Tag: planejamento

Full Arch Dental Implants – All-on-4 – All-on-6 – All-on-X

Full Arch Dental Implants is a Full Mouth Reconstruction treatment, that can be done in the mandible (lower arch) and maxilla (upper arch), although there are important anatomical differences that interfere with the planning of dental implant surgery. Fixed prostheses on dental implants can be made of Zirconia, Pure Zirconia, Porcelain(metal-ceramic), as well as Resin.

This treatment is also known as Fixed Full-Arch Prosthesis or Implant-Supported Denture. This type of implant treatment for all teeth, allows patients to regain their smile and chew.

Dental implant surgery is currently a fairly straightforward operation, carried out in an office or hospital environment, with hospitalization for the patient’s comfort. Implants make it possible to replace missing teeth even in large areas of the arch, including in patients with all their teeth compromised by periodontal disease.
They can also be used in patients with bone loss, who may need bone grafting before or during the installation of the dental implant.

It is important to note that there are currently different types of dental implants, and the most modern ones, cone morse implants, allow for faster healing.

*Read more about how dental implants are done: How are dental implants done? How to get a dental implant ?

Full Arch Dental Implants . Implant-Supported Denture step by step

With regard to the end result, the aim is to obtain fixed dental prostheses that will remain supported on the implants. This will allow the patient to regain their masticatory function and aesthetics.

Of course, as Fixed Full-Arch Prosthesis are screwed onto dental implants, the result is a very efficient dental prosthesis for chewing, as well as excellent aesthetics and comfort.

It is therefore a much better solution than a removable prosthesis, as it provides excellent fixation and stability. In the upper arch, the full arch dental implants treatment has the added advantage of completely uncovering the palate (roof of the mouth), which improves patient comfort.

Unlike removable prostheses (dentures), which cover the roof of the mouth to allow them to be fixed and make it difficult to perceive the taste of food, All-on-X prostheses with implants are thin and occupy only the region of the dentition, leaving the rest of the mouth free, similar to the situation found when there are natural teeth. Currently, the most modern materials are the Zirconia Fixed Full-Arch Prosthesis and the Porcelain Prothesis on a Full Arch DentalTreatment.

*Learn more about dental implants All on Four: 8 common mistakes to avoid when getting dental implants All on Four

Fixed Full-Arch Prosthesis- Full Arch Dental Implants

This type of treatment is usually also called a Fixed Full-Arch Prosthesis ou All-on-4, even All-on-6 and All-on-X.

Visit the total implant photo gallery by clicking here

Full Arch Dental Implants .Examinations and planning

After radiographic examinations and a CT scan of the jaws, the dental implant specialist will be able to analyze the ideal planning for the case and thus indicate bone complements such as grafts to better prepare the bone if necessary.

The jaw bone (lower arch) is more rigid and resistant, so dental implants can be installed in most cases. The upper jaw bone, on the other hand, is less dense and delicate and has a more complex anatomy.

Certainly the proximity to the nose, the maxillary sinus cavities and the greater bone loss require further study.

Full Arch Dental Implants With or Without Bone Graft ?

If bone grafting is necessary, don’t be alarmed – it’s very common. Of course, dental grafting for full archa implants is not necessarily complicated, invasive or large. On the contrary, most of the time the bone graft for a full arch implant is simple, small and restricted to the position of the implant.

Less invasive implant surgery: in our clinic we use current concepts of minimally invasive surgery for dental implants, which make the procedure faster and offer greater comfort during the procedure and especially during the healing phase of the dental implant.

Computer-guided implant surgery: this is a type of dental implant surgery offered at our clinic that is planned by computerized scans of the jaws.

For example, computed tomography, in conjunction with a digital mold of the arch (scanner), generates guides for the quick and safe positioning of implants. Click here to learn more about guided surgery for total implants.

Total implant and protocol prosthesis

Full Mouth Reconstruction Prosthesis and other types

Certainly the most common prosthesis for implanting all the teeth in a full arch is the so-called protocol prosthesis. This is a resin prosthesis with a metal reinforcement bar inside.

