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Types of dental crowns: here are the 5 main models

Many patients have doubts about the types of dental crowns that exist and their differences. This article has been prepared to educate you. This way, you’ll know the characteristics of all the types of dental crowns available here at the ImplArt Dental Clinic, located at São Paulo-Brazil, always knowing that the most up-to-date technology in the world is here!

Did you know that there are different types of dental crowns?

They differ from the point of view of execution, whether computerized or traditional, as well as the aesthetic refinement they achieve. They can be used both on dental implants and on tooth roots. Some are made using exclusively digital molding, while others still use the old mass molding.

A good indication for people who need to rebuild their teeth and make their aesthetics uniform are porcelain dental crowns or zirconia crowns, which restore the natural appearance and make the smile complete.

Follow us in this article to learn how to differentiate between the types of crowns and choose the one that best suits what you’re looking for as a final result.

What are dental crowns for and what are their types and indications?

The purpose of a dental crown is above all to restore the shape and functionality of the tooth. In short, it is a prosthetic piece (artificial tooth) with the shape and function of a natural tooth. There are a few types of dental crowns that can be selected for your treatment.

The choice of material will depend on a conversation between the dental specialist (prosthodontist) and the patient, which mainly aims to clarify the purpose of the dental crown (aesthetics vs. strength), and the expected durability (temporary vs. permanent).

Dental crowns can be placed on tooth roots with or without a treated root canal, and can also be made for dental implants. Dental crowns can be individual or, if the space is large, crowns can be joined with pontics (suspended teeth), thus creating a fixed dental prosthesis.

In which cases might I need porcelain dental crowns?

Other indications for dental crowns include:

Protecting a tooth weakened by fractures
Restoring a damaged tooth
Part of other larger dental prostheses
Restoring a dental implant,
Recovering a badly stained or deformed tooth
Recovering a tooth with root canal treatment

What are the types of materials for porcelain dental crowns and what are their differences?

In the past there were other types of dental crowns that we now consider outdated, such as all-metal crowns, gold crowns, resin veneer crowns or porcelain veneer crowns with metal, as well as procera crowns, alumina crowns, inceram crowns, empress crowns, pivots and jackets.

We will therefore present the 4 most modern materials with which we currently make dental crowns in our clinic. In other words, we classify Pure Zirconia as the most modern, followed by Pure Porcelain, both made using computerized systems. In second place are the handmade crowns, called applied zirconia and metal-ceramic.

Types of dental crown and their technical differences. All these types of dental crowns are available at our dental clinic and laboratory. * The technical name refers to the type of porcelain used in the dental crown. ** The strength of porcelain crowns is measured according to the ISO technical standard for flexural strength, measured in MPa. Estimate of aesthetics and durability express the opinion of the author of this article. In the case of MC and ZC crowns, the strength of the structure is high, around 1000 MPa, but problems occur because the thin layer of more fragile porcelain stands out.

Classification of different types of crown based on manufacturing technique:

Below you’ll find different types of dental crowns, classified according to the material they’re made from and how they’re made.

Dental crowns made using computerized techniques and artificial intelligence:

3D Zirconia dental crown – computerized solid translucent zirconia
EMAX 3D Pure Porcelain Crown – computerized solid lithium disilicate

Porcelain crowns made using conventional handcrafted techniques:

Metal-porcelain crown (metal-ceramic) – This has a thin layer of metal and the porcelain is applied by hand.
Zirconia-porcelain crowns (applied zirconia) – These have a thin layer of zirconia reinforcement and the porcelain layer is applied by hand.

Crowns in new composite materials, which are computerized but not pure porcelain:

3D Printed Crown (Computerized Resin) – Material containing resin+porcelain
Resin-milled crown – PMMA made by 3D milling machine

These new composite materials have lower strength than traditional porcelain crowns. However, they look good and can be used in some cases as long-term provisionals or even as permanent crowns.

coroa de porcelana feita em impressora 3d , dental crowns — Dental crowns made by 3D printing of composite materials, resins with a quantity of porcelain reinforcement in the composition. Our in-house dental laboratory is capable of producing such work with great speed and quality.

