Before answering this question, it is necessary to explain that there are different dental bone grafting techniques, each with its own complexity and extent. This directly influences the guidelines for the post-operative period and recovery time.
Learn all about bone grafting with implants
In most cases it is possible to use a prosthesis while the graft heals
Dental bone grafting to allow the placement of just one implant, where the patient has teeth to be used as support for the prosthesis, is not the same as block grafting to place several implants in a full arch, which is considered more complex.
However, in many cases, it is possible to attach a temporary resin prosthesis, which is suitable for helping the tooth graft recover and heal, as well as allowing the patient not to be without teeth for the duration of the treatment.
After the recovery period, the temporary prosthesis is replaced by a permanent prosthesis made from the material chosen jointly by the patient and the dentist (resin, metal-ceramic or fully esthetic zirconia).
Particulate grafting is used in small reconstructions, such as filling in a site where there has been bone loss or in the maxillary sinus lift technique. The biomaterials used in particulate bone grafting are implanted to replace or repair atrophied tissue.
They can be of natural origin (a small amount of crushed human bone from the patient themselves or from a tissue bank for transplants, or freeze-dried bovine bone powder).
The particulate graft can also be made of synthetic material produced in the laboratory, fully biocompatible with osteoconductive properties (attraction of bone tissue-forming cells) or synthetic vitreous materials (synthetic hydroxyapatite).
The particulate dental graft is deposited in situ and then covered with a collagen membrane. In favorable cases, the dental implant can be placed on the same day as the graft, followed by a temporary prosthesis.
Block Grafting
This technique is indicated for more extensive reconstructions. The block-shaped tooth graft can be taken from another part of the patient’s body. When only one block is needed, it can be taken from the mandible.
When more blocks are needed, they can be taken from the pelvis or skullcap. None of the donor sites suffer from bone loss. The blocks are fixed in the jawbone with titanium screws and will thus allow more dental implants to be placed.
The possibility of using a prosthesis in this type of graft is therefore assessed on a case-by-case basis.The ImplArtDental Clinic has extensive experience in dental bone grafting techniques.
If you have any questions, please contact us or book an appointment.
Oral rehabilitation with total implantation of all teeth (total implantation) is certainly a solution for people who have lost all the teeth in an arch or who would like to replace their mobile prosthesis with a fixed prosthesis on implants. The loss of teeth certainly damages a person’s quality of life and self-esteem.
The beauty of the smile is compromised and chewing is impaired. A fixed prosthesis is certainly capable of transforming the lives of those who suffer from missing teeth. However,implantrehabilitation is recommended assoon as possible after tooth loss to prevent bone loss (bone resorption).
The implants are surgically placed in the bone – usually 6 in the maxilla (upper) and 4 in the mandible (lower). Once healed, a prosthesis is fixed onto them. The dental prosthesis can be made from different materials, ranging from resin to porcelain with a metal-free zirconia structure (more aesthetic and free of metals).
How total implants are done (all the teeth in the arch)
The time that elapses between the installation of the implants and the placement of the definitive prosthesis varies according to each case, which is assessed individually. In short, the treatment time can vary from four months to a year, depending on the patient’s condition. However, in some selected cases, it is possible to perform full-arch implants and have all the teeth fixed with implants on the same day.
This technique, called immediate loading or rapid loading, gives patients great satisfaction due to the rapid results. All of the ImplArt clinic’s dental prostheses are made in a complete in-house dental prosthesis laboratory, which guarantees the quality of the products delivered.
In addition, we work exclusively with the most modern computerized technologies called Cad/Cam, which increase the precision of the parts produced. Click here to find out more.
Advantages of a fixed prosthesis on dental implants
More comfortable for the gums
More secure chewing, speaking and smiling
Restores the aesthetics of the smile
Free roof of mouth
It paralyzes or prevents bone resorption (a common phenomenon in people who lose their teeth).
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If you have any questions about implants for all your teeth, then contact us through one of the channels below or book an appointment.
The loss of multiple teeth can certainly affect your ability to chew, as well as the beauty of your smile. The best option for replacing multiple teeth is certainly the placement of a multi-tooth implant, i.e. the placement of several implants and the attachment of a dental prosthesis. A multi-tooth implant can also be called a total implant or a protocol prosthesis.
How to do several implants at the same time.
