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Digital dental design

The realization of digital dental prosthesis design is possible thanks to advances in technology in recent years. These technologies are certainly making treatments faster, more precise and with better predictability of results. This applies to both fixed prostheses on dental implants and prostheses on teeth.

Index

It is now possible to see and perfect the result of the treatment on the computer screen before it is finished

ImplArt is continually investing in acquiring the main technologies developed in this sector. They allow us to carry out what we call a digital smile project, i.e. we use a computer to design one or more teeth (choosing their shape and shade) and to plan implant surgeries.

The latest addition is the Cerec Primemill milling machine, which allows crowns to be made with even more detail and even more precise results.

Modern technologies are constantly advancing, always seeking to combine greater patient comfort, speedy treatment and superior aesthetic results. In addition, there is a variety of work available such as crowns, blocks, fixed prostheses with pontics, dental lenses, prostheses on implants.

Photographs of the patient and software are used to plan and make functional and aesthetic changes to the smile, such as adjusting occlusion, the shape and shade of the teeth.

According to scientific research carried out by Dr. Roberto Markarian, Clinical Director of ImplArt, the use of digital prostheses speeds up the delivery time of the work by up to 5x, and increases the degree of patient satisfaction by 80%.

digital dental treatment flow 3d printer digital prosthesis design — *Example of a digital dental contact lens project*

Cerec 3D and Ceramill Motion II

Systems developed for dental laboratories in which we can make the digital design of prostheses, plan and execute teeth using 3D printers. The technique used in digital smile design is called CAD/CAM (computer-aided design). It consists of 4 phases:

Intraoral Scanner – This is a high-precision camera used to capture images inside the patient’s mouth. The images are so lifelike that they show minute details such as the tone and texture of the gums and teeth.

Processing software – The images captured by the camera are sent to specialized software that creates a three-dimensional digital mould. In this processing phase, our team has the freedom to make adjustments, such as altering the shape and tone, in order to leave the piece with the characteristics that best match the patient’s needs. The computerized design can be superimposed on photographs of the patient to make it easier to understand the proposed treatment.

Milling – Equipment that works in a similar way to 3D printers. It receives information from the project and executes it accordingly. This compartment has robotic arms that mill raw ceramic blocks until they reach the shape of the designed part.

Ceramic kiln – The designed piece is taken to a high-temperature kiln to undergo a process called ceramic sintering. This phase is what gives the piece strength, shine and shade so that it has characteristics very close to natural teeth.

Dental prosthesis in São Paulo — Digital dental design

digital dental design — Digital dental design

The main advantages of digital prosthesis design are:

Precision – the design of each tooth is made according to the patient’s needs. Once finished, they are the same size and shade as the original design. The fit is usually excellent.

Predictability – the software we use is sensitive enough for us to create a three-dimensional mold of the patient in great detail. Both our professionals and the patient can visualize the project on the computer screen, thus being able to predict the outcome of the treatment very accurately.

Speed – this system allows us to skip steps that could previously only be done manually, meaning that prosthetic work has become faster. We can perform teeth in a few days or even a few hours through the Day Clinic*.

Repeatability – The system allows you to repeat jobs and even make an identical copy of a prosthesis or tooth.

The installation of a provisional made with digital smile planning allows the patient to concretely visualize how their treatment will look before they begin the more invasive procedures in the mouth. This is known as a smile test drive or digital mockup. Treatments that can be planned on a computer:

Dental aesthetics
Oral rehabilitation
Implant surgery – computer-guided surgery
Porcelain crowns with zirconia structure – Metal Free
Porcelain crowns with metal structure – Metalloceramics
Crown on implants
Crown on teeth
Full dentures
Partial prosthesis
Dental contact lenses
Porcelain veneers
Ceramic laminates
Onlays and Inlays
Ceramic fragments
Orthodontic treatment

If you have any questions about digital prosthesis design, prices and treatments, please contact us or make an appointment via WhatsApp below.

