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Full Arch Dental Implants – All-on-4 – All-on-6 – All-on-X

Full Arch Dental Implants is a Full Mouth Reconstruction treatment, that can be done in the mandible (lower arch) and maxilla (upper arch), although there are important anatomical differences that interfere with the planning of dental implant surgery. Fixed prostheses on dental implants can be made of Zirconia, Pure Zirconia, Porcelain(metal-ceramic), as well as Resin.

This treatment is also known as Fixed Full-Arch Prosthesis or Implant-Supported Denture. This type of implant treatment for all teeth, allows patients to regain their smile and chew.

Dental implant surgery is currently a fairly straightforward operation, carried out in an office or hospital environment, with hospitalization for the patient’s comfort. Implants make it possible to replace missing teeth even in large areas of the arch, including in patients with all their teeth compromised by periodontal disease.
They can also be used in patients with bone loss, who may need bone grafting before or during the installation of the dental implant.

It is important to note that there are currently different types of dental implants, and the most modern ones, cone morse implants, allow for faster healing.

*Read more about how dental implants are done: How are dental implants done? How to get a dental implant ?

Full Arch Dental Implants . Implant-Supported Denture step by step

With regard to the end result, the aim is to obtain fixed dental prostheses that will remain supported on the implants. This will allow the patient to regain their masticatory function and aesthetics.

Of course, as Fixed Full-Arch Prosthesis are screwed onto dental implants, the result is a very efficient dental prosthesis for chewing, as well as excellent aesthetics and comfort.

It is therefore a much better solution than a removable prosthesis, as it provides excellent fixation and stability. In the upper arch, the full arch dental implants treatment has the added advantage of completely uncovering the palate (roof of the mouth), which improves patient comfort.

Unlike removable prostheses (dentures), which cover the roof of the mouth to allow them to be fixed and make it difficult to perceive the taste of food, All-on-X prostheses with implants are thin and occupy only the region of the dentition, leaving the rest of the mouth free, similar to the situation found when there are natural teeth. Currently, the most modern materials are the Zirconia Fixed Full-Arch Prosthesis and the Porcelain Prothesis on a Full Arch DentalTreatment.

*Learn more about dental implants All on Four: 8 common mistakes to avoid when getting dental implants All on Four

Fixed Full-Arch Prosthesis- Full Arch Dental Implants

This type of treatment is usually also called a Fixed Full-Arch Prosthesis ou All-on-4, even All-on-6 and All-on-X.

Visit the total implant photo gallery by clicking here

Full Arch Dental Implants .Examinations and planning

After radiographic examinations and a CT scan of the jaws, the dental implant specialist will be able to analyze the ideal planning for the case and thus indicate bone complements such as grafts to better prepare the bone if necessary.

The jaw bone (lower arch) is more rigid and resistant, so dental implants can be installed in most cases. The upper jaw bone, on the other hand, is less dense and delicate and has a more complex anatomy.

Certainly the proximity to the nose, the maxillary sinus cavities and the greater bone loss require further study.

Full Arch Dental Implants With or Without Bone Graft ?

If bone grafting is necessary, don’t be alarmed – it’s very common. Of course, dental grafting for full archa implants is not necessarily complicated, invasive or large. On the contrary, most of the time the bone graft for a full arch implant is simple, small and restricted to the position of the implant.

Less invasive implant surgery: in our clinic we use current concepts of minimally invasive surgery for dental implants, which make the procedure faster and offer greater comfort during the procedure and especially during the healing phase of the dental implant.

Computer-guided implant surgery: this is a type of dental implant surgery offered at our clinic that is planned by computerized scans of the jaws.

For example, computed tomography, in conjunction with a digital mold of the arch (scanner), generates guides for the quick and safe positioning of implants. Click here to learn more about guided surgery for total implants.

Total implant and protocol prosthesis

Full Mouth Reconstruction Prosthesis and other types

Certainly the most common prosthesis for implanting all the teeth in a full arch is the so-called protocol prosthesis. This is a resin prosthesis with a metal reinforcement bar inside.