Fixed prosthesis or implants with several teeth provide good chewing ability and aesthetics
It is certainly recommended that implant surgery be carried out as soon as possible after tooth loss. This prevents bone atrophy (progressive bone loss) from occurring. Implants for 3 teeth, 4 teeth or more have some advantages over other types of treatment.
Advantages of multi-tooth implant rehabilitation
Neighboring teeth remain intact
The prosthesis is attached to the implants, offering comfort and safety for the user to chew, smile and speak
Ease of treatment, as the prosthetic components are prefabricated (approximately six sessions)
Not affected by cavities and infiltrations
In specific cases, it is possible to place the provisional prosthesis immediately after implant placement (immediate loading)
The installation of the implant prevents or stops the bone atrophy that normally occurs after tooth loss.
zirconia_protese_total_40kbImplanting several teeth at the same timeImplanting several teeth at the same timeImplanting several teeth at the same timeImplanting several teeth at the same timeImplanting several teeth at the same timeExamples of some cases of implantation of all teeth carried out at ImplArt
Implants with 3 teeth, 4 teeth or more have some advantages over other types of treatment with removable prostheses. As an alternative to placing several implants, we only have techniques that use common removable prostheses, without the use of implants. However, the indication is made after evaluating each case.
Should I have several teeth implanted or wear dentures?
Multi-tooth dental implants are an alternative to conventional dentures for those who have lost many or all of their teeth. They consist of placing metal pins, usually titanium, in the jawbone or maxilla, which serve as a support for fixed dental prostheses. These prostheses can be made of materials such as porcelain or zirconia, which mimic the appearance of natural teeth.
Multi-tooth dental implants have many advantages over conventional dentures, which are supported by the gums and can come loose or cause wounds. That’s why we’ve listed some of these advantages below:
Aesthetics, comfort and safety: Dental implants are more natural, comfortable and safe than dentures, which can move or fall out. They allow the patient to smile, speak and chew with more confidence and without fear of losing the prosthesis.
Preservation of bone against resorption: Dental implants preserve the bone structure of the mouth, preventing the atrophy that occurs after tooth loss. Bone atrophy can cause problems such as gum resorption, changes to the shape of the face, difficulty adapting dentures and the loss of other teeth.
Improved chewing function: In addition, dental implants allow for better chewing, speech and taste perception. Conventional dentures can interfere with chewing, making digestion and nutrition difficult. They can also hinder speech, causing noises or difficulty in pronunciation. In addition, they can cover the palate, reducing taste sensitivity.
Durability and resistance: Dental implants are considered to be more durable and resistant to cavities and infiltrations than dentures. They are made of materials that do not wear out or deteriorate over time. They are also easier to clean, as they don’t need to be removed for cleaning.
Conclusions on getting several teeth implanted at ImplArt Dentistry Clinic
With over 15 years of experience and thousands of implants installed, hundreds of cosmetic dentistry cases solved, and thousands of satisfied patients as a result. We are led by the expertise of our clinical director, implant dentist Dr. Roberto Markarian. With all our know-how , we are able to offer the most modern single-tooth implant techniques, total implants and modern contact lenses, as well as zirconia prostheses.
Get in touch with us, and schedule your evaluation appointment for implantation of several teeth, or other treatments, 📲WhatsApp (11) 3262-4750. We’re on hand to carry out your single-tooth, full-tooth or multi-tooth implant treatment and help you make a change in your life!
Implanting several teeth at the same time
Text written byDR. ROBERTO MARKARIAN – CRO-SP 73.583 Founder and Director of the ImplArt Dental Clinic.
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 to all the treatments offered by the ImplArt Clinic.
Periodontal disease is characterized by the formation of a space between the gum and the tooth, a periodontal pocket, which helps to accumulate food debris and bacteria. It is the main cause of tooth loss in adults. As in all cases, only a dentist can determine with certainty the patient’s condition and what treatment should be carried out.
Periodontal disease self-examination
But people can find out more quickly at home what their problem is. In the case of periodontal disease, the most characteristic sign is bleeding gums. In addition, changes in the position of the teeth, swollen gums, tooth mobility, receding gums, bad breath and food retention are signs that the disease may already be present.
Periodontal disease is caused by bacterial plaque adhering to the tooth. Bacterial activity in this area releases toxins that initially cause the gums to loosen, making room for infection inside. This infection leads to the progressive deterioration of the supporting tissues of the teeth and in advanced cases, they become soft and fall out.
