Find out the most frequently asked questions about prostheses on implants
Are implants aesthetically pleasing?
In short, it depends a lot on the system used and the local conditions. Aesthetics have improved a lot in recent years. But it’s important to bear in mind that, however good the implant and the professional, the first is still a prosthesis on an implant, i.e. the replacement of natural teeth with artificial ones.
Therefore, expectations regarding implants are common, but can usually be followed by a certain amount of frustration. In many cases, the aesthetic solution is quite acceptable. Fortunately, there have been many advances, not only in the materials used to make prostheses, but also in techniques.
Nowadays we can build prostheses that look more and more like natural teeth. However, the main objective must always be functional. The implant is far superior to other prosthetic procedures, and in the absence of teeth, it’s the best we can do.
In simpler cases, some kind of temporary implant prosthesis is provided for the patient to use immediately after surgery. In the case of the totally edentulous, the period is limited to a few hours to a few days after the first surgery. In the second stage, once the implants have healed, the patient is not left without the prosthesis. In some cases, the immediate loading technique can be used.
Can I eat anything after the prostheses have been fitted? What if I fracture a tooth in the implant-supported prosthesis, is the implant lost?
Not everything can be eaten, but the restrictions are not too severe. Certain foods can even fracture natural teeth. In short, a diet with a minimum of care is sufficient to preserve the teeth of implant-supported prostheses. One positive fact is that repairing fractured teeth is relatively easy.
What happens if the implant (post) becomes mobile after the prosthesis (tooth) has been placed?
All mobility is progressive and indicates that the implant has been lost. Each case is assessed individually and, in principle, the implant can almost always be replaced. This event brings frustration not only for the patient, but also for the dentist. In fact, what happens is an increase in treatment time and, above all, the need to be patient in order to complete it.
I have a full upper prosthesis. I would like to know about the possibility of placing an overdenture without a palate. How many implants? What are the costs?
The overdenture without a palate is a good option because it makes the wearer feel more comfortable. To do this, at least four implants need to be placed. Another option is a fixed prosthesis on implants. This would require four to six implants.
The cost of this type of treatment is variable and it depends on tests to predict the availability of bone in the area. In other words, prices can only be given after a face-to-face consultation and an assessment of the particularities of each case.
I would like to know about the possibility of replacing two removable prostheses with staples with fixed prostheses without staples or implants. I would also like to eliminate the visualization of the staples in my smile.
A treatment like this appears to be of little complexity and can be completed in a short time, according to our Day Clinic philosophy. We always suggest that you also have your teeth whitened to make your whole smile whiter and more aesthetically pleasing.
I have two fixed bridges (one on each side) on the top and I have two implants started (the pins have been placed). I’d like to complete the implants and replace all my teeth with nice white ones, because mine are yellow and the bridges are old with the metal showing. I would also like to know how many days it would take to do a treatment.
I wear lower and upper dentures. Can I get my teeth back? Can you provide information on costs?
Nowadays it is possible to restore teeth even for people who have been wearing dentures for many years. There are many alternatives, especially dental implants. To get an estimate on the price of dental implants, you’ll need a face-to-face consultation and more detailed examinations, which can easily be carried out at our clinic.
Example of replacing a denture with a fixed zirconia prosthesis on implants
Should I go back to the dentist after having my teeth fitted?
At least one clinical radiographic check-up is required every year. It is also the patient’s obligation to attend these check-ups. Appointments are important to identify any problems in time for them to be reversed. They are also used to carry out professional cleaning of the prosthesis, to assess whether the user is performing daily oral hygiene properly, among other aspects that only a professional dentist can identify.
Will chewing ability improve after implants?
Above all, implants have much better functional results than dentures and removable prostheses. Patients who have been wearing dentures for a long time and have implants fitted feel the difference is very significant. The fixed implant prosthesis does not move and the patient certainly feels more comfortable and secure when chewing, speaking and smiling.
I’ve heard that porcelain is the best material for teeth. If I want an implant-supported prosthesis with porcelain teeth, would that be possible?