Over time, however, more modern ways of making complete implant prosthesis have emerged. At the ImplArt Dental Clinic, we offer more technological implant materials, which are completely made on our premises and in our own dental prosthesis laboratory (see more):

Zirconia prosthesis for total implants (metal-free total implants)
Fixed dentures with one tooth at a time
Ceramic protocol – (Porcelain prosthesis)
Prosthesis bars in lighter metals (Titanium bar)
Computerized execution (3D printers)
Rapid dental prostheses (Day Clinic)

If you have any questions, please make an appointment or contact us and make an appointment with our clinical director, Dr. Roberto Markarian, an implant dentist. We will be happy to assist you. The ImplArt Dental Clinic has a modern structure to serve patients and highly specialized professionals.

implantodontista — Full Arch Dental Implants - All-on-4 - All-on-6 - All-on-X

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

Dr. Roberto Markarian is a reference in dental implants and computerized dental prostheses in Brazil. As well as having more than 10,000 implants installed, he is a researcher 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.

Post-Doctorate in Implant Dentistry – Univ SL Mandic (Campinas-SP) – 2020
PhD in Implant Dentistry – Doctor of Implant Dentistry, Univ SL Mandic – 2017
Dr. Roberto Markarian Specialist in Dental Implants at USP (Implant Dentist) – 2008
Specialist in Prosthodontics (Prosthodontist ) by the CFO – 2006
Master in Prosthodontics, USP – 2005
Graduated as a Dental Surgeon from USP (São Paulo) – 2001
Member of the Clinical Staff of Hospital Alemão Oswaldo Cruz

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Digital dental design

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

Index

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

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

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

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

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

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

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

Cerec 3D and Ceramill Motion II

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

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

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

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

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

Dental prosthesis in São Paulo — Digital dental design

digital dental design — Digital dental design

The main advantages of digital prosthesis design are:

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

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

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

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

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

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

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

*In patients with favorable clinical conditions.

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One Stop Clinic – Everything for your dental treatment in one place

One Stop Clinic is a convenience of the ImplArt Dental Clinic, which has a complete structure, especially for carrying out diagnostic tests and dental treatments, all in one place. This modern concept aims to offer convenience to patients, given the limited time available to go to the dentist. At ImplArt Dental Clinic, we are aligned with the One Stop Solution concept. Therefore, patients are able to carry out everything from diagnostic examinations to major bone grafting surgeries and total dental implants, with protocol prostheses, or even individual dental implants, within the clinic itself.

In addition, the ImplArt Dental Clinic has a digital prosthesis laboratory within the clinic itself, which guarantees high quality and control of the prostheses made. ImplArt’s digital laboratory has state-of-the-art equipment that uses robotic arms and digital scanners to design high-quality, natural-looking prostheses.

complete structure for your One Stop Clinic

Complete professional team made up of:

Endodontist – specializes in root canal treatment as well as other dental pulp problems
Dentistry – aesthetic dental treatments (dental aesthetics)
Implant dentist – specializing in dental implants
Orthodontist – orthodontic treatments
Periodontist – treatment, control and prevention of periodontal disease
Prosthodontists – specializing in rehabilitation with dentures
Techniques and assistants in oral health – professional cleaning, guidance on daily oral hygiene care and other behaviors that, in short, serve to prevent diseases that can affect the teeth and gums.

Odontologia Digital - Scanner Intraoral Trios 3 3shape na ImplArt

Technologies that are sure to make your One Stop Clinic treatment faster, more precise and more comfortable:

Intraoral scanners – mass-free digital color impression by computer
3D tooth printers – making prostheses and restorations using robots
Software for treatment planning – digital smile planning
Digital radiology – diagnosis and planning using panoramic radiography and computed tomography
Digital prosthetics laboratory – computerized dental prosthetics
Sedation – comfort and safety for patients with odontophobia, i.e. fear of the dentist.
Day Clinic – intensive care for people with limited time or odontophobia. Ask our team about this possibility.

