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Implanting several teeth at the same time

The loss of multiple teeth can certainly affect your ability to chew, as well as the beauty of your smile. The best option for replacing multiple teeth is certainly the placement of a multi-tooth implant, i.e. the placement of several implants and the attachment of a dental prosthesis. A multi-tooth implant can also be called a total implant or a protocol prosthesis.

Fixed prosthesis or implants with several teeth provide good chewing ability and aesthetics

It is certainly recommended that implant surgery be carried out as soon as possible after tooth loss. This prevents bone atrophy (progressive bone loss) from occurring. Implants for 3 teeth, 4 teeth or more have some advantages over other types of treatment.

Advantages of multi-tooth implant rehabilitation

  • Neighboring teeth remain intact
  • The prosthesis is attached to the implants, offering comfort and safety for the user to chew, smile and speak
  • Ease of treatment, as the prosthetic components are prefabricated (approximately six sessions)
  • Not affected by cavities and infiltrations
  • In specific cases, it is possible to place the provisional prosthesis immediately after implant placement (immediate loading)
  • The installation of the implant prevents or stops the bone atrophy that normally occurs after tooth loss.

Implants with 3 teeth, 4 teeth or more have some advantages over other types of treatment with removable prostheses. As an alternative to placing several implants, we only have techniques that use common removable prostheses, without the use of implants. However, the indication is made after evaluating each case.

Should I have several teeth implanted or wear dentures?

Multi-tooth dental implants are an alternative to conventional dentures for those who have lost many or all of their teeth. They consist of placing metal pins, usually titanium, in the jawbone or maxilla, which serve as a support for fixed dental prostheses. These prostheses can be made of materials such as porcelain or zirconia, which mimic the appearance of natural teeth.

Multi-tooth dental implants have many advantages over conventional dentures, which are supported by the gums and can come loose or cause wounds. That’s why we’ve listed some of these advantages below:

Aesthetics, comfort and safety: Dental implants are more natural, comfortable and safe than dentures, which can move or fall out. They allow the patient to smile, speak and chew with more confidence and without fear of losing the prosthesis.


Preservation of bone against resorption: Dental implants preserve the bone structure of the mouth, preventing the atrophy that occurs after tooth loss. Bone atrophy can cause problems such as gum resorption, changes to the shape of the face, difficulty adapting dentures and the loss of other teeth.


Improved chewing function: In addition, dental implants allow for better chewing, speech and taste perception. Conventional dentures can interfere with chewing, making digestion and nutrition difficult. They can also hinder speech, causing noises or difficulty in pronunciation. In addition, they can cover the palate, reducing taste sensitivity.


Durability and resistance: Dental implants are considered to be more durable and resistant to cavities and infiltrations than dentures. They are made of materials that do not wear out or deteriorate over time. They are also easier to clean, as they don’t need to be removed for cleaning.

Conclusions on getting several teeth implanted at ImplArt Dentistry Clinic

The loss of multiple teeth can affect chewing and the aesthetics of the smile. The ideal solution is to place dental implants to replace several teeth, allowing a fixed prosthesis to be attached.

With over 15 years of experience and thousands of implants installed, hundreds of cosmetic dentistry cases solved, and thousands of satisfied patients as a result. We are led by the expertise of our clinical director, implant dentist Dr. Roberto Markarian. With all our know-how , we are able to offer the most modern single-tooth implant techniques, total implants and modern contact lenses, as well as zirconia prostheses.

Get in touch with us, and schedule your evaluation appointment for implantation of several teeth, or other treatments, 📲WhatsApp (11) 3262-4750. We’re on hand to carry out your single-tooth, full-tooth or multi-tooth implant treatment and help you make a change in your life!

DR. ROBERTO MARKARIAN IMPLANTODONTISTA SITE
Implanting several teeth at the same time

Text written by DR. ROBERTO MARKARIAN – CRO-SP 73.583
Founder and Director of the ImplArt Dental Clinic.

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 to all the treatments offered by the ImplArt Clinic.

  • Post-Doctorate in Implant Dentistry – Univ SL Mandic (Campinas-SP) – 2020
  • PhD in Implant Dentistry – Doctor of Implant Dentistry, Univ SL Mandic – 2017
  • Dr. Roberto Markarian Specialist in Dental Implants at USP (Implant Dentist) – 2008
  • Specialist in Prosthodontics (Prosthodontist ) by the CFO – 2006
  • Master in Prosthodontics, USP – 2005
  • Graduated as a Dental Surgeon from USP (São Paulo) – 2001
  • Member of the Clinical Staff of Hospital Alemão Oswaldo Cruz

Dental implants – Frequently asked questions

Find out the most frequently asked questions about prostheses on implants

Are implants aesthetically pleasing?