If you have any further questions about prostheses on implants, please contact us through one of the channels below or make an appointment. We’ll be happy to help you!
These are examples of questions frequently asked by patients. To clear up these doubts, it’s important to bear in mind a few points that go deeper than just the dental implant price. Here at Clinica Dentaria ImplArt, patients have their initial consultation directly with our clinical director, implant dentist Dr. Roberto Markarian, who clarifies all the information about implants during the first consultation.
Let’s follow more honest information about the price and cost of dental implants and prostheses and find out what influences the cost of implant treatment:
Dental implant costs can be determined by the type of dental implant used
There are currently several types of dental implants available and different types of dental prostheses, which give patients different options. The most suitable option for your case will be made in consultation, and your opinion will be very important in the final choice process. The characteristics of each material are presented so that the patient can choose with all the information about healing times and execution methods. In this regard, we should point out that there are everything from titanium implants to the modern ceramic implant, the only metal-free option and an excellent choice for those seeking biological dentistry.
There are fast-healing dental implants, such as the Straumann Slactive implant, as well as national implants with longer healing times. Therefore, your choice cannot be based solely on the price of an implant, but rather on a number of factors.
Dental implants how much ? How much does a dental implant cost? How much is a dental implant?
Of course, many of the calls and messages we receive relate to the cost of dental implants, total implants, dental contact lenses and dental treatments in general. And these questions above are the most frequently asked. How much the patient will spend on their dental implant treatment is undeniably one of the topics that causes concern for the patient.
However, it’s important to point out that there are currently several types of implants and prostheses, and that with so many options, it will certainly be easier to choose the ideal one for each case. We always try to explain that these questions can only be answered legitimately, through a dental consultation. There are two main reasons for this:
1. The first is that the Code of Ethics of the Federal Council of Dentistry forbade dentists from carrying out consultations in person. However, with the pandemic, online consultations with dentists were allowed. In this way, after an online consultation we will be able to provide you with an estimate of Dental implants how much they will cost
2. The second is that dental treatments can only be indicated after a careful assessment of the patient. There are numerous factors that influence treatment planning, for example:
Does the case require bone grafting or not? What type of implant will be chosen? Are there other treatment options available? What about the type of prosthesis? Immediate or delayed loading? Will a less invasive implant be used? Is it guided surgery, where a prior surgical guide is made?
The good news for those who live far away, whether abroad or in other states, is the possibility of making an initial consultation remotely, the online consultation.
Types of implants and crowns influence the value of dental implants / Dental implants how much ?
What’s more, many patients are unaware of the different types of implant, which, above all, can offer different recovery times and different indications. So there is a wide range of choices, and surely one will be right for you.
In this way, these more modern dentalimplants make it possible to shorten the treatment time with the rapid healing they offer.
It is also important to note that there are several types of prosthesis to be made on these dental implants, and the choice will be made jointly by the patient and specialist, depending on the desired results. Therefore, at your initial consultation, all the characteristics of each type of implant and prosthesis will be presented for your choice.
Type of implant chosen: The brand of post has an influence on How much does a tooth implant cost? The final cost of a dental implant treatment depends on a number of factors, such as the materials used, the qualifications of the professional, the technique used, among others. Therefore, the price of the total dental treatment will vary on the market.
How do I know the price of implant treatment? How much do dental implants cost?
First of all, it’s important to bear in mind that when it comes to quality dental treatments, the price of a dental implant can’t always be the deciding factor in the choice, but rather the quality of the service being offered. It is therefore essential that patients make their choice based on the trust and credibility of the clinic or professional providing the service, as well as the technical knowledge of the professionals, their years of practice and the technique to be used.
Undeniably, not every dental implant treatment is the same, firstly because of the differences in each case, and secondly because each professional has their own practice, technique and theoretical background. That’s why it’s very difficult to choose a professional based on price alone. If it’s too cheap, be wary! High-quality materials and qualified professionals have their value. Remember that the effort the professional has put into their qualifications throughout their career makes a direct difference to the outcome of your treatment!
