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Tag: implantes dentarios

Specialist dental clinic – Dental implants

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

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

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

Quality of life and self-esteem back with dental implants

What is a dental implant?

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

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

Dental implants: who can have them?

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

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

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

Single implant, partial implant or total implant

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

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

Advantages of single tooth implants:

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

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

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

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

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

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

Immediate loading – Rapid loading for implants

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

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

The dental implant technique with immediate loading can be carried out when bone quantity and quality are normal and also when occlusal habits are favorable for the procedure to be carried out so as not to overload the site with chewing.

Therefore, the immediate loading technique depends on certain conditions of the patient’s dental arch and general oral health. These conditions are assessed individually during a consultation.

Fixed implant prosthesis – types of materials

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

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

Dental implants
Specialist dental clinic - Dental implants

Pure porcelain dentures (metal free)

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

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

metal ceramic total prosthesis for dental implants

Metal-ceramic dentures (porcelain + metal)

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

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

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

Dental implants

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.

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 adentalprosthesis or dental crown.

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.

Dental implants
Inflammation in implants leads to aesthetic, gum and bone problems

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.

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.

Dental implants
Guided implant surgery reduces the risk of dental implant positioning errors

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.

Dental implants

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 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.