Over time, however, more modern ways of making complete implant prosthesis have emerged. At the ImplArt Dental Clinic, we offer more technological implant materials, which are completely made on our premises and in our own dental prosthesis laboratory (see more):

Zirconia prosthesis for total implants (metal-free total implants)
Fixed dentures with one tooth at a time
Ceramic protocol – (Porcelain prosthesis)
Prosthesis bars in lighter metals (Titanium bar)
Computerized execution (3D printers)
Rapid dental prostheses (Day Clinic)

If you have any questions, please make an appointment or contact us and make an appointment with our clinical director, Dr. Roberto Markarian, an implant dentist. We will be happy to assist you. The ImplArt Dental Clinic has a modern structure to serve patients and highly specialized professionals.

implantodontista — Full Arch Dental Implants - All-on-4 - All-on-6 - All-on-X

Text written by DR. ROBERTO MARKARIAN – CRO-SP 73.583
Founder and Director of the ImplArt Dental Clinic – Dr. Roberto’s Linkedin profile

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

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Full Arch implants: 11 stages of treatment

Full arch dental implant treatment steps

Learn about the stages of treatment for full arch implant rehabilitation. A full dental implant is a treatment designed to rebuild a new smile when all the teeth in an arch or mouth have been lost. This type of treatment is also popularly referred to as a protocol prosthesis or All on four dental implants, the latter if it involves 4 implants.

The ImplArt Dental Clinic has extensive expertise in full-arch implant treatments, using the best materials to produce the fixed prosthesis for full arch implants in its own dental laboratory, using state-of-the-art computerized techniques. In this way, we offer our patients a choice of different types of dental implants, with different healing times. In addition, patients can choose between 5 different types of fixed prosthesis to be fitted over their implants.

The most modern prostheses today are made of zirconia and use a computerized system to create these highly resistant and aesthetically pleasing prostheses. In addition to zirconia prostheses, there is also the option of zirconia implants.

Most full arch implant cases follow the following treatment steps:

1 – An individual assessment of the case for full arch/full mouth implantation is carried out

Considering the patient’s general and oral health, the volume and quality of bone in the mandible/maxilla, aesthetics, gum shape, among other aspects. To assess bone volume, radiological examinations such as panoramic radiography and computed tomography will be requested.

This stage also verifies the need for bone grafting prior to implant surgery, as well as the need for medical supervision if the patient has pre-existing diseases that could interfere with the success of dental implant rehabilitation.

2 – Treatment proposal

Depending on the information collected and the patient’s expectations, we will present some alternatives for full arch implant treatment with different stages of treatment, techniques and possible materials. The recommended types of dental implant will be presented according to the patient’s case, and they will be able to choose according to their preference. Today there are very modern dental implants and healing times can take between 1 and 6 months, depending on the type. Implants from the Swiss brand Straumann are the ones with the shortest healing times.

3 – Preparing the mouth

With the aim of eliminating sources of infection, such as professional cleaning, treatment of cavities, tooth extractions and periodontal scraping.

4 – Preparation and molds

For provisional prostheses for total implants. The ImplArt dental clinic takes digital impressions with intraoral scanners (without mass).

5 – Installation of full arch implants

Through simple and painless surgery, the implants that will support the fixed prosthesis are inserted. The surgery takes place in a doctor’s office and the patient can go home immediately afterwards. There are modalities with local anesthesia, or with intravenous sedation, if the patient prefers.

There is also the option of performing dental implant surgery using the computerized guided surgery technique.

This technique eliminates the need to make large cuts and sutures in the gums, making the post-operative period easier and the recovery quicker.

The surgical guide acts as a template with indications of where the incisions should be made to place the dental implants. The surgical guide is custom-made according to the patient’s CT scan images, using a 3D printing method.

*Learnmore about dental implants: How is a dental implant done? How to get a dental implant ?

6 – Installation of the temporary prosthesis

On the same day or after a few days. This is one of the most important stages of treatment. The prosthesis can be fixed or removable, depending on the case. The preference is for a fixed temporary prosthesis, unless this is technically impossible.

This first provisional prosthesis for total implants does not always meet all the requirements of aesthetics and function because it is made under adverse conditions, such as pre-existing teeth that make molding difficult. If necessary, we will make new prostheses.

7 – Waiting period

It takes between one and six months for the implants to integrate into the bone (osseointegration) and for the gums to heal.

8 – Start of the definitive prosthesis for total implants

If the implants are hidden under the gums, the first step is reopening surgery. This is a simple procedure that aims to expose the implants in the mouth. Then molds are made.