The porcelain crown remains the best material and can be made using different techniques

Please note that the term porcelain crown is a generic term but can have subtypes. The correct selection of the crown material has a major impact on the final result, how it is made and even on the budget
Learn more about the types of dental crowns and choose the best one for you

For example, we have the modern 3D Zirconia dental crown, which is made using modern computerized planning resources and 3D milling machines. In addition to this crown, there is the EMAX Pure Porcelain Crown. Both crowns provide excellent aesthetic resultsin short periods of time. This allows the patient to enjoy the results achieved more quickly.

Dental materials differ in the way they are prepared clinically and in the laboratory, as well as in their aesthetic results and degrees of resistance.

Porcelain + metal dental crown (metal ceramic is porcelain applied by hand to metal) – MC

Porcelain applied over metal (metal-ceramic) is an old technique for making dental crowns, and it’s also the one that ends up having the lowest final value for the patient and the lowest manufacturing cost for the dentist (see photos of the MC crown). Even though they are not as aesthetic as porcelain crowns without metal, metal-ceramic crowns are still used to restore teeth in the back of the mouth.

All metal-ceramic crowns have a structural underlying metal layer and then the porcelain/ceramic on top of it. The metal structure is thin, strong and fits perfectly on the prepared teeth. A layer of porcelain is applied over the metal structure (called a coping). The porcelain layer is 1.5 mm to 2 mm thick, depending on the area of your tooth.

The porcelain layer is resistant, withstands chewing forces very well and resembles natural teeth. However, metal-free porcelain crowns are the most widely used today, as they easily match the color of adjacent teeth better than metal-ceramic crowns. Metal-ceramic crowns are more opaque and not as natural-looking as today’s best dental crowns.

In some cases, porcelain on metal wears, chips, cracks or breaks over time, exposing the metal and making the work unsightly and non-functional. In addition, in cases of gum recession, dark lines may appear near the gums or parts of the metal.

Because of these limitations, metal-ceramic crowns are more suitable for back teeth and should not be used on front teeth. Other disadvantages of metal-ceramic crowns include the possibility of causing allergies and gum irritation.

Zirconia + porcelain dental crowns (zirconia with hand-applied ceramic) – ZC

A zirconia crown with porcelain applied is similar to a metal-ceramic crown in the way it is made. A crown with a zirconia structure also has 2 layers, but instead of metal, we have dental zirconia, a very resistant white material. You can see the two layers of material in the dental crown in the photo below.

Zirconia is considered to be an artificial diamond and is as resistant as a metal. In fact, dental zirconia has properties similar to metals, with the advantage of being white and therefore more aesthetic. The composition of zirconia crowns + applied porcelain does not include metal, improving the aesthetic results.

The zirconia dental crown with porcelain is also suitable for replacing a large restoration when the tooth structure has deteriorated.

Type of Dental Crown	Materials	Indications	Main Features
Emax Computerized Porcelain Crown	Lithium disilicate	Anterior and Posterior Teeth	Superior aesthetics, similar to the natural color of the teeth – Fast preparation
Porcelain crown with metal base (Metaloceramic)	Porcelain, Metal	Posterior Teeth	Functional and sturdy but poor aesthetics – Slow to produce
Zirconia crown with ceramic application	Ceramic, Zirconia	Anterior and Posterior Teeth	High resistance, aesthetics and biocompatibility – Slow production
Translucent 3D Pure Zirconia Crown	Zirconia	Anterior and Posterior Teeth	High resistance, aesthetics and biocompatibility – Rapid production
Resin crown	Acrylic resin	Anterior Teeth	More economical alternative, but less resistant than other materials.
Metal crown	Metal (Precious Metal Alloy/Gold)	Posterior Teeth	Good resistance, especially in areas of high masticatory load. poor aesthetics.
Temporary crown	Acrylic or Temporary Resin	Provisional phase before Permanent	Temporary use during treatment or until the permanent crown is made.

This table provides an overview of the different types of dental crowns, including the materials used, clinical indications and the main characteristics associated with each type. Remember that the choices between these types of crowns may vary depending on the specific needs of each patient

CAD-CAM pure porcelain dental crown (Emax – lithium disilicate) – P

Pure porcelain crowns – the EMAX system – are made using the CAD-CAM (Computer Assisted Design) technique for the computerized production of special porcelain crowns and restorations. They are therefore highly translucent and resistant. Their long-lasting and highly aesthetic results enable excellent results to be achieved quickly. These are the main properties of an Emax crown, which make them one of the best options for restoring front teeth.