*In patients with favorable clinical conditions.

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Get to know Implart’s dental 3d printers

It is well known that 3D printers have great versatility for making various objects. The good news is that 3D printing is now a reality in dentistry and is increasingly transforming the way treatments are carried out.

The 3D printing solution has been brought to dentistry to make aesthetic, fast and precise prostheses and restorations

ImplArt Odontologia is equipped with two of the most modern dental 3D printers: the Cerec System from the German company Sirona and the Ceramil Motion 2 milling machine from the Austrian company AmannGirrbach.

Both companies are world references in research and development of solutions in the area of Digital Dentistry.

Cerec Sirona System and 3Shape Trios

They are Cad/Cam systems capable of building various types of parts, for example prostheses, bridges, highly aesthetic crowns, dental restorations, ultra-thin dental contact lenses. They work in three main phases:

1 – Intraoral scanner: a high-precision camera that captures images of the inside of the patient’s mouth. It takes a digital impression, thus eliminating the need to use putty. We use two of the main intraoral scanners on the market, the Omnicam and the Trios 3Shape.

2 – Computer: we carry out planning with two of the main systems, Cerec 3D and 3Shape Dental System. The images captured by the intraoral scanner are used to design and simulate three-dimensional prosthetic pieces with shapes and shades according to each patient’s needs.

3 – 3D printers: a milling unit with a robot that sculpts the prosthetic part out of a rough ceramic block. The part is then taken to a kiln for the ceramic sintering process to give it strength.

ImplArt has the most up-to-date version ofthe Cerec system milling machine, the German Cerec Primemill 3D tooth printer. This milling machine has functions for faster production, which in many cases allows us to carry out your treatment in a Day Clinic. Primemill also makes crowns, bridges, dental lenses and restorations with a more refined finish and greater detail.

Versatility of 3D printers: the prostheses that can be made with the Cerec system are crowns, bridges, copings, onlays, inlays, dental contact lenses as well as copies of old restorations. Watch a video of the system in operation by clicking here.

Ceramill Motion 2 milling machine

It uses Cad/Cam technology to digitally produce dental prostheses in different materials such as zirconia, wax, metal alloy, resin, glass-ceramic and lithium disilicate. It has exclusive software for projecting and simulating prostheses.

Once the design is finalized, the system then sends the command to the milling unit to make the part.

The milling unit has robotic arms that carve the prosthetic part dry or irrigated.

Versatility: the prostheses that can be made on the Ceramill Motion 2 milling machine are crowns, frameworks for dental prostheses, crowns, bridges, inlays, onlays, dental contact lenses, individual abutments and telescopic crowns.

UltraCraft ChairSide Pro

The UltraCraft ChairSide Pro 3D printer has been designed to meet the production needs of dental applications with quality, high precision and speed, including being a resource for your dental day clinic treatment. Due to the digitalized workflow, UltraCraft helps the dynamics of the ImplArt dental laboratory and clinic, and above all generates satisfaction for our patients.

The use of scans creates more precise and durable crowns in a faster process than other production methods. In this sense, the UltraCraft 3D printer has further strengthened the ImplArt Dental Clinic‘s digital laboratory.

A digital project is drawn up to personalize the smile, designing all the technical and aesthetic improvements to the smile. Sites are planned for dental implants and prostheses, which can be single crowns, protocol prostheses or fixed prostheses. Dental contact lenses can also be planned.

Anycubic 3D printers

This is the Anycubic Photon 3D printer for printing teeth and various jobs in our in-house prosthetics laboratory. Some of the jobs that can be carried out on this dental 3D printer include:

Myorelaxing plates – mainly used to treat bruxism. Their purpose is to reduce the intensity, strength and frequency of muscle tension when clenching or grinding teeth. It also protects the teeth from wear and fractures.
Printing resin dental models similar to plaster models
Artificial gum simulation and prototypes
Study model prints
3D printing biocompatible teeth for provisionals
Printing surgical guides for use in guided dental implant surgery
3D models for later casting
Orthodontic aligners

Digital prosthetics laboratory at ImplArt Odontologia

The combination of up-to-date and competent staff and state-of-the-art equipment means that Clínica ImplArt’s prosthetics laboratory is in line with the latest and most advanced developments in dentistry.

