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Will I lose my dentures during dental bone grafting?

Before answering this question, it is necessary to explain that there are different dental bone grafting techniques, each with its own complexity and extent. This directly influences the guidelines for the post-operative period and recovery time.

In most cases it is possible to use a prosthesis while the graft heals

Dental bone grafting to allow the placement of just one implant, where the patient has teeth to be used as support for the prosthesis, is not the same as block grafting to place several implants in a full arch, which is considered more complex.

However, in many cases, it is possible to attach a temporary resin prosthesis, which is suitable for helping the tooth graft recover and heal, as well as allowing the patient not to be without teeth for the duration of the treatment.

After the recovery period, the temporary prosthesis is replaced by a permanent prosthesis made from the material chosen jointly by the patient and the dentist (resin, metal-ceramic or fully esthetic zirconia).

Read about graftless implants

Types of tooth graft

Particulate Graft

Particulate grafting is used in small reconstructions, such as filling in a site where there has been bone loss or in the maxillary sinus lift technique. The biomaterials used in particulate bone grafting are implanted to replace or repair atrophied tissue.

They can be of natural origin (a small amount of crushed human bone from the patient themselves or from a tissue bank for transplants, or freeze-dried bovine bone powder).

genox_enxerto_osseo

The particulate graft can also be made of synthetic material produced in the laboratory, fully biocompatible with osteoconductive properties (attraction of bone tissue-forming cells) or synthetic vitreous materials (synthetic hydroxyapatite).

The particulate dental graft is deposited in situ and then covered with a collagen membrane. In favorable cases, the dental implant can be placed on the same day as the graft, followed by a temporary prosthesis.

Block Grafting

This technique is indicated for more extensive reconstructions. The block-shaped tooth graft can be taken from another part of the patient’s body. When only one block is needed, it can be taken from the mandible.

dental graft

When more blocks are needed, they can be taken from the pelvis or skullcap. None of the donor sites suffer from bone loss. The blocks are fixed in the jawbone with titanium screws and will thus allow more dental implants to be placed.

The possibility of using a prosthesis in this type of graft is therefore assessed on a case-by-case basis. The ImplArtDental Clinic has extensive experience in dental bone grafting techniques.

If you have any questions, please contact us or book an appointment.

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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

Computer-guided implant surgery

Computer-guided implant surgery is certainly a technique that makes implant surgeries less invasive, precise and comfortable. Currently, the most modern materials are zirconia protocols and porcelain protocols on total implants.

Full arch implant with zirconia and porcelain prosthesis

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

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.

CT makes it possible to analyze the bone volume of all regions of the maxilla and mandible in order to select the best distribution of implants. In this way, it is also possible to choose the most suitable implants, taking length and diameter into account.

Another advantage of computer-guided implant surgery is that it helps to avoid surgical accidents, such as hitting delicate structures like nerve pathways.

GUIA CIRÚRGICO
Photo of a surgical guide for guided implant surgery

The patient can leave the office with temporary teeth or with the mobile prosthesis they were already wearing over the implants until the definitive prosthesis is finished (in 3 to 6 months), or with an immediate load in up to 72 hours.

Immediate loading ranges from the guided implant surgery for placing the implants to the fixing of the fixed dental prosthesis, usually of the dental protocol type. The patient can quickly speak, smile and eat safely (the masticatory effort should progress little by little, according to the surgeon’s instructions).

Learn more about total implants

Indications for a computer-guided implant surgery:

  • Any completely edentulous patient, whether recent or having worndentures for years, who has good bone availability is likely to be a good candidate for this technique.
  • Diabetic and/or hypertensive patients who generally have no indication for surgery or when it should be performed with caution due to bleeding. Computer-guided total implant placement surgery is, in principle, an excellent option for this patient, as bleeding is less with this technique.

See also this moving testimonial from a patient who had her whole mouth implanted.

Contraindications to guided surgery:

– Very advanced bone atrophy makes it impossible, in principle, to place neodent dental implants. In some cases, this problem can be solved with another technique, bone grafting.