Strategic location for One Stop Clinic

We are located at Rua Cincinato Braga, 37 – cj 112 in the Bela Vista district of São Paulo/SP, close to Av. Paulista (Paraíso) and Av. 23 de Maio (north-south corridor, easy access for those leaving Guarulhos and Congonhas airports). Easy access from the Vergueiro subway (line 1-blue) and Brigadeiro subway (line 2-green).

Those who live far away can plan their implant surgery remotely

We can plan your dental implant surgery remotely. This is made possible by our modern computer-guided surgery planning systems. This way, when the patient who lives abroad, or in another state, arrives at the Implart Dental Clinic to start their Day Clinic treatment, we already have everything planned! All this is also possible because the ImplArt Clinic has its own prosthetics laboratory, equipped with the most modern resources and equipment to carry out your treatment.

Come and visit us. We’ll be happy to welcome you.

For your convenience, we can serve you fluently in English or Spanish.

Schedule your Dental One Stop Clinic at ImplArt Dental Clinic

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Digital radiology center at the ImplArt Clinic

For your convenience, the ImplArt Dental Clinic has a digital radiology center for carrying out radiological examinations, which are essential for diagnosis and planning/monitoring various dental treatments. Diagnostic examinations certainly play a key role in the planning of an excellent dental treatment by an implant dentist. They are indispensable for planning bone grafting, periodontal grafting, dental implants, total impl ants and protocol prostheses.

In this sense, digital radiology at the ImplArt Clinic is linked to the One Stop Solution concept, where patients can carry out everything from diagnostic examinations to complete dental treatment within the complete structure of the Dental Clinic.

Radiology Center of the ImplArt Dental Clinic

Digital radiographs and examinations at the ImplArt clinic help with rapid diagnosis and treatment planning

The ImplArt Clinic’s digital radiology center facilitates diagnosis and speeds up the start of treatment, since patients don’t have to travel to another address to have their tests carried out.

The ImplArt radiology center is equipped with a state-of-the-art digital x-ray machine (manufactured by Dabi Atlante), which enables digital panoramic x-rays and computed tomography, both with real-time image results.

With these high-precision tests, the diagnosis is made quickly and reliably. They also support treatment planning, avoiding wasted time, unnecessary procedures and possible surgical accidents.

Digital radiography is a way of capturing images by emitting x-rays, but with digital sensors rather than traditional film.

Advantages of Digital Radiology

There are many advantages to using digital radiography:

Patient exposure to radiation is much lower in digital radiology compared to traditional film.
The patient doesn’t have to repeat the examination until the image is good.
Diagnoses are faster and more accurate, as the image captured in digital radiology has excellent resolution and the dentist can view it directly on the computer screen (no need to wait for it to be developed).
It allows small details such as tooth or root fractures to be analyzed. The dentist can enlarge the image when necessary.
It allows interaction between dentist and patient, since with the digital image on the computer screen, it is possible to better discuss the diagnosis and treatment planning.
It can be filed in the patient’s chart and opened by any member of the dental team involved in planning and treatment.
The test is sustainable, as there is no need to print film or use toxic chemicals to develop it.

Digital radiology – Panoramic radiography

A radiological examination used to visualize oral structures. Here are some situations in which it is very useful in dentistry:

Visualize the general condition of the supporting structures of the teeth (bone volume, tooth roots, periodontal ligaments, nerves, etc.)
Diagnosing periodontal disease, even at an early stage
Diagnosing advanced caries and other dental pathologies
Analyze previous treatments carried out by our team or in other clinics
Routinedental check-up
Checking the position of wisdom teeth for extraction
Planning tooth extraction
Analyzing the bone levels of patients who are candidates for dental implants
Monitoring the post-operative period of dental implant patients
Check that the prostheses on implants fit accurately
Monitoring the maturation of bone grafts

Computerized Tomography (CT-scan)

Thishigh-precision radiological examination, available at the ImplArt Clinic’s Digital Radiology Center, is designed to visualize bone structures. In dentistry, it is very useful because the three-dimensional image makes it possible to analyze teeth, bones, joints, occlusion, soft tissues, nerve pathways, etc. Here are some of the main uses of CT in dentistry.