Dentures are the best way to make your smile beautiful and complete. If you have any questions or would like more information, please contact us or make an appointment. We’ll be happy to help you.

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3D CAD/CAM dental crown – automated digital prosthesis in São Paulo

Dental Crown 3D CAD/CAM

Cerec 3D is a Cad/Cam system for designing and making crowns, different types of aesthetic restorations and dental lenses more quickly and accurately. ImplArt Dental Clinic Brazil has the most up-to-date version of this system, Cerec Primemill. This computerized system can be used for porcelain crowns on remaining roots, or even as a fixed prosthesis on a dental implant.
Dental implants combined with this modern technique for making dental crowns allow patients to be rehabilitated quickly. The Straumann ceramic dental implant is the most modern and allows for metal-free treatment. The Swiss Slactive implant is the fastest healing.

Cerec System: the evolution of dental prostheses

Digital color impression and computerized teeth with the Cerec 3D system in São Paulo. This German technology consists of a color intraoral scanner, processing software and a machining unit that works like a 3D tooth printer.

How does Cerec 3D works?

The Cerec 3D system uses Cad/Cam technology, consisting of a camera, a computer and a machining machine. First, the Cerec 3D system takes digital images of your teeth using a specialized high-precision color camera (intraoral scanner).

The computer then uses these images to design a customized restoration, matching the fit and shape of the surrounding natural teeth.

onlay planning in cerec 3D dental crown 3D

Finally, the 3D printer produces the restoration or crown using robotic arms that mill a rough block of dental ceramic until it acquires the shape of the project. ImplArt is always striving to keep up to date with the latest technologies in digital dentistry. That’s why it now has the most up-to-date 3D printing version of the Cerec system, the Cerec Primemill milling machine.

The crown is then installed on the dental implant or bonded onto the prepared natural tooth.

Treatments that can be carried out with Cerec 3D technology in São Paulo:

Aesthetic oral rehabilitation – multiple crowns and restorations
Aesthetic planning with dental contact lenses
Partial restorations, such as inlays and onlays
Porcelain crowns and small prostheses
Crowns on dental implants or crowns on prepared teeth
Replacing metal restorations (unsightly) with tooth-colored white ceramic (aesthetic).

What are the advantages of Cerec 3D?

Dental restorations with Cerec 3D are not only convenient, but also healthy. Until recently, dentists had little choice of materials, such as metal-ceramic crowns (with metal), amalgam, and resins.

As well as being dark and presenting aesthetic problems, these materials are time-consuming and inaccurate to make because they depend on manual labor and external prosthetic laboratories. With Cerec 3D, we can use strong ceramic materials to restore teeth with beauty and functionality.

There’s no need to remove molds with putty, as it does digital color molding
Tooth-colored restorations – porcelain does not contain metals or dark, unsightly materials
The materials are highly aesthetic, resistant and biocompatible(such as dental zirconia)
Perfect fit of teeth prevents residue build-up
In some cases there is no need to use temporary teeth
In favorable cases, crowns can be installed in a few hours by Day Clinic ImplArt
Less use of anesthesia
Fewer visits to the dentist
Predicts results before execution

With the Cerec system, it is also possible to make an identical copy of the shape of a prosthesis that the patient is already used to, but which needs to be replaced because it was made with an inferior material or is fractured. Find out more about this technology at ImplArt Odontologia. Make an appointment or if you have any questions, please contact us. We’ll be happy to help you.