The entire procedure is carried out with great peace of mind and safety. Computer-guided implant surgery represents a major advance in dental surgery and our team at the ImplArt dental clinic, led by Dr. Roberto Markarian – a doctor in dental implants and a specialist in prosthetics – has full command of the techniques.

To find out if you could benefit from this technique, our team needs to carry out a thorough assessment of your case. Contact us and make an appointment at the ImplArt dental clinic to see other cases and photographs. We will be happy to try to solve your problem.

Specialist dental clinic – Dental implants

A dental implant is a titanium or all-ceramic pin, in the case of Straumann‘s ceramic implant, which is surgically placed in the bone and has the function of replacing the root of a lost tooth. A fixed prosthesis is installed over the dental implant, which has the function and appearance of a tooth. It is a modern, simple treatment that aims to bring comfort to the patient.

The Implart Dental Clinic is a dental clinic specializing in dental implants, and therefore has the most modern options for those who need oral rehabilitation.

There are currently several types of fixed prosthesis on implants, including modern 3D computerized pure Zirconia crowns and Cerec porcelain, to be installed on dental implants. In this way, they use innovative computerized resources with 3D intraoral scanners and milling machines to create more precise and aesthetically natural prostheses.

Quality of life and self-esteem back with dental implants

What is a dental implant?

Treatment with dental implants aims to restore masticatory function as well as the aesthetics of the smile, which certainly gives people back their quality of life and self-esteem. After the dental implant is placed, its surface interacts with the bone, a phenomenon called osseointegration.

In short, it is responsible for the stability of fixed dental prostheses, offering the wearer security and comfort when chewing, speaking and smiling. This experience is completely different from using a mobile prosthesis, the so-called dentures, which for example can cause discomfort, move around and even hurt.

Dental implants: who can have them?

In principle, dental implants are indicated for almost all people who suffer from the absence of one, some or all of the teeth in an arch. Each person is assessed individually to determine the most suitable treatment.

The good news is that the ImplArt Dental Clinic, as an implant clinic, has the expertise and knowledge of the most modern surgical techniques to deal with almost all situations of missing teeth, even in people who have little bone volume. For these cases, there are short implants from the Swiss brand Straumann.

The new Standard Plus Short (SPS) implants from Straumann Implantes are the shortest pins available on the market (they are only 4mm long) and are indicated for patients who, for whatever reason, find themselves with limited bone availability.

Single implant, partial implant or total implant

A single tooth implant is used to replace a tooth that has been lost, usually due to an accident, root fracture, unsuccessful root canal treatment or decay. This tooth can almost always be replaced quickly using the immediate loading technique.

It is recommended that this tooth replacement be done as soon as possible to prevent bone loss, as losing a tooth and not having a dental implant can lead to bone loss and the movement of neighboring teeth, which can be aggravated by the absence of a tooth .

Advantages of single tooth implants:

  • Neighboring teeth remain intact
  • The new crown is attached directly to the dental implant, which makes it possible to floss like a natural tooth
  • Excellent aesthetic and functional results
  • Ease of treatment, as the prosthetic components are prefabricated
  • Unaffected by caries and infiltration
  • It is possible to place a temporary crown immediately after implant placement (immediate loading)
  • The installation of the implant prevents or stops bone resorption.

Losing multiple teeth can affect your ability to chew, as well as the beauty of your smile. The best option for replacing several teeth is undoubtedly to have dental implants fitted and a dental prosthesis fixed.

Partial implants are recommended for people who have lost some of their teeth. This treatment is a much more efficient alternative to a conventional bridge, as it offers better aesthetic results (there are no metal staples) and prevents bone resorption.

Total implants are recommended for people who have lost all their teeth. The loss is usually due to periodontal disease and inadequate oral hygiene. The implants are strategically distributed throughout the dental arch – ImplArt carries out the computerized planning of the guided total implant surgery.

The total implant treatment is able to bring the patient the incredible sensation of chewing and speaking safely and comfortably, as a fixed prosthesis that doesn’t move or hurt. The prosthesis will typically have a layer of artificial gum, but there are cases where the prosthesis can be made without the gum.

The presence or absence of gingiva in the prosthesis depends on various factors such as the resulting final aesthetics, bone and gum loss in the area, technical feasibility and dentist/patient preference.