How to measure the value of dental implants in the total dental treatment? what is the fair value/ Dental implants how much ?
As a result, we are able to offer the most modern technologies worldwide, which makes treatments more precise, faster and more comfortable for the patient. That’s why the ImplArt Implant Clinic is so sought after by patients who come from abroad, looking for the latest technology aligned with the best practices in dentistry worldwide, to carry out their intensive Day Clinic treatment. You should know that, for those who come from far away, it is possible to make an online consultation beforehand and with our technology, planning your dental implant surgery remotely is possible.
Dental implant and prosthesis techniques affect the value of dental implants
There are certainly several options for materials and techniques that influence the composition of a budget. What’s more, a treatment that may be suitable for one person may not be the right one for another.
Therefore, it is especially important to be assessed by a talented implant dentistry professional, who will evaluate each specific case and make the most appropriate recommendation to solve each case. Just to illustrate how treatment prices can vary, and the importance of a face-to-face assessment, at Clinica Dentária ImplArt we offer various dental implant options and different types of prostheses.
Short implants? Faster healing implants? Upon receiving a treatment recommendation, the patient will choose the type of implant and dental prosthesis they prefer with the dentist, after explaining the technical characteristics of each type.
The importance of an evaluation appointment to find out the cost of a dental implant
Another aspect that needs to be addressed is that patients may 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 dental surgeon is the professional who is qualified to look at oral health in general, as well as giving the necessary recommendations to keep teeth beautiful and healthy throughout life. That’s why it’s important to know that there is a wide range of options for solving the same problem.
Total implantation with individualized teethZriconia full denturesDental implants how much Zirconia prosthesisMetal-ceramic prosthesisZirconia prosthesisZirconia prosthesisZirconia prosthesisZirconia prosthesisZirconia prosthesisZirconia prosthesisMetceramic prosthesisTypes of dental implant prostheses Pure Zirconia, Zirconia with individual teeth, and Metal-ceramic total prosthesis
Treatment planning involves various strategies and options of materials and techniques with different prices: cheaper or more expensive
At ImplArt Dental Clinic, we believe that dental treatment goes far beyond a simple monetary dental implant value.
There are important factors that influence cost-effectiveness, such as the health and well-being that a healthy set of teeth provides. We can mention the confident improvement in the patient’s self-esteem and the patient’s comfort during procedures with modern techniques and methodologies aimed at the patient’s well-being.
In this sense, the relationship of trust between patient and dentist, and above all our empathy for the patient, often brings with it anxieties, expectations, fears and even trauma from previous experiences. What do you think your smile is worth?
Frequently asked questions about dental implant prices and rehabilitation treatments
Does the Dental Implant Clinic charge for the first consultation?
Yes, the first consultation, the assessment consultation, has a cost. Without a doubt, it is important to note that the CRO, the Regional Council of Dentistry, classifies it as an ethical infringement to offer free consultations and diagnoses, as well as to display the cost of dental implants in a generic manner.
At the ImplArt Dental Clinic, the patient will be assessed by the clinic’s director, Dr. Roberto Markarian, who holds important academic degrees such as Master’s, Doctorate and Specialist in Prosthodontics and Implantology.
It is also important to note that our clinical director has extensive experience in thousands of treatments for functional and aesthetic oral rehabilitation, with dental implants and prostheses. He is also considered a benchmark in digital implants and prostheses, with 3D modeling, which is why we receive patients who come from all over the world in search of our quality of care, not just for the value of dental implants.
Because of his knowledge and credibility, he is sought out by patients from all over the world and is responsible for guiding the team of highly qualified specialists who make up the Clinic’s team. Therefore, it is from his experience and solid academic background that he will propose a solution to the patient’s problem, supported by the most modern practices in world dentistry.
What can be requested at the initial consultation?
In order to allow for an in-depth analysis of the case,the patient may be asked toundergo some radiological examinations to help with the diagnosis and treatment planning.
Of course, if the patient already has previous, recent tests (up to 1 year), these can be presented at the initial consultation. Undoubtedly, the examinations are a fundamental tool for a complete analysis of the patient’s needs and for determining the cost of the dental implant.