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Computerized dental aesthetics – Digital Pre-treatment planning

Computerized dental aesthetics

Computerized dental aesthetics uses computerized programs for digital smile planning that have certainly helped dentistry. They are used to plan and simulate various dental treatments, including implants, dental contact lenses and fixed prostheses. They make it possible to design completely personalized treatments.

Predictable results with digital dental treatment planning

As a result, they increase the patient’s understanding of the stages of their treatment, thus aligning expectations with the proposed treatment, and above all allow the dentist to have greater predictability of results.

With computerized dental treatment planning, the dentist can design crowns, restorations, aesthetic treatments, dental contact lenses as well as plan the placement of dental implants.

The purpose of digital smile planning is to create a personalized treatment, seeking the harmony of the smile, as well as avoiding unnecessary procedures and consequently making treatment faster, more comfortable and more accurate.

Now, with the latest Cerec Primemill milling machine, the results are even more precise and more detailed.

Computerized dental aesthetics (Smile Design)

A great feature of computerized dental treatment planning programs is image overlay. This involves positioning the digital plan over the patient’s photo, making it easier for the patient to understand their treatment before they even start.

Digital smile design begins with capturing the patient’s oral images using an intraoral scanner. These images are transformed into a computerized 3D model of the dental arches.

In this way, the dentist visualizes the initial state and designs crowns, restorations or dental contact lenses to solve various problems that compromise the aesthetics and harmony of the smile.

Intraoral scanning for digital smile planning

Some cases that can be planned on a computer:

Increase in the length or volume of one or more teeth.
Aligning asymmetrical teeth
Making restorations for broken or decayed teeth
Making dental contact lenses
Harmonization of teeth with facial biotype
Even tooth shade
Replacing unsightly restorations with porcelain restorations
Making metal-free zirconia abutments and prostheses

The dental treatments planned on the computer also allow for quick dental treatments in the Day Clinic (or Dental Spa – intensive care modality).

Digital smile planning with dental implants

Digital planning of dental implants helps to ensure that the treatment result is tailored to the patient’s needs. It also helps to ensure that the treatment is efficient and as minimally invasive as possible, thus avoiding surgical accidents (such as hitting sensitive structures).

Planning begins with a computerized tomography scan. In this sense, the three-dimensional images of the tomography allow the implant dentist to know details such as the volume and dimensions of the bone in order to determine the best positions for the implants and the choice of implants with dimensions suited to the needs of each patient.

The dentist also has the option of ordering a surgical guide, which is made based on the information from the CT scan. The surgical guide acts as a template, with the exact indications of where the perforations should be made.

As a result, unnecessary cuts and punctures are avoided, meaning treatment is less invasive and recovery is quicker and more comfortable.

At the same time, guided surgery makes it possible:

Prior surgical and prosthetic planning, resulting in a more precise procedure;
Safe flapless surgery and the possibility of immediate loading;
Respect for bone structures and the path of nerves and vessels;
A reduction in the indication for bone grafting surgeries, as this requires detailed prior planning of the case;
Planning aesthetic and functional procedures;
Better post-operative recovery;
Better communication between patient and dentist, contributing to greater trust during treatment.

Digital orthodontic treatment planning

Digital orthodontic treatment is fully computer simulated and planned using an intraoral scanner and specialized software. The intraoral scanner is used to capture precise images of the teeth and gums and thus create a three-dimensional color mold of the arches. The software uses these images to simulate the movement of the teeth to the desired position.

Models with the proposed final treatment can be 3D printed for verification if the orthodontist prefers. Digital molds can be used not only to plan orthodontic treatment with conventional braces, but also with braces in the form of aligner plates(Invisalign or Compass).

ImplArt Odontologia uses the main technologies ever developed for computerized dental treatment planning. From intraoral scanning to the execution of prostheses, restorations and aesthetic dental contact lenses on 3D printers.

If you have any questions, please contact us or come and visit us. We’ll be happy to welcome you!

