?
The procedure is carried out simply and quickly by a dental surgeon qualified in orofacial harmonization. It is not capable of altering the natural features of the face, only correcting these imperfections. Superficial wrinkles can be treated with botulinum toxin (Botox).
Initially, a local anesthetic is applied. The furrows are then filled with hyaluronic acid. Finally, the patient is given instructions for the post-procedure period, but the recovery is very smooth and the patient is ready to return to work.
How long does a Chinese moustache filler last? The effect of the filler can last up to a year and a half, depending on the amount of material injected and the depth of the furrow.
How much does a Chinese moustache filler cost? The cost of the treatment is only given in consultation after a careful assessment of each case.
Treatment of jowls on the neck (jowl lipo)
Orofacial harmonization
Treatment of jowls with deoxycholic acid
What can I do to get rid of my jowls? This is one of the most frequently asked questions by those looking to improve their appearance and achieve a more rejuvenated look. Reducing jowls (submental fat) is also one of the aesthetic procedures that a dentist specializing in orofacial harmonization is qualified to treat.
The procedure is also known as jowl lipo, enzymatic jowl treatment or lipolysis of submental fat.
How deoxycholic acid works for jowls
Deoxycholic acid is a substance naturally found in the human body and acts to metabolize fats, i.e. it breaks down fat cells (adipocytes), stimulating an inflammatory reaction by the body at the site. This helps to eliminate the broken down fat (a process that should take place over a maximum of 30 days).
With this elimination of fat cells, there is a reduction in fat deposits and an improvement in the contour of the neck, as well as a tightening effect on the skin (not applicable in cases of severe sagging).
What is the chemical lipo procedure like?
Before starting the application, a topical anesthetic is used to eliminate any possible discomfort from the needle prick. We then apply deoxycholic acid in the form of a synthetic drug to the adipose tissue, distributed in small quantities over the entire length of the jowls.
In the first few days, swelling, bruising, pain (which can be controlled with painkillers), erythema (redness) and numbness may occur, but this is normal and is part of the fat elimination process. During this period it is recommended not to take anti-inflammatory drugs, as they prevent the product from working.
Up to six sessions are recommended to obtain a satisfactory result (depending on the degree of fat accumulation), with intervals of one month between each session.
In some cases, treatment can be enhanced with the use of a compression/microporous bandage at night after the fourth day of application, as well as local drainage to help reduce swelling and speed up the elimination of fat.
Duration of jowl treatment: the effect of the treatment does not have a set time, but it is expected that the accumulation of fat in this area will not return, except in cases of excessive weight gain.
Contraindications to deoxycholic acid for jowls: in principle, local infection, pregnant or breastfeeding women, people with cysts at the site of the jowls, goiters or thyroid nodules.
How much does jowl lipo cost? The cost of the treatment is provided through a face-to-face consultation and an assessment of the complexity of each case.
Application of botulinum toxin – botox
Orofacial harmonization
Botox to treat bruxism
Bruxism is a parafunctional disorder that causes people to grind their teeth or clench their teeth involuntarily during sleep. The excessive force of bruxism causes wear and tear on the teeth, pain in the muscles and bones (joints, jaw), as well as ringing in the ears and head and neck pain.
It can also cause clicking in the temporomandibular joints when chewing or opening the mouth and gum recession. Patients with bruxism need to be very well assessed and monitored, and treatment may involve the work of different health specialists.
Botox can also be applied by the dentist for aesthetic improvements to the patient’s lips and face
One of the resources for treating bruxism is the application of botulinum toxin. It acts by inhibiting the contraction of the temporal and masseter muscles in the jaw, thus reducing muscle activity in cases of teeth clenching, and applied to the muscles responsible for masticatory movements (the same ones responsible for the involuntary contraction of bruxism) to contract them and thus reduce teeth grinding.
Botulinum toxin is not normally used in isolation to treat bruxism. It is almost always combined with the use of bite plates(myorelaxing plates) and bite correction, among other procedures.
How is Botox applied for bruxism?
Applications to block the muscles are made in one appointment and the benefits are seen within the first 48 hours. The blockade can last up to six months, so botulinum toxin needs to be periodically reapplied to maintain the effect.
Botox for bruxism price: the price of the treatment is given in consultation with a dentist who will carefully assess each case and recommend the most suitable treatment. A consultation is required to find out the price of Botox. According to the regulations of the Federal Council of Dentistry (Resolution 198/2019), yes, dentists can apply Botox.
In dentistry, the application of botulinum toxin (Botox) is also very useful for correcting asymmetries in the smile or face in the middle and lower thirds, for treating gummy smiles, treating orofacial pain related to TMJ disorders or the muscles involved in chewing, softening expression lines in the middle and lower thirds, and even controlling excessive saliva production.
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