Emax all-ceramic dental prostheses and crowns are rapidly gaining popularity in aesthetic dentistry due to their excellent aesthetics, durability and strength. The Emax system is mainly suitable for the fabrication of crowns and dental contact lenses in the anterior region. After preparing the final tooth shape, a digital mold of your teeth will be made with an intraoral camera.

This mold is then transmitted via the internet to the computer in our dental laboratory, which controls the design and milling procedure. The color of the dental crown needs to be chosen in advance to resemble natural teeth. With the design approved, a milling machine cuts the monolithic block of lithium disilicate to produce the required shape of the prosthesis, already with the right color.

As the crown is made from a single block of material and has a single layer, we can call it a monolithic crown. The dentist then tests the fit of the crown to the tooth, makes any necessary adjustments and fixes it to the tooth with a special adhesive.

CAD-CAM (translucent cubic zirconia ) pure zirconia dental crown – ZP

Crowns made from cubic zirconia are becoming increasingly common and offer a number of advantages. They are made using CADCAM computerized methods, from the digital mould to manufacturing.

The power of pure zirconia

First andforemost, one of the greatest advantages of pure zirconia for dental crowns is its strength and durability. Imagine how much force your back teeth exert on the food you chew. Your crowns need to be made of a strong material , so translucent pure zirconia can be a good option for crowns at the back of the mouth. In addition, they show little wear, which can be interesting for patients with bruxism, as it doesn’t allow for the destruction of the tooth that bruxism often causes.

Durability of dental cubic zirconia

Dental zirconia-based crowns have performed just as well over 5 years as metal-based crowns, according to a scientific study. Those made of zirconia, called monolithic zirconia crowns, are especially durable.

All the porcelain crowns described can be made for cemented or screw-retained dental prostheses on dental implants.

Biocompatibility of dental zirconias

Zirconia is the choice of many dentists because of its biocompatibility, which means that the body is less likely to provoke a reaction or immune response such as inflammation. Zirconia is such a biocompatible material that there are white zirconia dental implants. There is a current today of more natural biological dentistry, which advocates the use of more biocompatible and metal-free materials, and the pure zirconia dental crown fits the bill perfectly. It is therefore important for you to know that there is currently the possibility of carrying out a ceramic dental implant treatment, without metal, and combining it with a Pure Zirconia or Pure Porcelain dental crown, thus obtaining a metal-free treatment!

Discover our complete structure – in the Avenida Paulista area/ Downtown São Paulo-Brazil

Here at the ImplArt Dental Clinic, all prostheses, crowns and restorations are made in our own prosthetics laboratory using computerized systems. With computerized dental crowns, which can be used in any area of the mouth, the appearance, shape and alignment of the teeth are improved, as well as their strength, which also benefits.

If you have any questions, please contact us, visit our photo gallery or book an appointment with our team📲WhatsApp(11) 3262-4750. We’d be delighted to hear from you!

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Learn all about the types of dental crowns – read the main topics

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 one of the leading specialists in dental implants and computerized prostheses in Brazil, with more than 10,000 implants performed. In addition to his vast clinical experience, he is a renowned researcher, contributing to dentistry with publications in international scientific journals. At the ImplArt Clinic, Dr. Roberto applies high technology to all his treatments, offering patients innovative solutions and superior quality.

Dr. Roberto Markarian implant dentist — Types of dental crowns: here are the 5 main models

Periodontal disease – causes

Periodontal disease is a set of inflammatory manifestations caused by bacteria that affect the supporting tissues of the teeth, which in advanced cases leads to tooth loss. Periodontal disease is the main cause of tooth loss in adults. Bacterial action in these structures begins with the accumulation of plaque on the tooth surface.

Why gum disease occurs

The accumulation of bacterial plaque occurs mainly due to poor oral hygiene, poorly performed or hampered by the shape of the teeth (crooked teeth or teeth that are too close together) and long periods without visits to the dentist’s office for preventive treatment.