There are dentists who don’t charge for consultations, why do you?
First and foremost, we follow the rules of the CRO, the Regional Council of Dentistry, which specifies that dental services cannot be free of charge, in the same way as medical consultations.
Certainly the culture in dentistry is improving and the number of dentists who charge for consultations is growing. It’s important to make sure that, above all, the dentist who will be seeing you has studied at university and takes frequent postgraduate courses.
Your time is valuable, just as it is in other health professions. I’m sure you also want highly qualified treatment, and we have the technical knowledge and the latest technology to offer it.
Do you accept any dental plans?
In order to offer patients the most modern treatments, our treatments are private.
In fact, most dental plans don’t offer cover for dental prostheses, implants or aestheticprocedures, which are precisely the focus of our clinic. However, plans can be used for the reimbursement system or free choice, depending on the value of the dental implant.
There are certainly companies that offer this system to their employees. In this way, the patient pays for their treatment and then, through the specific procedures of each plan, receives part or all of the amounts paid, according to the rules of each plan. In this case, we offer support so that you can apply for reimbursement.
Can I send my tests by e-mail to get a better idea of the cost of treatment before I go to the clinic?
Nowadays, for those who live abroad or in other cities and want to schedule their trip to the Day Clinic for treatment , it is possible to have an online consultation (Teleodontology). What are the cases in which we can carry out an online consultation?
Care for patients who are already undergoing treatment and are unable to return to the office.
Obtain information on the best time to resume treatment for people in the coronavirus risk group
Attending to people from other cities, states or countries.
Patient monitoring between scheduled appointments
If you are in or passing through São Paulo, we remind you that face-to-face consultations are always more productive. Therefore, the online version of the consultation is intended primarily for those who are physically far away. Due to the rules of the CFO Council of Dentistry, we cannot publish the cost of dental implants.
Do you have any doubts? Want to know how much an implant costs? Talk to us and we’ll be able to help you clarify them. We at Clinica Dentaria ImplArt are happy to help you. Access our WhatsApp with the direct communication channel.
Do you have no time to waste? Do you run all day, from work to home, from home to work? Do you live in another city? You may need day clinic treatment.
Do you need to start dental treatment, but due to lack of time you can’t afford to visit the dentist? Are you putting off getting a dental implant or replacing your dentures with fullimplants?
Dayclinic: Dental Treatments during the day, in a few hours or days
Dental Day Clinic Dental Spa by ImplArt
Fast and comfortable dental treatment
The simplest solution is to opt for the Dental Day Clinic, or ImplArt Dental Spa, where you can carry out as many dental procedures as possible in just one day at one appointment.This way, patients can set aside a day in their schedule or a few days in a week to dedicate to dental treatment, without it taking months to complete.
Procedures and visits are carried out in such a way that they don’t affect your day-to-day life, reducing the time you spend at the dentist. Sometimes we schedule quick DayClinic treatments for special dates such as weddings, Valentine’sDay or the end of the year.
These are, for example, the procedures that can best be carried out at the Dental Day Clinic. However, we can virtually carry out treatments in all dental specialties, just by planning ahead. In the case of braces (orthodontics), we can schedule quick treatments with specific braces, but in this case we are talking about months of treatment and not days.
The best way to define what will be done is to have a prior plan based on the patient’s needs and wishes. In this way, the dentist will define the sequence of procedures and how they should be carried out.
The Day Clinic is only possible because ImplArt has a complete structure, so that patients don’t need to go to other addresses to complete their treatment. The durability of treatments carried out quickly in a Day Clinic is the same as that of a treatment carried out at a normal pace.
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Complete structure for your Day Clinic
ImplArt has its own dental laboratory within the clinic, which certainly facilitates the rapid completion of work while maintaining high quality materials. The laboratory’s focus is on using high-tech materials such as zirconia and special porcelains by means of computerized Cad/Cam projects and execution by 3D tooth printers.
Another facility is that radiological examinations can be carried out in the clinic, thanks to our digital radiology center. Panoramic radiographs and CT scans with real-time results help with rapid diagnosis and the appropriate course of action.
