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Root Canal or Dental Implant treatment?

When faced with serious dental problems, such as infections or severe decay of a tooth, the question arises: should you opt for root canal or dental implant treatment? According to Dr. Roberto Markarian, implant dentist and director of the ImplArt Clinic, the choice depends on a careful evaluation, considering factors such as the integrity of the tooth, general oral health and the technological options available.

The good news is that there are resources that allow you to visualize the dental situation beforehand and thus guide the initial course of action to be adopted. Even so, it’s important to bear in mind that the treatment may be altered if, during the process, a root fracture or more severe dental impairment than initially anticipated is identified.

Root canal or dental implant? When root canal treatment is the best option

Root canal treatment is indicated when the pulp of the tooth has been compromised but its structure can still be preserved. This procedure is ideal for eliminating infection, restoring functionality and maintaining the natural tooth. According to Dr. Roberto Markarian, preserving the natural tooth whenever possible offers important advantages:

  • Dental Proprioception: Natural teeth have periodontal ligaments that allow them to feel chewing forces, something that is lost when using implants.
  • Maintaining Gingival Anatomy: Preserving the tooth helps to maintain the aesthetic harmony of the surrounding gums, facilitating a more natural restoration.
  • Possibility of placing crowns: After a successful root canal treatment , the tooth can receive a high-quality crown, guaranteeing functionality and aesthetics.
root canal or dental implant treatment

Is it possible to be 100% sure about saving a tooth with an X-ray alone?

Some of the most common questions patients ask when deciding between root canal treatment or dental implants are: can you be absolutely sure that the tooth will be saved just by looking at the X-ray? Or even: is it possible to know for sure whether or not the tooth needs root canal treatment just by looking at the X-ray?

According to Dr. Roberto Markarian, implant dentist and director of the ImplArt Clinic, dentistry is not an exact science and, as in any area of health, it is not possible to offer 100% guarantees on results because we are talking about an organism. Although radiography is an essential tool for diagnosis, allowing the professional to assess the integrity of the root, the presence of infections and other structural conditions, it does not reveal all the details of the case. Microscopic fractures or conditions that are not visible on the scan can influence the success of the treatment and require the specialist to change their approach.

Our mission as health professionals is to use the best available resources, such as advanced imaging exams and modern techniques, to offer the best possible prognosis,” says Dr. Markarian. At the ImplArt Clinic, we combine clinical experience with cutting-edge technologies to increase the chances of success in every procedure, whether it’s root canal treatment or the placement of dental implants.

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Photo shows dental radiograph: Some radiographs make it possible to clearly see the need for root canal treatment, while others require a combination of clinical assessment, radiographs and the patient’s report

Professional experience makes a difference when it comes to root canal treatment or dental implants

Of course, the dentist’s experience and knowledge are fundamental. In addition to radiographic analysis, it is necessary to clinically assess the tooth, the extent of the damage, possible hidden fractures, and the health of the surrounding tissue.“Our commitment is to act responsibly and offer the best alternatives available to preserve the tooth whenever possible, with a focus on long-lasting, high-quality results,” adds Dr. Markarian. Therefore, if there is a possibility of preserving the tooth, root canal treatment is the first option. Only secondly, if it is not possible to keep it, or even if irreversible damage to the tooth is identified, do we opt for extraction and a dental implant in the same surgery.

Watch the video below where Dr. Roberto Markarian talks about the benefits of extracting a tooth and placing an implant on the same day.

This approach demonstrates the importance of relying on a specialized professional, using the best practices and technologies to guarantee the most effective treatment for each patient, whether for root canal treatment or dental implants.

Is root canal treatment 100% guaranteed?

We know that root canal treatment is the last resort to save a tooth and therefore there is always a chance of failure. We must remember that although it is possible to evaluate radiographic examinations, we are talking about a health treatment whose planning may change over the course of the treatment and the next step is extraction followed by a dental implant.

See the image below for an example of a particular case in which the X-ray alone could have led to uncertainty about the diagnosis. However, the combination of the clinical assessment(swelling, pus), the patient’s report ( pain after accidentally biting a bone) and the X-ray made it possible to identify that there was a fracture in the area, culminating in the indication of simultaneous extraction and dental implantation.

dental fracture
Photo shows a tooth that was removed because it had a crack. Radiographically, the case could be mistaken for a root canal, but root canal treatment would not solve the problem because bacteria would be lodged in the cracked area.

Can I insist on a root canal?: Cases where a root canal doesn’t solve the problem

Root canal or dental implant? Even with technological advances, there are situations in which root canal treatment or retreatment doesn’t solve the problem. Root fractures, for example, can make the tooth unfeasible, making it necessary to remove it and consider alternatives such as dental implants.