In early cases, the toxins released by the bacteria inflame the gums, which then become red, swollen and bleed easily. In moderate cases, the gums lose their attachment and form pockets, called periodontal pockets.

This condition is very worrying because when the gums lose their adherence it opens a door for bacterial activity below the gum line, meaning that tartar can build up on the surface of the tooth root and inflammation of the bone tissue and all the supporting structures of the teeth can occur.

Without proper control, inflammation leads to gradual bone loss and teeth become soft, fall out or need to be extracted. Look at your teeth and gums: some conditions can be signs of periodontal disease:

Plaque and tartar adhered to the teeth, mainly on the line between the gums and teeth. Plaque is colorless and viscous. Tartar is when the accumulated plaque calcifies and is yellowish or whitish in color;
Gums that are swollen, red or bleed easily when brushing, flossing or involuntarily;
Retracted gums, sagging or separated from the tooth;
Tooth sensitivity;
Part of the tooth root exposed;
Changes in the position or mobility of the teeth;
Tooth loss;

periodontal disease bone loss — Periodontal disease - causes

periodontal disease space between teeth dental blackspace tilted teeth bone loss and gum recession — Periodontal disease - causes

Periodontal disease: causes

Accumulation of plaque and tartar

Plaque is a viscous, transparent film that forms on the teeth near the gum line. The toxins released by the bacteria inflame and irritate the gums, which can turn red and bleed. Tartar is when this plaque becomes hardened (yellowish or whitish calculus) and can only be removed by a professional. When the gum becomes loose, it exposes the root and calculus can build up in this area. Bacterial activity in this area leads to the gradual deterioration of the bone around the tooth.

Medicines

Some medications can interfere with oral health and favor the onset of periodontal disease or make it difficult to cure. The main classes of these drugs are: contraceptives, antidepressants, anticonvulsants, antihypertensives, some used to treat cardiovascular problems and drugs to prevent organ rejection in transplant patients. It is important that patients inform their dentist of any medication they are taking.

Low immunity

Patients in this condition, in most cases as a result of AIDS or chemotherapy, find it more difficult to respond to infectious processes and are more susceptible to the progression of periodontal disease.

Diabetes

Diabetes can cause difficulty in healing, changes in blood circulation and a drop in immunity. Diabetics are more likely to suffer from periodontal disease than non-diabetics.

Bad habits and functional conditions

Smoking –smoking reduces vascularization and consequently oxygenation of the cells. This makes it difficult for the body to respond to any infection. It also hinders healing processes and reduces salivation (which is essential for removing and fighting bacteria on the teeth). Read more about the harmful effects of smoking on oral health.
Poor nutrition – a lack of intake of various nutrients, such as vitamin C, can reduce immune resistance and promote oral infections.
Poor oral hygiene – proper brushing is the best way to remove food residue that may stick to the teeth and gums. The accumulation of this waste serves as “food” for bacteria. In addition to brushing properly, flossing and antiseptic rinses are recommended.
Failing to visit the dental practice regularly – visits are essential for identifying problems at an early stage and for carrying out prophylactic professional cleanings.
Bruxism – the habit of grinding and clenching teeth can accelerate the process of destruction of bone and gum structures with active periodontal disease. Read more about treating and controlling bruxism.
Malocclusion and crooked teeth – conditions that can encourage food residue to accumulate on the teeth and make it difficult to remove.

Emotional causes

Stress – Stressed individuals may have an altered immune response to infectious conditions. Tension can also encourage bruxism.

Genetic factors

There are people who are genetically predisposed to periodontal disease, even if they maintain good oral hygiene habits and visit the dentist regularly. A test can be carried out to find the genetic marker that influences periodontal disease.

Hormonal factors

Pregnancy – During pregnancy there are intense hormonal changes and the woman’s body can be slow to respond to infectious conditions. In addition, there are studies that show that periodontal disease can influence premature birth.
Puberty and menopause – As with pregnancy, puberty and menopause are phases of intense hormonal changes that can certainly make the body more susceptible to infections.

How can periodontal disease be prevented?

Maintain proper and regular oral hygiene. Spend more time brushing. Don’t forget the inside. People tend not to brush the less visible areas of their teeth properly and it is precisely in these areas that plaque and tartar can build up;
Visit the dentist regularly for professional prophylactic cleaning (scraping off plaque and smoothing the tooth surface);
Avoid excessive consumption of sugar and refined foods (the bacteria present in plaque feed on these sugars).