Another novelty at Implart is sedation dentistry, where the patient remains relaxed throughout the procedure. They are best suited to people who are afraid of going to the dentist, of dental treatment or of the famous “dentist’s machine”, the motor. For patients with health problems that require care, we can schedule a Day Clinic at the hospital (*valid for some types of treatment).
Contact us to find out if your case can be treated in a Day Clinic. Radiological examinations can be carried out instantly at ImplArt. Contact us to find out if your case can be treated in a Day Clinic, as well as treatment plans, prices and deadlines.
If you prefer, we can serve you fluently in English and Spanish.
Certainly one of the great delights of our work is receiving the feeback from our patients, who are always full of joy and satisfaction. The conclusion of a treatment is a moment of great expectation because it often involves the realization of dreams. In these dental implant testimonials, you’ll get to know a little more about some of our dear patients, who often travel from far and wide to have their treatment carried out at the ImplArt Dental Clinic.
Patients come from all over the world, from Japan, Australia, the United States and England to the most beloved parts of Brazil. The ImplArt Dental Clinic is certainly a center of knowledge and high technology in dental implants and computerized dental prostheses, a pioneer in Day Clinic Dentistry. In this way, patients come to us for our know-how as a team, based on all the knowledge of our clinical director, Dr.Roberto Markarian, implant dentist, PhD, a reference in implants and computerized prostheses in Brazil.
Below you’ll find the ImplArt Clinicdental implant testimonials that we’ve put together for you to learn a little more about our treatments and how they have the power to impact and improve patients’ lives.
The video above shows dental implant testimonials from a patient from São Paulo-SP, following dental implant treatment. Dental implants are indicated for patients who have already lost one or more natural teeth. The patient chose the ImplArt Clinic because it has extensive experience in the rehabilitation oftotal dental implant patients, with a portfolio of thousands of completed cases.
Read the testimony of Kazue, a patient who came from Japan to have her dental implant treatment at the ImplArt Clinic.
A patient came all the way from Japan to have her implants carried out with a Day Clinic at Clinica Dentaria ImplArt. Here’s what she has to say about her intensive treatment at ImplArt. In her testimonial, patient Kazue says that the“ImplArt Clinic is TOP!”
Read another of the dental implant testimonials from a patient who came from another state to have treatment at the ImplArt Clinic.
These dental implanttestimonials certainly bring us immense joy and satisfaction, knowing that we are always helping to improve our patients’ quality of life.
More dental implant testimonials: patient Augusto Araújo came from the United States
Augusto came from the United States to have his dental implant treatment at the ImplArt Clinic. Here’s what he had to say about his treatment at ImplArt. Follow this heartfelt testimonial:“I recommend the ImplArt Clinic to anyone who wants to have a beautiful smile like mine!
Augusto talks about the stages of treatment and the team that attended to him: “I’m very happy with the results of the treatment!” “I recommend Dr. Roberto and the entire ImplArt team.”
See also other testimonials on dental implants, dentures and dental aesthetics
Here are some real dental implant testimonials from our patients, so you can see our quality from those who have experienced it. We pride ourselves on meeting your needs!
“I’ve been a patient of the ImplArt clinic for a few years, when I met Dr. Roberto Markarian. At the assessment appointment, he explained the treatment very clearly. I was someone who had a lot of trauma and fear of dentists, I couldn’t smile and I was very embarrassed.
I just have to say thank you for getting to know this clinic, which took very good care of me, excellent professionals, I was always attended to promptly throughout my treatment. Today I can smile. Congratulations to Clinica ImplArt and Dr. Roberto Markarian, and I can’t forget to mention Vivian, who has always been very attentive. How good it is to be able to count on professionals like you.”
Shirlei Gonçalves
“I am a patient of the ImplArt clinic, I had a total upper and partial lower implant treatment, assisted by Dr. Roberto, a highly competent professional, as well as his clinical staff! My treatment was carried out by Dr. Adriana, who is highly professional and attentive! I’m very happy with the result, it looks great and I get nothing but compliments.”