Therefore, in the vast majority of cases it is not a choice between root canal treatment or dental implants, but a necessity. That’s why it’s essential to trust the professional in charge of the treatment, so that he or she can be sure of the best course of action.

Biological dentistry and root canal treatment

The current trend of biological dentistry, which is very widespread today, does not recommend root canal treatments on the grounds of toxicity. However, this claim still lacks scientific proof. Studies show that treatment, when carried out with biocompatible materials and modern techniques, is safe. At the ImplArt Clinic, we use the best practices to offer safe, long-lasting results and we value the patient’s well-being.

When Dental Implants Are Necessary

In cases where the tooth cannot be saved, dental implants are the definitive solution. The ImplArt Dental Clinic is a pioneer in technologies such as the use of zirconia prostheses and digital implant planning, detailed on our advanced dental implants page.

However, according to Dr. Roberto Markarian, “the implant, no matter how good, will never be superior to the natural tooth in terms of biology and functionality.” Some considerations about implants include:

  • Loss of Proprioception: Implants have no periodontal ligaments, eliminating the ability to perceive masticatory forces.
  • Need for Aesthetic Planning: To achieve optimal results, careful planning of the gingival anatomy around the implant is necessary

Therefore, whenever possible, the ImplArt Clinic chooses to preserve the tooth. Dental implants are only indicated when there are no other alternatives to save a severely compromised tooth.

*Want to know more about how long it takes to recover from a dental implant? Go to: How many days rest after a dental implant?

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Why Choose the ImplArt Clinic?

The ImplArt Clinic is a benchmark in high-quality dental treatment in Brazil and worldwide. Our differentials include:

  • The team is led by Dr. Roberto Markarian, a renowned specialist with extensive experience in implant dentistry;
  • Use of state-of-the-art technology, such as 3D digital planning and biocompatible materials;
  • Personalized service for each case, focusing on aesthetic and functional results.
  • A complete structure, equipped with high technology for patient care.

We receive international patients looking for excellent treatments, which reinforces our position as a reference dental clinic in dental implants and computerized prostheses in Brazil.

Conclusion: Keep Natural Tooth with root canal treatment or dental implant?

Whenever possible, preserving the natural tooth is the best option, bringing biological and aesthetic benefits. However, in cases where this is not feasible, replacement with high-tech dental implants, such as those offered by Clínica ImplArt, may be the ideal solution.

Today there are very modern resources for your treatment, with various types of dental implant and types of dental crown available at the ImplArt Clinic. If you still have doubts or would like an assessment, contact our team and make an appointment to restore your smile with health and confidence.

ImplArt Dental Clinic

⭐The ImplArt Dental Clinic is located in São Paulo and welcomes patients from all over the world. If you would like to know more about our treatments, ask questions about root canal treatment or dental implants, or schedule an appointment 📲WhatsApp(11) 3262-4750.

DR. ROBERTO MARKARIAN IMPLANTODONTISTA SITE

Text written by DR. ROBERTO MARKARIAN – CRO-SP 73.583
Founder and Director of the ImplArt Dental ClinicDr. 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.

How to prevent tooth loss and implants: flossing can prevent implants

Oral health is fundamental to general well-being, and a frequent question when it comes to oral hygiene is: “Do I really need to floss?” The answer is an emphatic YES. In this article, we’ll explore why flossing is indispensable, especially to avoid serious consequences. In addition, we’ll show you how to prevent tooth loss and implants with simple care that can easily be included in your daily routine.

When did flossing begin?

Dental floss was invented at the beginning of the 19th century. The first reference to the use of a specific thread for cleaning between the teeth was made in 1819 by the dentist Levi Spear Parmly, a professional from New Orleans, United States. He recommended the use of a silk thread to remove food particles and plaque from between the teeth, a practice he considered essential for the prevention of oral diseases.

Despite this early recommendation, dental floss was not widely adopted immediately. The popularization of dental floss began to grow at the end of the 19th century, especially after the company Codman & Shurtleff began marketing unwaxed silk floss in 1882. However, it wasn’t until the 20th century, with the mass production of dental floss by companies such as Johnson & Johnson, that flossing became common practice around the world.

Johnson & Johnson was the first company to patent dental floss in 1898, and from then on, the practice began to spread more widely, especially as awareness of the importance of oral hygiene increased in the 20th century.

Therefore, if we look carefully, it is relatively recent for the general population to know how to properly clean their teeth. If we think back to a time not so long ago, great-grandparents were the generation who wore dentures because they had lost all their teeth. The next generation learned a little more about caring for teeth. However, it was only recently that this panorama began to change, and knowledge about how to prevent tooth loss and implants began to spread.