Even if you don’t notice these signs, regular visits to the dentist should not be abandoned. A professional eye can identify problems in time to treat them. Preventive care is certainly very important. They prevent problems in the future and can save you time and money.

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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:

Immediate loading for total implants (replacement of dentures with all teeth fixed)
Immediate loading for several teeth (usually teeth or tooth roots with periodontal disease, badly decayed teeth or old dentures)
Or immediate loading for a single tooth (mainly in the anterior region)

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:

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.

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:

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.

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What is important in a dental implant clinic?

5 Biggest Risks for Dental Implants

Are there any risks for dental implants? We’ll find out about 5 of them in this article. Dental implants are a more up-to-date, modern and low-risk alternative for tooth replacement than a fixed prosthesis on teeth or a removable prosthesis, the old dentures.

The technique for inserting dental implants is very safe, with an estimated 92% chance of success in non-smoking patients with good health and healthy habits. There are several types of dental implants available today, the most modern of which is the metal-free ceramic implant, an excellent option for those looking for metal-free implant treatment.

The single tooth implant, or total dental implant, is used to replace the root of one or more missing teeth and will serve as a support for an artificial tooth called adental prosthesis or dental crown.

Know more about the risks and dangers of dental implants

Crucial to the success of the procedure is the thorough planning of the implant surgery and the choice of specialist professionals who are qualified to carry out the dental implant surgery. This increases the chance of success of this important treatment, and therefore the chances of any complications are minimal.

So rest assured that you can enjoy all the benefits that this rehabilitative and safe treatment offers patients. The implant-supported prosthesis is made to resemble the person’s other natural teeth and also offer similar chewing strength.

Oral rehabilitation with dental implants is usually the best option for re-establishing the patient’s aesthetic and chewing functions, a treatment called total dental implantation.

But in very few cases, there can be some risks with dental implants. Here are the 5 main risks of dental implants:

1 – Risk of implant breakage

Patients who grind or clench their teeth (bruxism) can exert a lot of force on the implants, with an increased chance of breakage or fracture of the implants or the parts that make up the implant prostheses.

Patients who bruxism also increase the risk of loosening the screws that fix the implant crown. When this happens, the patient reports that the implant is “soft”. However, we mustn’t confuse the prosthesis becoming loose with the implant pin coming loose from the bone (which is much more serious).

Most commonly, when the problem is just the loose implant tooth, the patient feels no pain, while when the implant is lost there is always pain. If the implant fractures or comes loose from the bone, it must be replaced, starting the dental implant process all over again.

Check complete PODCAST about 5 biggest risks for dental implants:

Is it the dentist’s fault that my implant fractured?

There are several factors to consider, some of which would be the material of the prosthesis, the number and positioning of the implants, correct surgical technique, material of the dental implant, type of prosthetic components chosen, type of prosthetic connection chosen.

Assuming that the professionals are working to do their best, it’s rare that there will be any negligence in this regard. What really counts is the willingness of the patient and the professional to start again, perhaps trying to improve or perfect one of the strategies.

riscos do implante dentário — Apresentação das partes do implante dentário: implante (no osso), pilar + coroa dental (dente artificial)

2 – Inflammation in implants and risks

Inflammation can occur in a dental implant, manifesting itself as pain, swelling, pain when chewing, bleeding, and even the formation of pus in the implant. Please note that in any area of medicine where an artificial part is used inside the human body, there can be an adverse reaction of rejection.

This rejection phenomenon can occur in relation to the dental implant or an associated material such as a bone graft or a protective membrane. Bacterial infection can also occur in the implants, which can even prevent bone integration.

one of the risks of dental implants is peri implantitis — The implant on the left in the image has inflammatory bone loss, while the implant on the right has a normal bone level

That’s why all treatments at ImplArt begin with a thorough oral cleaning, as well as the removal of any infectious diseases such as cavities and periodontal disease. The patient will only have implant surgery if their mouth is clean and their oral health is good.