However, changes in the gums can also be associated with emotional causes, medication or low immunity. That’s why it’s important to have a consultation to assess the causes.
Periodontal disease: how do I know if I have it?Periodontal disease: how do I know if I have it?Periodontal disease: how do I know if I have it?Signs of periodontal disease: severe bone loss, malocclusion, tilted teeth, tooth roots appearing (teeth look longer), receding gums, inflamed red gums, bleeding gums, soft teeth, falling teeth, infection, dark space between teeth (dental blackspace), bad breath.
Treatments for inflamed gums
For treatment, the patient must go to the dentist who will remove the plaque by scraping and smoothing the roots of the teeth. Surgery may be indicated if the aforementioned procedures do not reach the entire area of the compromised root. Even with proper treatment, there may be sequelae such as displacement in the position of the tooth, bone loss and gum recession. Surgical and prosthetic procedures are available to reduce these effects.
If you’re noticing any of these symptoms of periodontal disease, make sure you schedule an appointment to start proper treatment as soon as possible, and thus avoid more serious problems such as tooth loss.
Bone grafts are techniques to supplement the bone lost in the patient’s jaw. They can be performed simultaneously with the insertion of the dental implant, or require a healing period. Each indication will depend on an analysis of the patient’s case. But rest assured, today’s bone grafting techniques are very modern and painless for the patient. The results are certainly worth it because dental implants are the best solution for restoring missing teeth!
Know everything about dental bone grafts
Bone grafts are used to reconstruct the area that has lost height or thickness
In some cases, it is not possible to place dental implants without first doing bone grafts. People who have lost one or more teeth due to accidents or extractions always think about reconstructing their dental arch in order to smile without embarrassment and for this, dental implant placement is certainly an excellent option.
When people lose their teeth and don’t replace them immediately, they experience bone resorption. As a result, the bone in the area becomes thinner and taller, or has defects in its shape. In the upper jaw, the size of the maxillary sinus can increase, which in principle prevents implants from being placed. In addition, with tooth loss, expressions become limited, the mouth shrivels, chewing becomes difficult and speech can also be altered.
In this way , bone grafting serves to rebuild enough structure to allow the implant to be made, restoring the lost volume to the atrophied bone. For this technique, the dentist can use the patient’s own bone material, taken from the mouth (for small reconstructions) or taken from other sites, such as the hip bone (iliac) and skull cap (for large extensions).
There are different bone grafting techniques, each with its own particularities
In the case of smaller, more common grafts, the bone grafting procedure can be done in the office using local anesthesia. For larger areas, the surgical intervention is performed in a hospital by a larger, multidisciplinary team under general anesthesia. The patient does not lose teeth while the bone graft heals.
It is also possible to use a xenogenous bone graft crystal, when the bone comes from animals (freeze-dried bovine bone – Genox or Bioss), human bone from bone banks (bone transplant) or synthetic vitreous materials (synthetic hydroxyapatite). However, the most easily regenerated material is bone graft taken from the person themselves (autogenous bone).
Types of bone graft materials
The procedure can be carried out in fragments or as a block. Many people are afraid of undergoing a bone graft, but in fact the procedure can be very simple. All the materials are biosecure and undergo strict controls to prevent contamination.
Smaller bone grafts are non-invasive and can be used to supplement the bone around a newly placed implant. However, in people who have lost their teeth many years ago, larger bone grafts may be necessary. ImplArt’s philosophy is to avoid bone grafts and has mastered alternative techniques such as:
Bone loss can occur for a number of reasons, but the most common is tooth loss or extraction without immediate replacement. When a person loses their teeth, the body resorbs the bone in the maxilla or mandible because it understands that the bone no longer has a function (which was to provide support for the teeth). This loss is progressive and over the years the person has little bone volume in terms of height and width, which at first makes it difficult to place dental implants.
What are bone grafts?
Maxillary sinus lift or sinus lift
A sinus lift is a surgical procedure for bone grafting in the posterior region of the upper jaw. The aim is to increase the amount of bone in height so that a longer dental implant can be placed.
When a person loses one or more teeth in the upper arch, there is a loss of bone in height and the maxillary sinus shrinks (fig.1). The procedure is carried out in this way: First, a small opening is made in the gum in the lateral region of the bone defect (fig.2).