Below, we’ll discuss how simple care routines are crucial for preserving teeth and oral health. Follow along!

How to prevent tooth loss and implants: Learn about the benefits of flossing

Flossing is an essential tool for preventing oral problems which, if neglected, can result in tooth loss and the need for dental implants. In Brazil, where around 55% of the adult population has some degree of gum disease, according to the Ministry of Health, flossing makes all the difference. It removes food debris and plaque that the toothbrush cannot reach, especially in the interdental areas.

Flossing daily drastically reduces the risk of cavities and gingivitis, preventing problems that can lead to the need for dental implants. In addition, regular flossing contributes to fresher breath and healthier teeth, preventing the build-up of bacteria that can cause serious problems.

Consequences of Not Flossing: From the Risk of Gingivitis to the Need for Dental Implants

Neglecting to floss can have severe consequences, culminating in tooth loss and the need for implants. Without proper plaque removal, the build-up between teeth significantly increases the risk of gum disease. Studies in Brazil show that around 18% of adults have lost at least one tooth due to periodontitis, a condition that starts with untreated gingivitis and can progress to bone loss and, eventually, the need for dental implants.

*Read more about periodontal disease in implants: “Can implants get periodontal disease?

Tooth loss is not only an aesthetic problem, but also a functional one. The absence of one or more teeth can impair chewing, speech and even the structure of the face. Regular flossing can prevent these problems and the need for more invasive procedures such as dental implants.

DENTAL IMPLANTS DUE TO LACK OF DENTAL FLOSS
Illustrative image shows the consequences of not flossing: Tooth decay between the teeth

Historical Comparison: How Dental Floss Reduced the Need for Dental Implants in Brazil

Decades ago, oral health in Brazil was marked by high rates of tooth decay and tooth loss, often resulting in the need for dental implants. Before the popularization of dental floss, many Brazilians faced tooth loss at a young age. In the 1960s, for example, the average number of teeth lost per adult was alarming. With increased awareness and use of dental floss, these figures began to fall, also reducing the need for dental implants.

Recent IBGE data shows that total tooth loss in Brazilians over the age of 60 has fallen to less than 30% in recent years, a significant reduction compared to previous decades. This is largely due to increased education about oral hygiene, including flossing as a prevention against tooth loss and, consequently, the need for dental implants.

How to Floss Correctly

Flossing correctly is essential to ensure the effective removal of plaque and food debris from between the teeth, preventing problems such as cavities, gingivitis and, ultimately, the need for dental implants. Here’s a simple guide to doing it the right way:

  1. Cut the floss: Use about 40 to 50 cm of floss. This allows you to use a clean piece of floss in each interdental space.
  2. Wrap the thread: Wrap most of the thread around the middle finger of one hand and the rest around the middle finger of the other hand, leaving about 5 cm of thread between the fingers.
  3. Hold and position: Hold the floss firmly between your thumbs and index fingers, keeping it taut. Insert the floss gently between the teeth, using a sawing motion to prevent the floss from slipping and hurting the gums.
  4. C” motion: Curve the floss in a C” shape around a tooth, sliding it gently under the gum line. Run the floss up and down a few times to remove plaque and debris. Remember to also floss the side of the adjacent tooth.
  5. Repeat in each space: Use a clean piece of floss for each space between the teeth. Repeat the process on all the teeth, including the bottom teeth, which are harder to reach.
  6. Dispose of the floss: After finishing, dispose of the used floss. Never reuse the floss as it may already be contaminated with bacteria.

Here are some simple tips for flossing:

FLOSSING TIPS 01
FLOSSING TIPS 02
Learn how to prevent tooth loss and implants: Step 3 and 4

Following these steps helps ensure a thorough and effective cleaning, protecting your teeth and gums from future problems that could result in dental implants.

What are the effects of plaque caused by retained food?

Food that is trapped between the teeth can cause a series of oral problems due to the chemical and physical processes that occur over time. Here is a summary of the main effects:

1. Plaque build-up

When food debris is not removed, it accumulates between the teeth and serves as a source of nutrients for the bacteria in the mouth. These bacteria, mainly Streptococcus mutans, metabolize the carbohydrates in food, especially sugars and starches, to produce acids.

BACTERIAL PLAQUE
Bacterial plaque: white film that forms around the tooth due to lack of hygiene

2. Acid production

The metabolization of carbohydrates by microorganisms results in the production of organic acids, such as lactic acid, which are highly corrosive. These acids begin to dissolve tooth enamel, which is the outer protective layer of teeth made up mainly of hydroxyapatite, a mineral rich in calcium and phosphate.