This is possible even if the patient doesn’t have all their teeth yet. When the prostheses on implants are finished, we teach the patient how to properly clean the dental implant. This correct hygiene is very important and certainly contributes to the chances of success of the dental implant.

3 – Risk of facial nerve damage

If the surgery is not well planned, with the use of CT scans and other imaging tests for mapping, damage to the jaw nerve can occur during dental implant surgery. In the area at the back of the mouth in the lower arch, there is a nerve that can be very superficial, especially if the patient has been without teeth for many years.

In patients with advanced periodontal disease, bone loss can also put the nerve at risk due to its proximity. To reduce the risk of nerve damage and paresthesia, the implant dentist will carry out imaging tests. The most commonly requested exam is a panoramic X-ray, but a cone beam CT scan helps to measure the bone and plan the implant.

Computer-guided surgery – reducing risks

To minimize the risks even further, we can perform computer-guided partial or total implant surgery, which offers little invasiveness and allows for perfect positioning of the dental implant, with no room for error.

Crooked or poorly positioned implants can have poor bone integration or even rejection. It is not in all cases that we are able to recover the patient from oral nerve damage or poorly placed implants.

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Depending on the severity of the problem, an injury to the jaw nerve can lead to sequelae such as numbness in the jaw or loss of sensation in the tongue or to the sensation of tastes (gustation).

At the ImplArt dental clinic, 100% of cases are operated on with a CT scan, which can be done in our own radiology center.

4 – Risks in the bone around the implants

Bone loss can occur in an implant that has suffered infection while healing in the bone. In addition, in cases where immediate loading is carried out, i.e. a temporary or permanent tooth is placed in position immediately after surgery, there is a greater risk of bone and implant loss.

This is because the newly placed dental implant does not yet have a mature attachment to the bone and needs to rely exclusively on its mechanical locking into the bone in order to fix itself. Most of the time, if the indication and technique are correct, immediate loading works well.

But in cases of immediate failure, the consequences can be serious, for example leading to major bone loss in the area. There are more advanced dental implant models that have improvements to the fit of the tooth and also in the chemistry of the surface so that healing in the bone occurs faster and more efficiently.

Today we have dental implants that allow you to have a permanent tooth in 1 month! Get to know the dental implant models with the best advances, such as Straumann implants, Neodent cone-morse implants (national), SIN implants (national).

dental implant risks — *Implant shapes and models have to do with clinical indications*

5 – Increase in risk factors – patient health and habits

There are risks to the success of implant treatment that don’t depend on the professional or the materials used, but on patient factors. Failure to clean the teeth,smoking and diabetes increase the chance of problems with the dental implant.

In this article, we only discuss the RISKS in dental implants, however the success rates of dental implants are very high, especially for current implant dentistry techniques performed by a dental implant specialist.

Dental implants are an excellent treatment if they are well indicated, planned and executed.

Come and see our work! The ImplArt Dental Clinic has been dedicated to implant dentistry and oral rehabilitation for 18 years. We are located in São Paulo, Brazil.

DR. ROBERTO MARKARIAN IMPLANTODONTISTA SITE — 5 Biggest Risks for Dental Implants

Text written by DR. ROBERTO MARKARIAN – CRO-SP 73.583 – updated on 26-08-2024
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 Dental Clinic.

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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.

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.

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Dental contact lenses: step-by-step treatment

The dental contact lens is a set of extremely thin porcelain veneers (lithium disilicate), designed by a computerized cad/cam system and made by 3D printers.

Dental contact lenses

Dental contact lenses: step-by-step treatment

What are dental contact lenses?

Contact lenses are bonded to the front of the teeth individually and are used to correct certain aesthetic problems, such as misaligned teeth, stained teeth, pigmented teeth, cracked teeth, improperly shaped teeth, unwanted pain, irregular tooth size and correcting the position of the teeth.

They are bonded to the front of the teeth, individually, in order to correct certain aesthetic problems. These are cases of misaligned teeth, stained teeth, pigmented teeth, cracked teeth, improper shape, unwanted color, irregular tooth size, correction of tooth position.

Lenses are not recommended for unhealthy teeth, such as decayed teeth or teeth with periodontal disease. Contact lenses for teeth are capable of revolutionizing the aesthetics of smiles. Today we see many celebrities who have undergone the treatment and have undoubtedly had their smiles transformed.