Solange Godoy
“I was very afraid of getting implants, but Dr. Roberto gave me so much reassurance that I had no doubts. I had the implants, I didn’t feel a thing and I didn’t have any problems. I was very pleased with the results, it even changed my self-esteem with the excellent work done. Dr. Brenda was an excellent professional, always attentive and explaining all the treatment procedures. A reliable team. The service was exceptional. I highly recommend it.”
Dulceni Paglione
“ImplArt has changed my life. It changed the way I smile and interact with people. I now have much more confidence in myself, my self-esteem has grown. I thank them for all their care and I say to anyone who is going to start treatment: you can trust them, because they are serious and their work is very good.”
Eliana Fagundes
“First world dental clinic, the tooth scanner only exists at Implart, I was impressed with the perfect result. Dr. Roberto is highly competent and gives us all the security we need when deciding to have an implant or more complicated surgery on our teeth. The team is top 10. I had my treatment with Dr. Roberto and his team and I highly recommend them.”
Valerie Hair
“I recently finished my treatment. I had Swiss implants and a porcelain prosthesis. I would like to praise the work of Dr. Roberto and all the qualified professionals in his team. These people work seriously and responsibly.”
Sebastião Melo
“Now that I’ve completed the full upper arch implant procedure I started about four months ago, I’m here to give my testimony to help anyone who needs treatment and has doubts about where to get it. I went through a real via crucis to get to Dr. Roberto’s clinic, because if you don’t have a referral, searching on the internet gives the impression that all dental surgeons are good, which is a total mistake.
Mentions like “graduated from such and such university” don’t mean much. Many don’t have the qualifications or equipment for more complex surgeries. Before arriving at Dr. Roberto’s clinic, I went to several that I thought were specialists, and I was frightened by the procedures suggested for my case. But as I’m very fearful, I didn’t agree to be treated at such clinics.
I continued researching and came across Dr. Roberto, who gave me a totally different solution from those who had gone before him, and so I began treatment. It was a blessing for me because I didn’t have to undergo surgery in a hospital under full anesthesia. It was easy, painless and I recovered quickly. “
Hideki Oshiro
“I found Implart through a Google search. I was looking for a clinic in São Paulo that would serve me with quality and speed, as I live in Miami. I wanted zirconia treatment, as is done here, and I found what I wanted at Implart. A committed team, a director with credibility and knowledge. I was very happy with my choice and came back very happy.”
Rafaela Nunes
“Having completed the first stage of my treatment, I’m taking the initiative to express my satisfaction with Implart. When I read the contract, I liked it. Objective, clear and transparent. Extremely professional. The clinic is well-kept, cozy, no-frills and very well equipped. I was able to see for myself that the materials used in my treatment were top quality. Very fine needles for anesthesia.This means that we feel almost nothing from the sting (of course, in this case, the professional’s hand is fundamental).
Anesthetics that left me wondering whether I was anesthetized or not, because the effect was so subtle. Powerful, though. Just as you hardly notice when the anesthetic wears off. There are no abrupt sensations. The restoration of a tooth that came in the way was carried out perfectly. The temporary prosthesis was very good. It fitted very well and the aesthetics were excellent. Very natural and very close to my original teeth.I love it!
Then the surgery! The next day it seemed like I hadn’t even undergone it, how comfortable I was. All of the above is very important, but for me the most important thing is Implart’s team of professionals. What really struck me was that everyone I spoke to was discreet, spontaneous, affectionate and welcoming. Dr. Roberto, congratulations on your clinic.And in my humble opinion I think it’s a model clinic.
If one day a dental student is able to do an internship at Implart, it would be a privilege. Believe me, everything I’m saying is the observation of a 60-year-old who has worked with a variety of professionals, from very good to very bad (all in private practice). I love being seen in a dental clinic. It’s more complete, modern and efficient.”
Setsuko Katayama, São Paulo-SP
“I thank and congratulate Dr. Roberto Markarian and his entire team for their competence, professionalism, ethics and respect. You have given me back the will to smile.”