3. Enamel demineralization

Continuous exposure to acid causes enamel demineralization, a process in which minerals (calcium and phosphate) are removed from the surface of the tooth, weakening it. This process is the initial stage in the formation of cavities. If left untreated, demineralization can progress to dentin, the innermost layer of the tooth, which is less resistant to acidity.

4. Tooth decay

Over time, persistent demineralization can lead to the formation of cavities (caries) in the enamel. If the decay is left untreated, it can progress to the dentin and eventually reach the dental pulp, where the nerves and blood vessels are located. This can result in pain, infection and, in severe cases, the need for root canal treatment or tooth extraction and implantation.

*Read more about the importance of replacing lost teeth with implants: Tooth loss without implant replacement: what are the consequences?

5. Gingival inflammation

In addition to cavities, food debris and plaque that accumulate between the teeth can irritate the gums, leading to an inflammation known as gingivitis. If left untreated, gingivitis can develop into periodontitis, a more serious condition that affects the bone supporting the teeth and can result in tooth loss. Thus, if it progresses without care, it can lead to complete tooth loss and the need for a total implant with a prosthetic protocol.

inflamed gums
Gum inflammation

*Read more about the modern Zirconia protocol prosthesis: Zirconia is the most modern material for protocol prostheses on dental implants.

6. Halitosis (Bad Breath)

Food trapped between the teeth, when broken down by bacteria, releases volatile compounds such as hydrogen sulphide and methyl mercaptan, which are the main causes of bad breath.

7. Tartar formation

If plaque is not removed, it can mineralize and harden, forming tartar (dental calculus). Tartar is difficult to remove with ordinary brushing and can cause even more irritation to the gums, as well as providing a rough surface where more plaque can accumulate.

TARTAR - HOW TO PREVENT TOOTH LOSS AND IMPLANTS WITH DENTAL FLOSS
Tartar formed on teeth due to lack of flossing

Therefore, food trapped between the teeth can trigger a series of harmful reactions that not only erode the teeth, but also affect the gums and breath, underlining the importance of regular flossing to prevent these problems.

In addition, we should mention the need to visit the dentist regularly for oral health monitoring appointments and dental cleanings.

*Readmore about the importance of cleaning at the dentist: “The importance of professional cleaning for the maintenance of dental implants, dentures and oral health”

Conclusion on how to prevent tooth loss and implants

Flossing is more than a recommendation: it’s a necessity for maintaining oral health and avoiding serious consequences such as tooth loss and the need for dental implants. By flossing daily, you can protect your smile and ensure a healthier life. Don’t put off until tomorrow what can be done today – start taking care of your oral future now with flossing and regular visits to the dentist!

*Read more about oral health care: “In the fever of facial harmonization, patients are forgetting to take care of their teeth

What if there is tooth loss and implants are needed?

But don’t worry, if you need a dental implant, know that today’s techniques are very modern and there are several types of dental implant to choose from at the ImplArt Dental Clinic. Whether your treatment is an individual dental implant, or a total implant and prosthesis protocol, know that the ImplArt Clinic masters all dental implant and oral rehabilitation techniques, and surely one will be right for you!

Want to know more about ImplArt Clinic from Brazil?

Located in São Paulo, ImplArt Dental Clinic is a reference destination for patients from all over the world. Recognized as the best dental implant clinic in São Paulo, ImplArt stands out for its excellence in modern and personalized dental treatments.

Under the direction of Dr. Roberto Markarian (PhD), an implant dentist renowned for his expertise in dental implants and digital prostheses, the clinic combines advanced knowledge with high technology. This makes ImplArt a center of excellence in dental treatment, offering computerized implants and prostheses to guarantee the best results.

To find out more about the treatments offered by ImplArt Dental Clinic, visit our Instagram and check out the images of our treatments. Don’t forget to watch our videos on YouTube and explore our Pinterest page to see more examples of our work.

Check out the photo gallery of our treatments or contact us by WhatsApp (11) 3262-4750 to schedule your appointment.

Dr. Roberto Markarian, implant dentist

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

Dr. Roberto Markarian implant dentist

Dr. Roberto Markarian is a reference in dental implants and computerized dental prostheses in Brazil. As well as having more than 10,000 implants installed, he is a researcher who produces knowledge that is published worldwide in renowned scientific journals in the field of dentistry. He is responsible for promoting knowledge and high technology applied in all the treatments offered by the ImplArt Clinic.

schedule your appointment at the implart clinic by phone or whatsapp

como é feito um implante dentario
Clínica ImplArt is considered the best dental implant clinic in São Paulo. If you want to know how much a dental implant costs, or how to avoid tooth loss and implants, get in touch! We’re here to help you!

📲(11) 3262-4750

📲WhatsApp(11) 3262-4750