Agende sua consulta agora por WhatsApp

Predictable results with digital smile planning

Digital smile planning makes it possible to design completely personalized treatments. It allows the patient to understand the stages of their treatment, thus aligning their expectations with the proposed treatment, and above all: it allows the dentist to have greater predictability of results. This applies to dental implant treatments, fixed prostheses and other types of dental prostheses, porcelain crowns and zirconia.

index

The use of Computer Graphics (3D) has helped in the planning and simulation of various dental treatments.

Thus, with computerized dental treatment planning, the dentist can design dental crowns, restorations, aesthetic treatments, dental contact lenses and plan the placement of dental implants in 3D. The aim of digital smile planning is to create a personalized treatment, seeking the harmony of the smile and also avoiding unnecessary procedures. As a result, it also makes treatment quicker, more convenient and more precise. When it comes to implant treatment, the speed of digital prostheses, combined with the choice of a rapid implant type, means that significant treatment times can be shortened.

With modern resources and equipment, it is possible to mill materials such as pure porcelain or pure zirconia. The modern Cerec Primemill, the latest German milling machine, which joins the team of milling machines in our digital laboratory, allows for even more precise results with even more detail.

The use of digital dentistry in our clinic reduces the chances of COVID-19 contamination at the dentist.

Dental Aesthetics (Smile Design)

A great feature of computerized dental treatment planning programs is image overlay. This involves positioning the digital plan over the patient’s photo, making it easier, for example, for patients to understand their treatment before it starts.

In a nutshell, digital smile design begins with capturing the patient’s oral images using an intraoral scanner. These images are then transformed into a computerized 3D model of the dental arches.

The dentist then visualizes the initial state and designs crowns, restorations or dental contact lenses in order to solve various problems that compromise the aesthetics and harmony of the smile.

Intraoral scanning

Some cases, for example, can be carried out with digital smile planning:

Increase in the length or volume of one or more teeth.
Aligning asymmetrical teeth
Making restorations for broken or decayed teeth
Making dental contact lenses
Harmonization of teeth with facial biotype
Tooth shade harmonization
Replacing unsightly restorations with porcelain restorations
Making metal-free zirconia abutments and prostheses

Computer-planned dental treatments also allow many procedures to be carried out in a Day Clinic (intensive care modality).

Digital dental implant planning

Digital planning of dentalimplants helps ensure that the treatment result is tailored to the patient’s needs. It also helps to ensure that the treatment is efficient, as minimally invasive as possible and to avoid surgical accidents (such as hitting sensitive structures). Planning begins with a computerized tomography scan.

The three-dimensional images from the tomography then allow the implant dentist to know details such as bone volume and dimensions, and thus determine the best implant positions, as well as choosing implants with dimensions suited to each patient’s needs. The dentist also has the option of ordering a surgical guide, made on the basis of the information from the CT scan.

The surgical guide acts as a template with the exact indications where the incisions should be made, in such a way as to avoid unnecessary cuts and perforations. As a result, treatment becomes less invasive and recovery faster.

Read more about fear of dental implants

digital planning for surgical guidance for dental implants surgery computerized surgery — Specialized software helps us plan the position of your implant with millimetre precision. The templates created take the implants to exactly the right positions.

Guided surgery makes it possible:

Prior surgical and prosthetic planning, resulting in a more precise procedure;
Safe flapless surgery and the possibility of immediate loading;
Respect for bone structures and the path of nerves and vessels;
A reduction in the indication for bone grafting surgeries, as this requires detailed planning of the case beforehand;
Planning aesthetic and functional procedures;
Better post-operative recovery;
Better communication between patient and dentist, contributing to greater trust during treatment.

ImplArt Odontologia uses the main technologies ever developed for computerized dental treatment planning. From intraoral scanning to the execution of prostheses, restorations and aesthetic dental contact lenses on 3D printers. If you have any questions, please contact us or come and visit us. We’d be delighted to welcome you!

Agende sua consulta agora por WhatsApp

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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