Eva Bastos, São Paulo-SP
“The experience I’ve had with ImplArt dentistry couldn’t have been better. High professionalism, proper treatment and accurate information provided to patients are qualities that make ImplArt stand out in the dental field. Patients with limited time, as in my case, get a full guarantee of a service provided with precision.
The MSN patient support service provided by the administrative assistant makes Implart stand out and gives us the guarantee of an infrastructure prepared to meet all our needs with comfort and credibility. No matter the distance, time or need, IMPLART has shown that it makes a difference at national and international level. Thank you to everyone who makes ImplArt a differentiated and reliable service.”
Jomo Löw – Sacramento – California
“I’m very anxious about going to the dentist and I’ve always avoided it as much as possible. Now it’s been five years without treating my teeth, so I ended up losing some dentures, had a lot of cavities and an episode of pain. Then I came across the IMPLART clinic and this sedation technique. It was very easy to have the treatment this way. The doctor who saw me was very attentive and looked after me until the end of the procedure. I also found that the dentist worked quickly and did some implants and treated the cavities while I was asleep. It was a bit magical but when I woke up everything was ready, I thought it was great.”
M.R.R., businesswoman, São Paulo-SP
“It’s very easy for me to write in the form of testimonials about the dental implants I had for two years with Dr. Roberto from the ImplArt Clinic, because what seemed impossible at first, through Dr. Roberto’s skillful hands, became concrete every day.When I arrived at the office for a consultation more than two years ago, I had periodontal disease that had already compromised most of my teeth, both upper and lower. After the consultation, Dr. Roberto informed me that it was a difficult case, but not impossible to treat, and his suggestion was to implant both upper and lower teeth.
In a very didactic way, he explained the treatment step by step, showing me that one of the main elements in the whole stage would be patience and that’s what I had during the long process of surgeries and tests, but my calm, patience was due a lot to the confidence that Dr. Roberto gave me, his security, his intelligence, his education and affection were essential for me to go through this trajectory very calmly and sure that I would ultimately achieve my KOLYNOS smile, which can be COLGATE, SMILE.”
Cida Santos, University Professor, São Paulo – SP
“I was recently in São Paulo because I travel frequently for work. Due to the sudden need for emergency treatment, I came across the ImplArt Clinic, which promptly solved my problem. My time in the city, about a week, was enough for a definitive treatment to be completed. I was very pleased with the speed of treatment and the quality. I recommend it!”
Albert Cardoso, Fortaleza – CE
“As I have known Dr. Roberto for some time, I let him know in advance that I was coming to São Paulo, as I visit my family periodically. Dr. Roberto asked me to send him some tests in advance, which I promptly did by email. I was impressed by how useful technology can be even for dental treatment. I prefer the service in Brazil, as the dentists here are very cold and the prices are much higher.”
Regina Abreu, London – England
“I remember one Friday when I was performing at the Sala São Paulo, a jacket that was right in front of me broke. I called Dr. Markarian, made an appointment, he examined me and said that if I waited for surgery to finish, he would put an implant in. The result: I had the implant, left the office, came home, got ready and went to the repair, driving normally.
I arrived after midnight enraptured by the music and without remembering that I’d had an implant. I know a lot of people who have implants, get sick, have inflammation, get down, stop exercising. Thanks to the doctor’s safety, competence and in-depth knowledge, I never had any problems and everything went smoothly. That’s why I say that I was even sad, regretting the end of the treatment. A big hug to all of you and much success to the Clinic, especially to Dr. Roberto.”
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.
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.
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.
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.
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.
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.
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.
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 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.
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.
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.
Dental bone grafting is a subject that often generates a lot of doubts and even fear in patients. It is a technique indicated for reconstructing bone structures in the mandible and maxilla when patients have little volume or defects, especially those who wish to place dental implants.
I don’t want dental bone grafting, do I have a choice?
Implants without dental bone graft: are there alternatives?