In short, it depends a lot on the system used and the local conditions. Aesthetics have improved a lot in recent years. But it’s important to bear in mind that, however good the implant and the professional, the first is still a prosthesis on an implant, i.e. the replacement of natural teeth with artificial ones.

Therefore, expectations regarding implants are common, but can usually be followed by a certain amount of frustration. In many cases, the aesthetic solution is quite acceptable. Fortunately, there have been many advances, not only in the materials used to make prostheses, but also in techniques.

Nowadays we can build prostheses that look more and more like natural teeth. However, the main objective must always be functional. The implant is far superior to other prosthetic procedures, and in the absence of teeth, it’s the best we can do.

Dental implant prosthesis: some of ImplArt’s work

How long will I be out of implant prostheses?

In simpler cases, some kind of temporary implant prosthesis is provided for the patient to use immediately after surgery. In the case of the totally edentulous, the period is limited to a few hours to a few days after the first surgery. In the second stage, once the implants have healed, the patient is not left without the prosthesis. In some cases, the immediate loading technique can be used.

Can I eat anything after the prostheses have been fitted? What if I fracture a tooth in the implant-supported prosthesis, is the implant lost?

Not everything can be eaten, but the restrictions are not too severe. Certain foods can even fracture natural teeth. In short, a diet with a minimum of care is sufficient to preserve the teeth of implant-supported prostheses. One positive fact is that repairing fractured teeth is relatively easy.

What happens if the implant (post) becomes mobile after the prosthesis (tooth) has been placed?

All mobility is progressive and indicates that the implant has been lost. Each case is assessed individually and, in principle, the implant can almost always be replaced. This event brings frustration not only for the patient, but also for the dentist. In fact, what happens is an increase in treatment time and, above all, the need to be patient in order to complete it.

I have a full upper prosthesis. I would like to know about the possibility of placing an overdenture without a palate. How many implants? What are the costs?

The overdenture without a palate is a good option because it makes the wearer feel more comfortable. To do this, at least four implants need to be placed. Another option is a fixed prosthesis on implants. This would require four to six implants.

The cost of this type of treatment is variable and it depends on tests to predict the availability of bone in the area. In other words, prices can only be given after a face-to-face consultation and an assessment of the particularities of each case.

I would like to know about the possibility of replacing two removable prostheses with staples with fixed prostheses without staples or implants. I would also like to eliminate the visualization of the staples in my smile.

A treatment like this appears to be of little complexity and can be completed in a short time, according to our Day Clinic philosophy. We always suggest that you also have your teeth whitened to make your whole smile whiter and more aesthetically pleasing.

I have two fixed bridges (one on each side) on the top and I have two implants started (the pins have been placed). I’d like to complete the implants and replace all my teeth with nice white ones, because mine are yellow and the bridges are old with the metal showing. I would also like to know how many days it would take to do a treatment.

A treatment like this is considered to be of minor complexity and can be completed in between 10 and 15 days, according to our Day Clinic and Dental Spa philosophy. The colors of the teeth will be chosen jointly between the dental team and the patient. We always suggest that teeth whitening is also carried out so that the whole smile becomes whiter and more aesthetically pleasing.

I wear lower and upper dentures. Can I get my teeth back? Can you provide information on costs?

Nowadays it is possible to restore teeth even for people who have been wearing dentures for many years. There are many alternatives, especially dental implants. To get an estimate on the price of dental implants, you’ll need a face-to-face consultation and more detailed examinations, which can easily be carried out at our clinic.

replace dentures with fixed dentures on dental implants
Example of replacing a denture with a fixed zirconia prosthesis on implants

Should I go back to the dentist after having my teeth fitted?

At least one clinical radiographic check-up is required every year. It is also the patient’s obligation to attend these check-ups. Appointments are important to identify any problems in time for them to be reversed. They are also used to carry out professional cleaning of the prosthesis, to assess whether the user is performing daily oral hygiene properly, among other aspects that only a professional dentist can identify.

Will chewing ability improve after implants?

Above all, implants have much better functional results than dentures and removable prostheses. Patients who have been wearing dentures for a long time and have implants fitted feel the difference is very significant. The fixed implant prosthesis does not move and the patient certainly feels more comfortable and secure when chewing, speaking and smiling.

I’ve heard that porcelain is the best material for teeth. If I want an implant-supported prosthesis with porcelain teeth, would that be possible?