Do I need dental contact lenses?

Contact lens treatment involves the use of advanced dental technology. It starts with taking a mold of the teeth. The digital impression is taken using an intraoral scanner that captures images of the teeth and gums and creates a three-dimensional model on the computer screen.

Based on these images, the dentist uses software that designs the dental contact lenses with customized shapes and shades for each patient.

Planning

The design can be for a single tooth or more. The approved computerized design is then sent to the digital prosthetics laboratory to make the dental lenses. A block of porcelain is placed in the 3D printer and the milling process begins until the block acquires the shape of the designed dental lenses.

Dental contact lenses are approximately 0.2mm thick. This ultra-thin thickness does not require any or little wear to the tooth surface in order for the lenses to be applied. They therefore differ from porcelain veneers.

Lente de contato — Example of a treatment with dental lenses: 1 – Initial situation, 2 – Tooth preparation (wear) and gingivectomy (removal of excess gum), 3 – Temporary lenses, 4 – Installation of definitive porcelain lenses.

Bonding dental contact lenses

Bonding is carried out after the tooth has been prepared, which involves professional cleaning to remove possible plaque and tartar buildup. The lenses are then bonded with cement specifically for dental use, without pain or the need to apply an anesthetic.

It’s a quick treatment and can even be carried out in a Day Clinic. The durability of dental contact lenses is undetermined. Porcelain is a very resistant material and has very similar characteristics to natural teeth.

Its surface is stain-resistant and does not require the patient to be cautious with highly pigmented foods and drinks, such as beet, carrots, wine, coffee, teas, etc.

This ultra-thin thickness does not require the tooth surface to be worn down in order for the lenses to be applied, so they differ from porcelain veneers. They are applied after the tooth has been prepared, which involves professional cleaning to remove possible plaque and tartar buildup.

The lenses are bonded with cement specifically for dental use, without pain or the need to apply an anesthetic. It’s a quick treatment which, in some cases, can be carried out in a Day Clinic. The durability of dentalcontact lenses is undetermined.

Porcelain is a very resistant material and, above all, has very similar characteristics to natural teeth. Its surface is resistant to stains and does not require the patient to be cautious with highly pigmented foods and drinks, such as beet, carrots, wine, coffee, teas, for example.

Dental lenses see how they work

Dental contact lenses price │ Contact lenses values

The average price of dental contact lenses can only be given in a dental consultation, as it depends on a face-to-face clinical examination, and the Federal Council of Dentistry prohibits non-face-to-face consultations. If you have any questions, please contact us through one of our service channels.

Schedule your appointment at ImplArt

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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 and 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

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Dental contact lenses: step-by-step treatment

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Porcelain crowns – Day Clinic

The placement of porcelain crowns is one of the procedures that ImplArt Odontologia performs with the convenience and agility of the Day Clinic – Dental Spa. A porcelain crown is a type of fixed prosthesis for application over a tooth or dental implant, indicated for replacing a tooth that has either been lost or cannot be maintained.

What are porcelain crowns?

For example: teeth with advanced caries, teeth broken as a result of an accident or teeth that are mobile due to periodontal disease and need to be extracted.

The Implart clinic offers dental implant services and porcelain crowns for them. Implants are performed to replace lost teeth or teeth that cannot be maintained. Porcelain crowns are prostheses that we recommend to restore damaged teeth, such as advanced caries or teeth broken due to accidents. They are also indicated in cases of tooth mobility caused by periodontal disease, when extraction is necessary.

Content of this article

The application of the crown on tooth in short is recommended when the root of the tooth can still be maintained and the application of the crown on implant is when the tooth is completely lost, i.e. the tooth root is also extracted must be replaced by a titanium dental implant pin.

The porcelain crown is currently the material with the closest visual and physical characteristics to a natural tooth. ImplArt only works with high-performance porcelain so that the prosthetic crown looks almost indistinguishable from the neighboring teeth.

The porcelain crown can be made with internal metal reinforcement (usually recommended for posterior teeth) or with metal-free white zirconia reinforcement (recommended for anterior teeth due to the aesthetic needs of the smile).

What is the difference between a porcelain crown and a dental contact lens?

