Periodontal disease is characterized by the formation of a space between the gum and the tooth, a periodontal pocket, which helps to accumulate food debris and bacteria. It is the main cause of tooth loss in adults. As in all cases, only a dentist can determine with certainty the patient’s condition and what treatment should be carried out.
Periodontal disease self-examination
But people can find out more quickly at home what their problem is. In the case of periodontal disease, the most characteristic sign is bleeding gums. In addition, changes in the position of the teeth, swollen gums, tooth mobility, receding gums, bad breath and food retention are signs that the disease may already be present.
Periodontal disease is caused by bacterial plaque adhering to the tooth. Bacterial activity in this area releases toxins that initially cause the gums to loosen, making room for infection inside. This infection leads to the progressive deterioration of the supporting tissues of the teeth and in advanced cases, they become soft and fall out.
However, changes in the gums can also be associated with emotional causes, medication or low immunity. That’s why it’s important to have a consultation to assess the causes.
Periodontal disease: how do I know if I have it?Periodontal disease: how do I know if I have it?Periodontal disease: how do I know if I have it?Signs of periodontal disease: severe bone loss, malocclusion, tilted teeth, tooth roots appearing (teeth look longer), receding gums, inflamed red gums, bleeding gums, soft teeth, falling teeth, infection, dark space between teeth (dental blackspace), bad breath.
Treatments for inflamed gums
For treatment, the patient must go to the dentist who will remove the plaque by scraping and smoothing the roots of the teeth. Surgery may be indicated if the aforementioned procedures do not reach the entire area of the compromised root. Even with proper treatment, there may be sequelae such as displacement in the position of the tooth, bone loss and gum recession. Surgical and prosthetic procedures are available to reduce these effects.
If you’re noticing any of these symptoms of periodontal disease, make sure you schedule an appointment to start proper treatment as soon as possible, and thus avoid more serious problems such as tooth loss.
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.
For provisional prostheses for total implants. The ImplArt dental clinic takes digital impressions with intraoral scanners (without mass).
Full Arch implants: 11 stages of treatmentFull Arch implants: 11 stages of treatmentFull Arch implants: 11 stages of treatmentFull Arch implants: 11 stages of treatmentFull Arch implants: 11 stages of treatmentFull Arch implants: 11 stages of treatmentFull Arch implants: 11 stages of treatmentFull Arch implants: 11 stages of treatmentFull Arch implants: 11 stages of treatment
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 thecomputerized 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.
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.
The first image shows the proof of the zirconia structure in the mouth, and the second shows the finished prosthesis with porcelainand a thin layer of artificial gum
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.
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.
Based in Basel, Switzerland, Straumann Implants is a world leader in implant dentistry and oral tissue regeneration. It offers innovative, fast-healing implant options, such as Slactive, which heals in 1 month. Or even ceramic implants, the only ones without metal in their composition.
Therefore, as well as offering safe dental implants, there are also some Straumann implant models with special purposes, such as those that avoid bone grafts, because they are narrower or shorter. Or those made of special materials that prevent allergies, such as zirconia implants.
It is this range of solutions, combined with extensive clinical and laboratory testing prior to launch, that makes Straumann implants the best option for patients who want to receive the best!
Find out why Straumann Implants is the world’s best reference
Straumann Swiss implants are considered the best dental implants in the world
In collaboration with leading clinics, research institutes and universities around the world, Straumann has been researching and developing dental implants, surgical instruments, prosthetic components and biomaterials for oral tissue regeneration since 1974.
Straumann’s products and services are available in more than 70 countries. This standard of excellence certainly allows dentists to offer their patients less traumatic, less invasive treatments with predictable long-term results, not only aesthetic but also functional.
Straumann implants are manufactured with three basic requirements: reliability, simplicity and versatility. The brand has an extensive range of implants with different sizes, diameters, angulation, material composition and surface technologies.
This considerably increases the chances of rehabilitation in various situations.
PURE Ceramic – white all-ceramic implants, especially suitable for the anterior region of the arch. It favors the aesthetic result of the treatment.
SLa and SLActive implants – implants with surface technology that favors and accelerates the osseointegration process. They can be used in immediate loading techniques.
Roxolid – implants made from Titanium + Zirconia. They have small dimensions and high strength, and are particularly suitable for patients who have little bone volume (they can be an alternative to bone grafting).
Morse ConeConnection – a locking system that promotes better stability of the tooth and prevents it from coming loose in the future.
The decision on which implant is best for your case will be made between you and your ImplArt dentist. The advantages and disadvantages of each implant system will be presented.
After analyzing the available options, the dentist will recommend the most suitable dental implant for your specific case. In addition, during the initial consultation, the details of the procedure will be discussed, including recovery time and the necessary post-operative care.
It is important to note that choosing the right dental implant is essential to guarantee a satisfactory long-term result. Each patient has unique characteristics, such as the amount of bone available and general oral health, which will be taken into account to determine the best implant option.
Straumann Implants are faster to heal
After the implant has been placed, it will be necessary to wait for a period of healing and integration with the bone before proceeding with the placement of the crown. This waiting time can vary according to individual circumstances and is usually around three to six months.
However, in some cases, it is possible to carry out the dental implant and crown placement procedure in a shorter period of time, such as one month. This accelerated method is known as immediate loading and allows the patient to obtain a complete smile in a reduced time.
Therefore, when considering a dental implant and crown, it is essential to seek out a specialized and experienced dentist who can advise on the best options available and provide a customized treatment to meet your individual needs.
If you have any questions, please contact us! The ImplArt dental clinic relies on all this technology to provide treatment for its patients. We are one of Straumann Implants’ largest clients in Brazil and have been accredited to use Straumann implants since 2002.
Dr. Roberto Markarian, implant dentist and scientific coordinator of ImplArt Clinic in Brazil, is also a member of the ITI – International Team for Implantology, an entity linked to Straumann Implants that brings together the world’s best specialists for the development of new products and techniques related to dental implants.
If you have any questions, please contact us or make an appointment.
Neodent is a Brazilian company that manufactures and develops products and solutions for dentistry, such as titanium dental implants and related components. It has just launched the modern Zi white ceramic implant, an option for those looking for metal-free treatment.
Know the different types of Neodent Implants
Headquartered in Curitiba and with 23 branches throughout Brazil, it has been in the market for over 28 years and is part of the Swiss Straumann Group, which consequently guarantees the quality, origin and high technology of its products.It has an extensive range of dental implants, designed to offer primary stability and thus meet different needs and bone densities, with the possibility of screwed or cemented prostheses. Implant lines:
Hydrophilic surfacetechnology that allows the implant to wick better. This phenomenon is primarily important for promoting the integration of the implant with the body. The decision on which implant is best for your case will be made between you and your ImplArt dentist. The advantages and disadvantages of each system will be presented, taking into account the needs of each patient. It’s important to know that there are different types of implants, each with its own characteristics and healing time. If you have any questions, please contact us!
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.
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.
The rapid loading technique can be indicated for a single tooth or for all teeth.
Indications for immediate rapid loading dental implants
The dental implanttechnique 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.
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.
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.
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.
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.
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.
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?
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!
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