A variable amount of bone regeneration precursor material is then placed inside this opening (figs.3,4). The surgery is quick and usually takes no more than 30 minutes with an experienced surgeon. Bone regeneration takes between 4 and 9 months (fig.5), and then the implants are placed (fig.6), but radiographic examinations are carried out beforehand to check the progress of bone regeneration.
Materials used in bone grafts
Nowadays we have a variety of materials that can be used for bone grafts in the maxillary sinus:
Studies show that all materials are favorable for this type of graft, depending only on the surgeon’s preference.
Bone Graft Before and afterBone Graft Before and after – X rays
The ImplArt Clinic has experience in various grafting techniques
Dr. Roberto Markarian, coordinator of Clinica Dentaria ImplArt, is an experienced dental implant specialist with thousands of implants installed. Due to his extensive clinical and surgical experience, he has been able to carry out countless cases of rehabilitation without the need for bone grafting and which had been indicated for grafting by other specialists.
Each case is assessed individually during a consultation. If you have any questions about the price of treatment, values or planning, please contact us or schedule a consultation 📲WhatsApp(11) 3262-4750. Bone grafts are different from gum grafts in terms of techniques and objectives.
Periodontal disease is a set of inflammatory manifestations caused by bacteria that affect the supporting tissues of the teeth, which in advanced cases leads to tooth loss. Periodontal disease is the main cause of tooth loss in adults. Bacterial action in these structures begins with the accumulation of plaque on the tooth surface.
Why gum disease occurs
The accumulation of bacterial plaque occurs mainly due to poor oral hygiene, poorly performed or hampered by the shape of the teeth (crooked teeth or teeth that are too close together) and long periods without visits to the dentist’s office for preventive treatment.
In early cases, the toxins released by the bacteria inflame the gums, which then become red, swollen and bleed easily. In moderate cases, the gums lose their attachment and form pockets, called periodontal pockets.
This condition is very worrying because when the gums lose their adherence it opens a door for bacterial activity below the gum line, meaning that tartar can build up on the surface of the tooth root and inflammation of the bone tissue and all the supporting structures of the teeth can occur.
Without proper control, inflammation leads to gradual bone loss and teeth become soft, fall out or need to be extracted. Look at your teeth and gums: some conditions can be signs of periodontal disease:
Plaque and tartar adhered to the teeth, mainly on the line between the gums and teeth. Plaque is colorless and viscous. Tartar is when the accumulated plaque calcifies and is yellowish or whitish in color;
Gums that are swollen, red or bleed easily when brushing, flossing or involuntarily;
Retracted gums, sagging or separated from the tooth;
Tooth sensitivity;
Part of the tooth root exposed;
Changes in the position or mobility of the teeth;
Tooth loss;
Periodontal disease - causesPeriodontal disease - causesPeriodontal disease - causesSigns of periodontal disease: severe bone loss, malocclusion, tilted teeth, tooth roots appearing (teeth look longer), receding gums, inflamed red gums, bleeding gums, soft teeth, falling teeth, infection, dark space between teeth (dental blackspace), bad breath.
Periodontal disease: causes
Accumulation of plaque and tartar
Plaque is a viscous, transparent film that forms on the teeth near the gum line. The toxins released by the bacteria inflame and irritate the gums, which can turn red and bleed. Tartar is when this plaque becomes hardened (yellowish or whitish calculus) and can only be removed by a professional. When the gum becomes loose, it exposes the root and calculus can build up in this area. Bacterial activity in this area leads to the gradual deterioration of the bone around the tooth.
Medicines
Some medications can interfere with oral health and favor the onset of periodontal disease or make it difficult to cure. The main classes of these drugs are: contraceptives, antidepressants, anticonvulsants, antihypertensives, some used to treat cardiovascular problems and drugs to prevent organ rejection in transplant patients. It is important that patients inform their dentist of any medication they are taking.
Low immunity
Patients in this condition, in most cases as a result of AIDS or chemotherapy, find it more difficult to respond to infectious processes and are more susceptible to the progression of periodontal disease.
Diabetes
Diabetes can cause difficulty in healing, changes in blood circulation and a drop in immunity. Diabetics are more likely to suffer from periodontal disease than non-diabetics.
Bad habits and functional conditions
Smoking –smoking reduces vascularization and consequently oxygenation of the cells. This makes it difficult for the body to respond to any infection. It also hinders healing processes and reduces salivation (which is essential for removing and fighting bacteria on the teeth). Read more about the harmful effects of smoking on oral health.