Immediate loading – Rapid loading for implants

Due to scientific advances, it is now possible, in selected cases, to enter the office without teeth and leave at the end of the day with all your teeth fixed on dental implants (temporary prosthesis).

This technology, known as immediate loading, provides patients with great satisfaction due to its rapid results. In principle, immediately loaded implants can be used in the following cases:

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. These conditions are assessed individually during a consultation.

Fixed implant prosthesis – types of materials

Implant treatment is the main form of aesthetic and functional rehabilitation for patients who have lost their teeth. The absence of one or more teeth compromises chewing, speech and the aesthetics of the smile, so a fixed prosthesis on implants is capable of restoring security and self-esteem to the edentulous person.

Rehabilitation basically goes through 3 relevant phases: the placement of dental implants, the healing phase (in which the patient uses a temporary prosthesis) and the finalization with the fixing of a definitive prosthesis on implants. We have a variety of materials that can be used to make a dental prosthesis:

dental graft
Specialist dental clinic - Dental implants

Pure porcelain dentures (metal free)

It is an opaque white ceramic structure called zirconia, covered with an aesthetic porcelain sculpted to the shape of the teeth. It is a new and technologically innovative material, as the prosthesis is completely designed on a computer and made with the help of electronic scanners and 3D printers.

It is the material that offers the best aesthetic results because it does not contain metals. Porcelain has very similar characteristics to natural teeth, including shade, translucency and strength.

metal ceramic total prosthesis for dental implants

Metal-ceramic dentures (porcelain + metal)

This is a prosthesis with an internal metal structure (titanium, Ni-Cr or Cr-Co) and an aesthetic porcelain finish that is hand-sculpted in the shape of the teeth. Its advantage is the resistance and aesthetics of the porcelain, which leaves the prosthesis with an aesthetic and beauty similar to natural teeth.

It has a small disadvantage compared to pure porcelain prostheses, which is the possibility of a grayish line appearing at the level of the gums, if the patient suffers some gum recession over time, which can lead to an aesthetic compromise in the smile.

However, it has advantages over resin prostheses, such as better durability and resistance to wear, as well as no color changes over time.

dental graft

Acrylic Resin (resin + metal)

Also known as the Bränemark protocol prosthesis, this model has an internal metal structure and an aesthetic resin finish. The teeth are made of resin and you can choose the color, shape and size of the teeth.

This material has one disadvantage compared to the previous ones, which is the possibility of color change (yellowing) over time. The choice of prosthesis material should be made jointly by the dentist and patient. Watch the video on prosthetic materials for dental implants:

YouTube video player

Do dental implants hurt?

The dental implant procedure is easier than you might think! Advances in techniques mean that dental implant surgery today is less invasive, avoiding excess tissue damage, pain and discomfort.

During the surgery, the patient feels no pain because it is performed under local anesthesia. In addition, ImplArt uses techniques that reduce discomfort during surgery and make the recovery period more peaceful.

One of the techniques is that ImplArt Odontologia performs computer-guided dental implant surgery. This avoids unnecessary cuts and damage to bone and gum tissue, even with full arch all on 4 implants.

ImplArt also uses Piezosurgery surgical ultrasound, which cuts through hard tissues such as bone and preserves soft tissues such as gums, nerves, membranes and blood vessels.

This system allows the surgeon greater surgical precision and better visibility during surgery.

Read about fractured teeth may need urgent replacement with dental implants

Learn more about prostheses, implants and treatments for the elderly

Price and value of dental implant treatments and dental aesthetics │ Dental implant average price

We often receive calls, emails and messages from people asking about the price and value of dental implants and dental treatment . We always try to explain that these questions can only be answered through a dental consultation.

In short, there are three main reasons for this: the first is that the Code of Ethics of the Federal Council of Dentistry prohibits dentists from carrying out consultations in person. The second is that dental treatments can only be indicated after a careful assessment of the patient.

The good news is that for those who live far away, abroad or in other states, there is the option of a preliminary online consultation.

There are numerous factors that influence the planning of a treatment. There are also various options for materials and techniques that influence the composition of a budget. In addition, a treatment that may be suitable for one person may not be the most appropriate for another.