However, every patient is assessed individually. And today we have new techniques for bone grafting. In fact, for some, the indication of bone grafting is inevitable, while for others, there are alternatives to grafting, such as:
Short implants (little vertical bone volume)
Small diameter pins (little horizontal bone volume)
Roxolid Straumann reinforced titanium implants (smaller and stronger)
Short and narrow grafts can be an alternative to bone grafting techniques
Small bone grafts or micrografts are alternatives to bone grafts
ImplArt Odontologia’s philosophy is to avoid bone grafts as much as possible and has mastered alternative techniques to avoid their use whenever possible. By avoiding dental bone grafting, treatment becomes faster and the patient undergoes fewer surgical steps. However, nowadays bone grafts are small and very restricted to the implant site. In the past, only large grafts were performed.
That’s why the micrograft technique is better and has less pain after surgery. Dental implants without grafting before and after Dr. Roberto Markarian, the clinic’s coordinator, is an experienced dental implant specialist with more than a thousand implants installed, and cases of before and after implants.
Thanks to its extensive clinical and surgical experience, ImplArt has been able to treat countless cases without bone grafts – which may have been indicated by other specialists. The indication of techniques depends on a thorough examination of the patient, as well as their tests, such as CT scans and X-rays.
If you have them, come to your assessment appointment with all your tests. If you don’t have them, for your convenience they can be carried out in our digital radiology center inside the clinic (at a separate cost).
When extractions are unavoidable due to periodontal disease, it is likely that teeth will need to be replaced with dental implants. However, dental implants can only be placed immediately after periodontitis has been treated. If the disease is not well controlled, the success of rehabilitation with dental implants will be compromised.
Periodontal disease (periodontitis) without proper treatment can lead to tooth loss. This is because the bacterial infection gradually destroys the structures that support the teeth. As a result, the teeth soften and, depending on the case, are unable to be maintained.
This is what is known as peri-implantitis, i.e. infection around the implants. Peri-implantitis hinders osseointegration (a phenomenon necessary for implant fixation) and can lead to implant loss.
Immediately after tooth extractions, the surgeon assesses whether the bone and gum structures are compromised through clinical and radiographic examinations. He may perform minor surgery to clean the area and administer antibiotics to control the infection. The patient is instructed to maintain proper oral hygiene. In the meantime, the patient can wear a temporary prosthesis. The recovery time for periodontitis is not established, as it depends on each case.
Replacement of problematic teeth with implants,in this case protocol prosthesis
Replacing teeth with dental implants
If the bone loss after periodontitis is reasonable, dental implants can even be immediately loaded (in selected cases). If bone loss is severe, it may be necessary to perform a bone graft to rebuild the structure before placing the implants.
Unfortunately, this process is not so quick, as it is primarily necessary to wait for complete healing (from 3 to 6 months on average). After dental implants have been placed, clinical follow-up is particularly important in these cases, in order to prevent periodontitis from returning.
Dental visits should be more frequent for patients with a history of periodontal disease than in cases where tooth loss has occurred for other reasons. The surgeon may order additional imaging tests to monitor the osseointegration of the implant. Care should be taken with oral hygiene at home.
This treatment, when carried out by a specialized team and together with the patient’s valuable collaboration in terms of oral hygiene, correct use of medication, regular visits to the clinic and the patience to wait for the results, has a high chance of success.
The ImplArt Dental Clinic specializes in replacing teeth with implants after periodontal disease. Its team is made up of serious periodontists and implant dentists, trained at the country’s leading universities.
Dr Roberto Markarian, implant dentist, is the creator and director of the ImplArt Dental Clinic. The ImplArt Dental Clinic is certainly one of the main centers of technology in aesthetic oral rehabilitation and implantology in Brazil. As a result of its know-how and high technology, the ImplArt dental clinic receives patients from all over the world who are looking for high technology and knowledge to carry out their dental implant treatment.
Our clinical director holds a doctorate in implant dentistry, a master’s degree in prosthodontics, and two specializations in dental implants and prosthodontics. In addition, he has completed several training courses in the field of dentistry, not only in Brazil, but also abroad.
Replacing teeth with periodontal disease with implants
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.
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