9 – Studies for the definitive prosthesis

For total implants, the aim is to find out which characteristics will be important in order to obtain the best aesthetics and functionality. When the characteristics of the final prosthesis are discussed, the color of the teeth, the shape of the teeth, the volume of the prosthesis and whether or not artificial gums are needed will be defined. The patient takes part in this process and will be able to see the stages of the treatment beforehand, as well as the final aesthetics. The dental implant prosthesis can be made of Zirconia, Porcelain or Resin, each with different characteristics, and the patient’s choice is made right at the start of treatment, so that planning is already carried out in anticipation of the definitive prosthesis.

10 – Delivery of the total implant prosthesis

With the approval of the patient and the dentist, the protocol prosthesis is then given as completed and all stages of the proposed treatment have been fulfilled.

11 – Total implant control and maintenance

Once all the treatment stages have been completed and the protocol prosthesis has been delivered, the patient should return every six months for a check-up and cleaning. Every twelve months we will request a panoramic radiograph to monitor the case internally. Even though the patient has had implants and, in many cases, has had all their natural teeth removed, they should still visit the dentist regularly every 6 months.

Dental implants

If you have any questions about the stages of dental implant treatment, please contact us through one of the channels below or make an appointment at the ImplArt dental clinic. We specialize in total implants and prosthetic protocols and will be happy to assist you!

Find out more about treatments at Clinica ImplArt

To find out more about the treatments at Clinica Dentaria ImplArt, check out the images of our treatments on Instagram https://www.instagram.com/clinicaimplart/.
Our videos on Youtube: https://www.youtube.com/@ImplArtImplanteseestetica
See our Pinterest page: https://br.pinterest.com/implante/

To see our photo gallery of our treatments, click here!
Contact us by WhatsApp (11) 3262-4750

Dr. Roberto Markarian, Implant Dentist

Text written by DR. ROBERTO MARKARIAN – CRO-SP 73.583
Founder and Director of the ImplArt Dental Clinic – Dr. Roberto’s Linkedin profile

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.

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

schedule your appointment at the implart clinic by phone or whatsapp

Full Arch implants: 11 stages of treatment

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Why is it necessary to place a post and core to make a dental crown?

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.

Learn more about computer-designed crowns.

How treatment is carried out:

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;

dental core and crown — 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.

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Immediate loading – Indications and planning

The topic of implants with immediate loading has always been very present when it comes to dental implants. The term is related to pressure, i.e. loading on the newly installed implant, therefore immediately after surgery. It is important to note that the decision on whether or not to perform immediate loading on the implant should be made by the implant dentist. Assuming that this is the main desire of all patients, it is the implant dentist who must certainly assess the conditions conducive to the use of this technique.

Currently, implant surgery is studied beforehand by the implant dentist (dental implant specialist) through the patient’s panoramic X-ray and CT scan. It is therefore possible to assess whether the patient has favorable bone conditions for the use of this technique. However, it is at the time of implant surgery, by locking the implant, that it is possible to guarantee that the immediate loading technique can be carried out. In this way, the professional can also change the technique used to make the prosthesis if the necessary implants are not locked during surgery. Although the bone structure is studied beforehand through examinations, it is only during surgery that the real bone situation can be gauged.

How is immediate loading surgery with dental implants performed?

Surgery is performed to install dental implants in the jawbone. The surgery should take place like a conventional dental implant surgery. Prior to the surgery, plans are made for an immediate temporary prosthesis, so that the patient will never be without teeth. There are prerequisites for using the installed implant:

Sufficient torque (greater than 35 N.cm)
Long implant (longer than 11 mm)
Implant with sufficient diameter: Larger than 3.75 mm
Planning a prosthesis compatible with the implant‘s ability to withstand forces
Sufficient number of implants
Good distribution of implants in the arch
Patient without bruxism symptoms
People without symptoms of diseases that compromise tissue and bone healing (e.g. diabetes)
Non-smoking patient (smoking greatly reduces the chance of implant success)

Learn more about immediate loading

immediately loaded implant — Immediate loading means that the implant will be loaded with the crown as soon as it is inserted. In practice, loading occurs with the placement of the tooth, which will transmit the force of chewing through the implant to the bone.

This means that not all cases are good for immediate loading. Sometimes, only during implant installation will we be able to tell if the implant has met the requirements for immediate loading. Therefore, in some cases immediate loading can be aborted to allow the implant to heal in a conventional way (between 3 and 6 months).