The third is the importance of being assessed by a professional dentist. Often patients think they have a dental problem and believe that a particular treatment may be the most appropriate, but in reality it may be something else.

The dentist is the professional qualified to look at oral health in general, as well as giving the necessary recommendations to keep teeth beautiful and healthy throughout life. The qualified implant dentist is also able to recognize, in most cases, the types of dental implants that exist by evaluating the panoramic radiograph.

We at ImplArt believe that dental treatment goes far beyond a simple monetary value.

There are important factors that influence a cost-benefit ratio, such as the health and well-being that healthy teeth provide, improved self-esteem, patient comfort during procedures, the relationship of trust between patient and dentist, and our empathy for the patient, who often brings with them anxieties, expectations, fears and even trauma from previous experiences. What do you think your smile is worth?

Is there a charge for the first consultation?

Yes, we charge for the first consultation. The patient will be assessed by the director of the dental clinic, Dr. Roberto Markarian, who has extensive experience in treatments for functional and aesthetic oral rehabilitation, with dental implants and dental prostheses.

If necessary, the patient may be asked to undergo some radiological examinations to help with diagnosis and treatment planning.

For your convenience, some of the main dental exams can be carried out in the clinic (at a separate cost). If you already have previous exams, please bring all recent ones (up to 1 year old) to your appointment, as they will be of great help.

My dentist doesn’t charge, why do you?

We follow the rules of the CRO, the Regional Council of Dentistry, which specifies that dental services cannot be free, in the same way as medical consultations. The culture in dentistry is changing and the number of dentists who charge for consultations is growing.

The dentist who will be attending you has studied at university and takes frequent postgraduate courses , so their time is valuable, just as it is in other health professions.

Do you accept any dental plans?

At the moment we do not accept dental insurance or any type of plan. Most dental plans don’t offer cover for dental prosthesis, implants or aesthetic procedures, which are precisely the focus of our clinic.

We only accept plans for the reimbursement system or free choice. There are companies that offer their employees this system, in which they will later receive the amounts paid. There is some bureaucracy involved, but we can help.

Dr. Roberto Markarian – Specialist in dental implants

Dr. Roberto Markarian is the creator and clinical director of ImplArt Odontologia, one of the main centers of technology in aesthetic oral rehabilitation and implantology in Brazil.

He holds a doctorate in implant dentistry, a master’s degree in dental prosthetics, two specializations in dental implants and dental prosthetics, as well as several training courses in the field of dentistry, both in Brazil and abroad.

He is a member of the ITI – International Team for Implantology, an organization linked to Straumann that brings together the world’s best specialists for the development of new products and techniques. Learn more about Dr. Markarian‘s academic career and technical scientific knowledge.

Run by implant dentist Dr. Roberto Markarian, the ImplArt Clinic in São Paulo specializes in dental implants.

ImplArt is one of the clinics most aligned with the latest scientific research and development of new dental implant solutions. For this reason, it has been voted the best dental clinic in Brazil, a position guaranteed above all by its expertise in Digital Dentistry, Modern Structure and Patient Satisfaction.

Above all, we treat the issue seriously, because we understand that missing teeth are one of the situations that most affect a person’s self-esteem and quality of life. Our humanized care, understanding the needs of each patient, is extremely gratifying when we see the patient’s happiness with the results achieved.

We are located in the heart of the city of São Paulo, in the Avenida Paulista area, with easy access and a wide range of shops and services for those who come from abroad or from other cities and wish to carry out their intensive Day Clinic treatment.

Dr. Roberto Markarian, clinical director of ImplArt, a dental clinic, is a specialist in implants ( implantodontist ) and dental prostheses. He constantly seeks to update and improve his knowledge, taking part in the main congresses and courses in the field with the aim of aligning the technological apparatus of the ImplArt Dental Clinic with the most advanced research in the field of dentistry in the world.

⭐️Guiados by our clinical director, Dr. Roberto Markarian, and made up of a great team of specialist dentists, technicians and receptionists with a passion for what they do, we are dedicated to improving the quality of life of our patients. We are driven by the satisfaction of seeing patients happy.