In most cases it is possible to make a prosthesis on an implant with porcelain teeth. Porcelain teeth are undoubtedly the best material for making a dental prosthesis. Today there are porcelain teeth with or without internal metal that offer different aesthetic results, with metal-free porcelain being more aesthetic than prostheses containing metal.

If you have any further questions about prostheses on implants, please contact us through one of the channels below or make an appointment. We’ll be happy to help you!

Gum grafting to improve the aesthetics of teeth

What is gum grafting?

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

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

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

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

Gum defect needs grafting

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

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

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

gum grafting

After gum surgery

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

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

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

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

Pre- and post-operative care of dental implants

Dental implant recovery and care of dental implants before and after surgery

The post-operative period for dental implants and the preparation before dental implant surgery are certainly fundamental to the success of the procedure. We have therefore prepared recommendations for patients who are going to have a dental implant, which can also be applied to minor dental surgery.

We should certainly point out that the care of dental implant surgery is considered a simple and minor intervention from a medical point of view, with low risk for the patient. The duration of surgery is short and recovery after implant surgery is also considered to be easy for the patient, even in cases of complete oral rehabilitation.

Recommendations before dental implant surgery

What should I do before a dental implant?

  • Eat normally before the procedure if the surgery involves local anesthesia. If you have opted for sedation, follow the specific guidelines for your case, which may involve fasting.
  • Take the prescribed medication 1 hour before arriving at the clinic. If indicated for your case, preferably come accompanied by someone who can drive.
Pre- and post-operative dental implants
care of dental implants
Stitches for dental implants should be removed between 7 and 10 days.

After implant surgery – care of dental implants urgery

What should I do after dental implants, after implant surgery (for 48 hours)?

  • Apply ice to the face to prevent swelling
  • Avoid physical exertion
  • Sanitize the area with a cotton swab moistened with an antiseptic solution (Periogard, Listerine, Plax).
  • Prefer soft or pasty foods
  • Normal brushing of other teeth
  • Wear prostheses or braces for as short a time as possible
  • Take medication as directed by the dentist

What I can’t do after an immediate dental implant (48 hours)

What to eat after dental implant surgery?

  • For 2 days: you should eat cold or iced food. For example: ice cream, jelly, juices, smoothies, soups.
  • Also avoid hard, crunchy foods such as bread, peanuts, etc.
  • On the third day you can warm up the food more and normalize your diet according to your own tolerance

What can I do 3 days after my dental implant?

  • Apply warm compresses to the face to reduce swelling
  • Exercise in moderation

Tip: In cases where a surgical guide has been used to install the implants, the expected post-operative period is milder than in normal implant surgeries.

What can I do one week after my dental implant?

  • Brush the operated area lightly
  • Mouthwash with antiseptic solution
  • Physical activity released
  • Remove the stitches at the dentist

Are there implants without cutting or stitches/care of dental implants?

There are modern computer-guided planning techniques that minimize the need to cut into the gums and therefore often do not require stitches. This is computer-guided dental implant surgery, a very up-to-date and safe procedure for implant surgery.

implante dentario como e a cirurgia
Post-operativecare for implants, medication and procedures make a difference

Frequently asked questions about post-operative implants:

Is dental implant post-op swelling normal? What is the post-operative period of implants like?

Swelling can occur in the first few days after implants, which is why anti-inflammatory drugs are prescribed to be taken as soon as necessary. Cold food and ice help to reduce swelling in the mouth.

How long does it take to resume physical activity after a dental implant?

Each case is assessed individually, but in general you should wait 7 to 10 days before returning to the gym in full.

How many days to remove the dental implant stitches?

On average, you should remove the stitches from the implant surgery within 7 to 10 days.

Is it normal to feel pain after a dental implant or bone graft?

Pain can occur after the placement of a dental implant or bone graft. For this reason, painkillers are prescribed to be taken as soon as necessary. In general, the pain is mild and can be controlled with painkillers, but it is not normal to experience severe or unbearable pain.

What should I do if I feel throbbing pain after a dental implant?

Mild, bearable throbbing can occur after dental bone grafting and implants. However, if the discomfort is too great and does not stop with medication, the patient should contact their dentist as soon as possible.

ImplArt Clinic’s care of dental implants conclusion

If you have any questions about post-operative implants, value, price or the best technique, please contact us or schedule an appointment with our specialized team via 📲WhatsApp (11) 3262-4750. Here at Clinica Dentaria ImplArt in Brazil your first consultation is with our clinical director, implant dentist Dr. Roberto Markarian, so you can clear up all your doubts about dental implants and discover that the surgery is simpler than you think!