In general , lenses only cover the outside of the tooth, like a veneer. Their thickness is thin, corresponding only to the tooth enamel. A porcelain crown, on the other hand, surrounds the tooth completely (360 degrees), requiring more wear and tear on the tooth. Despite this, a crown is expected to last longer than a lens. Both porcelain crowns and lenses can be digitally designed and manufactured by robotic machines. Lenses can also be used to repair a dental prosthesis.

Learn about some of the indications for porcelain crowns:

Reconstruction or replacement of a tooth to improve the aesthetics of the smile
Reconstruction or replacement of a tooth to improve chewing
Replacing large or broken restorations when there is not much tooth structure left
Replacing a tooth with a metal restoration (unaesthetic) with a porcelain crown in the color of the neighboring teeth (aesthetic).
Protecting a tooth with a healthy root
Dental implant application
Replacing old or badly made crowns
Reconstruction and protection of teeth that have undergone root canal treatment
Because they are made from state-of-the-art porcelain, the crowns are highly aesthetic, resistant and durable.

How is the Day Clinic procedure done?

ImplArt Odontologia has a structure that allows several dental procedures to be carried out intensively at the Day Clinic, including the placement of porcelain crowns. The structure is made up of computerized systems that speed up the design and manufacture of prostheses, a dental laboratory within the clinic, as well as a multi-specialized team to carry out a complete treatment, from diagnosis to completion.

Porcelain crowns are a procedure carried out by ImplArt Odontologia. Porcelain crowns are fixed prostheses used to replace lost or damaged teeth. These crowns can be placed over natural teeth or dental implants. ImplArt offers the service of placing porcelain crowns at the Day Clinic – Dental Spa, with convenience and agility. These porcelain crowns provide patients with aesthetics and functionality.

The computerized design of the porcelain dental crown is made according to a digital molding of the teeth obtained through a scan of the teeth. This makes it possible to design pieces that are completely customized to each patient’s needs. The crown is made by 3D tooth printers.

Normally this whole process takes a few weeks, but with ImplArt’s Day Clinic this time is considerably reduced. The execution and durability of the treatment vary according to the complexity of each case. Contact us and make an appointment to see if your case could benefit from this technique.

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Gum surgery: what is it for?

Gum plastic surgery is an option for people who are dissatisfied with their smile and also with the shape and size of their gums, mainly due to the lack of gums.

Gingival plastic surgery and tooth reshaping with composite resin

When they are very apparent, they influence the harmony of the smile and the self-esteem of some people. Gingivalaesthetics influences the smile through its relationship with the teeth, color and thickness of the gums. With this procedure it is possible to correct gum deformities by removing excesses and reconstructing areas that have little gum using gum grafts. The surgery is simple, performed under local anesthesia and carried out in the dentist’s office.

How is gum grafting done?

In general, gum tissue is taken from another part of the mouth, such as the roof of the mouth or behind the wisdom teeth. However, today it is also possible to use an artificial gum graft, obtained from pig tissue. After the procedure, the patient is instructed on how to perform oral hygiene for the first few days, as well as the medication they should take (usually antibiotics, anti-inflammatories and painkillers).

cirurgia gengival — Caso a estética da gengiva não esteja ideal há recursos que podem ajudar a aumentar ou diminuir seu volume.

They also receive recommendations on diet, especially to avoid eating foods with potential irritant reactions, such as acidic, very salty or spicy foods. The healing period depends on each case, but total internal gum rehabilitation takes place after six months. Many patients resort to this surgery due to gum disharmony, which can be related to excess or lack of gums.

Can the gums grow?

Growth can be caused by the use of medication such as antihypertensive drugs based on alodipine, anticonvulsants based on hydantoin, and fixed braces associated with poor brushing.

Gum recession or retraction is a change in the position of the gums as the root of the tooth becomes longer and more sensitive. This situation can occur due to strong traumatic brushing, malocclusion, when the bite is overloaded on the tooth with recession, bruxism and periodontal disease.

For this type of correction, gingival grafting may be indicated. The tissue used is taken from the mucosa of the roof of the mouth (palate). Surgery is contraindicated for patients with untreated cardiovascular problems, active periodontal disease, blood problems and mouth cancer.

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