Poor nutrition – a lack of intake of various nutrients, such as vitamin C, can reduce immune resistance and promote oral infections.
Poor oral hygiene – proper brushing is the best way to remove food residue that may stick to the teeth and gums. The accumulation of this waste serves as “food” for bacteria. In addition to brushing properly, flossing and antiseptic rinses are recommended.
Failing to visit the dental practice regularly – visits are essential for identifying problems at an early stage and for carrying out prophylactic professional cleanings.
Bruxism – the habit of grinding and clenching teeth can accelerate the process of destruction of bone and gum structures with active periodontal disease. Read more about treating and controlling bruxism.
Malocclusion and crooked teeth – conditions that can encourage food residue to accumulate on the teeth and make it difficult to remove.
Emotional causes
Stress – Stressed individuals may have an altered immune response to infectious conditions. Tension can also encourage bruxism.
Genetic factors
There are people who are genetically predisposed to periodontal disease, even if they maintain good oral hygiene habits and visit the dentist regularly. A test can be carried out to find the genetic marker that influences periodontal disease.
Hormonal factors
Pregnancy – During pregnancy there are intense hormonal changes and the woman’s body can be slow to respond to infectious conditions. In addition, there are studies that show that periodontal disease can influence premature birth.
Puberty and menopause – As with pregnancy, puberty and menopause are phases of intense hormonal changes that can certainly make the body more susceptible to infections.
How can periodontal disease be prevented?
Maintain proper and regular oral hygiene. Spend more time brushing. Don’t forget the inside. People tend not to brush the less visible areas of their teeth properly and it is precisely in these areas that plaque and tartar can build up;
Avoid excessive consumption of sugar and refined foods (the bacteria present in plaque feed on these sugars).
Even if you don’t notice these signs, regular visits to the dentist should not be abandoned. A professional eye can identify problems in time to treat them. Preventive care is certainly very important. They prevent problems in the future and can save you time and money.
A dental implant is a titanium or all-ceramicpin, 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.
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 backtheir 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.
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.
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:
Or immediate loading for a single tooth (mainly in the anterior region)
The dental implant technique with immediate loading can be carried out when bone quantity and quality are normal and also when occlusal habits are favorable for the procedure to be carried out so as not to overload the site with chewing.
Therefore, the immediate loading technique depends on certain conditions of the patient’s dental arch and general oral health. These conditions are assessed individually during a consultation.
Fixed implant prosthesis – types of materials
Implant treatment is the main form of aesthetic and functional rehabilitation for patients who have lost their teeth. The absence of one or more teeth compromises chewing, speech and the aesthetics of the smile, so a fixed prosthesis on implants is capable of restoring security and self-esteem to the edentulous person.
Rehabilitation basically goes through 3 relevant phases: the placement of dental implants, the healing phase (in which the patient uses a temporary prosthesis) and the finalization with the fixing of a definitive prosthesis on implants. We have a variety of materials that can be used to make a dental prosthesis:
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 dentures (porcelain + metal)
This is a prosthesis with an internal metal structure (titanium, Ni-Cr or Cr-Co) and an aesthetic porcelain finish that is hand-sculpted in the shape of the teeth. Its advantage is the resistance and aesthetics of the porcelain, which leaves the prosthesis with an aesthetic and beauty similar to natural teeth.
It has a small disadvantage compared to pure porcelain prostheses, which is the possibility of a grayish line appearing at the level of the gums, if the patient suffers some gum recession over time, which can lead to an aesthetic compromise in the smile.
However, it has advantages over resin prostheses, such as better durability and resistance to wear, as well as no color changes over time.
Acrylic Resin (resin + metal)
Also known as the Bränemark protocol prosthesis, this model has an internal metal structure and an aesthetic resin finish. The teeth are made of resin and you can choose the color, shape and size of the teeth.
This material has one disadvantage compared to the previous ones, which is the possibility of color change (yellowing) over time. The choice of prosthesis material should be made jointly by the dentist and patient. Watch the video on prosthetic materials for dental implants:
Do dental implants hurt?
The dental implant procedure is easier than you might think! Advances in techniques mean that dental implant surgery today is less invasive, avoiding excess tissue damage, pain and discomfort.
During the surgery, the patient feels no pain because it is performed under local anesthesia. In addition, ImplArt uses techniques that reduce discomfort during surgery and make the recovery period more peaceful.
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.
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 orfree 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.
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.
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.
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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