If the surgery goes well, you can then start on the provisional or even definitive prosthesis, which requires molds and measurements of the arch. Immediate loading is usually carried out with a temporary prosthesis and, after the implants and gums have healed (between 3 and 6 months), the definitive prosthesis is made.
Watch the video below where we show the total implant surgery and the installation of the protocol prosthesis.

Although it is possible to carry out the treatment with the definitive material initially, we consider it better to make a temporary prosthesis, as the gums must swell and the bone changes shape during the initial three months of healing after surgery.

Best material for fixed prostheses

Currently, the most modern material for fixed prostheses is zirconia. Zirconia is a biocompatible material in line with the biological dentistry trend, which seeks to avoid the use of metals in dental treatments. It is also highly resistant and can be designed using computer graphics, which gives a much more natural aesthetic result compared to other types of dental prosthesis materials.

If you have any questions, please contact our team.

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Immediate loading - Indications and planning

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Rapid immediate loading of dental implants

All about Immediate loading

Immediate loading of dental implants

Rapid (immediate) loading is possible thanks to scientific advances. Today it is possible, in selected cases, to enter the office without teeth and leave at the end of the day with all the teeth fixed on dental implants with immediate loading. This technology gives patients great satisfaction due to the rapid results.

Immediate rapid loading can be planned for individual dental implants, or even total dental implants, the so-called protocol prosthesis. Its feasibility should be assessed in consultation with the implant dentist.

When to load implants quickly:

Implants with this rapid loading technique can be used in the following cases:

For total implants (replacement of dentures with all teeth fixed)
Several teeth (usually teeth or tooth roots with periodontal disease, badly decayed teeth as well as old dentures)
For a single tooth (mainly in the anterior region)
Fixed prosthesis of some teeth (in selected cases)

The rapid loading technique can be indicated for a single tooth or for all teeth.

Indications for immediate rapid loading dental implants

The dental implant technique with immediate loading can be carried out when bone quantity and quality are normal and also when occlusal habits are favorable for the procedure to be carried out so as not to overload the site with chewing.

Therefore, the immediate loading technique depends on certain conditions of the patient’s dental arch and general oral health. The conditions, planning requirements and feasibility of the implant with immediate loading are assessed individually in consultation. Not all cases can be immediately loaded.

Therefore, the dental implant technique with immediate loading can be indicated for the following cases: people with a completely toothless lower arch, a full arch with a few teeth, single or individual teeth in the anterior region of the mouth, and in some cases fixed prostheses on a few teeth, depending on the region. In all cases and situations, the main course of action is to consult your dentist and carry out a full assessment to determine what and how will be done.

Only this assessment can determine whether an immediately loaded dental implant is indicated or whether another rehabilitation procedure would provide a better result. The technique is not always used in all cases, as it depends on the patient having some specific and favorable conditions that are assessed in consultation.

We must therefore plan your case carefully in order to achieve the expected success. The procedure aims to install a temporary prosthesis immediately after the implants have been placed. The time it takes to make the final prosthesis will be discussed with the dentist and varies from case to case.

Types of dental implants

If your concern is to complete your dental implant treatment as soon as possible, you can use fast-healing implants. The Swiss company Straumann is responsible for producing the most modern dental implants that allow rapid healing. Under ideal conditions, without bone grafting and good locking, these implants normally heal in between 1 and 2 months. So if your concern is time, opt for Straumann implants. These implants can be used for single implants or total implants.

In addition to titanium implants, there are also ceramic implants, an option for those who want a metal-free implant treatment.

Types of dentures

The type of dental crown or type of prosthesis to be used in your treatment should certainly also be evaluated, in order to shorten its execution time. If possible, opt for computerized crowns or prostheses. These modern prosthesis models use 3D tools that speed up the execution time and offer greater quality and naturalness. This includes the Translucent Zirconia Prosthesis, the single zirconia crown or the fixed zirconia prosthesis. As well as the Cerec porcelain crown.

At the ImplArt dental clinic, we have all the structure to carry out your procedure with peace of mind, so come in for an assessment and we’ll analyze whether your case can be solved with this technique. Contact us by WhatsApp (11) 3262-4750, we’ll be happy to talk to you and answer any questions you may have.

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