Diagnosing periodontal diseases, even at an early stage.
Measuring bone volume for planning dental implant surgery. Knowing the exact measurements of the bone tissue is an extremely important factor when planning dental implant surgery, because in this way it is possible to choose implants with dimensions suited to the needs of each patient and also to respect the limits of the tissues in order to avoid affecting sensitive structures such as nerves.
CT assists in what we call computer-guided surgery, a technique that makes surgery precise and less invasive, and therefore with the expectation of a quicker and smoother recovery.
Monitoring the implant healing process (osseointegration).
Identify possible problems with the implant, especially peri-implantitis (infection around the implant that can lead to mobility or falling out).
Identify fractures or defects in the maxilla or mandible that affect the health and stability of teeth or implants.

If you have any questions, please contact us or come and visit us. We at the ImplArt Dental Clinic will be happy to help you.

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Aesthetic oral rehabilitation – Specialist Clinic

Aesthetic oral rehabilitation is a treatment or set of dental procedures aimed at restoring the oral function and aesthetics of a person who is suffering from missing teeth and needs implants, or whose oral function is compromised by other dental problems that affect chewing, speech and the aesthetics of the smile.

Accordingly, depending on the case, single or partial dental implants can be carried out, or so-called total implants with a protocol prosthesis, which are implants for the entire arch. Porcelain crowns or zirconia crowns can be made, designed with modern computerized systems that allow patients to regain their confidence to smile, as well as their chewing function. It is important to note that dental implant surgery is simple, and allows for major transformations in the patient’s life.

Aesthetic oral rehabilitation: which procedures?

In addition, oral rehabilitation also aims to prevent other problems from arising in the future. A complete, better and well-articulated set of teeth will certainly prevent problems with the jaw, mandible and temporomandibular joints.

ImplArt specializes in prosthetics and restoring dental aesthetics

The ImplArt Dental Clinic has a team made up of the main areas of dentistry:

Implant dentist – surgery and prosthetics for dental implants to replace roots. Cases can vary from one tooth to a prosthetic protocol for all teeth.

Endodontist – root canal treatment.

Orthodontist –orthodontic treatments, including state-of-the-art braces.

Occlusion – treatment of bite and TMJ disorders

Oro-Facial Harmonization – Improves facial aesthetics through techniques such as lip fillers (thickening the lips).

Periodontist – treatment of diseases affecting the teeth, roots, gums and supporting bones, such as cavities, gingivitis, plaque, periodontitis.

Restorative dentistry – aesthetic treatments such as whitening, application of dental contact lenses and aesthetic planning.

Oral and maxillofacial – specialist in the surgical correction of facial anomalies, such as asymmetries, TMJ dysfunctions and bone grafting.

Prosthodontist – Dental surgeon specialized in making aesthetic and conventional dental prostheses.

Prosthetist – laboratory technician specialized in making dental prostheses.

Radiologist – specializes in radiological examinations that help with diagnosis and treatment planning.

Treatment for aesthetic oral rehabilitation: 1 – Stained and scratched restorations, missing diastema teeth, short teeth, malocclusion. 2 – Aesthetic dental treatment for the installation of lenses and veneers, replacement of restorations, tooth whitening, implants and crowns

Lente de contato — 1 – Short teeth, 2 – Gingivetomy (gum lift) and tooth preparation, 3 – Temporary dental contact lenses (mockup), 4 – Permanent dental contact lenses – Whiter and longer teeth, more beautiful and harmonious smile.

All these areas can work in isolation or better together to achieve complete oral rehabilitation. ImplArt’s team of professionals is supported by a number of facilities and the best technologies, all at the same address:

In-house dental laboratory

With a specialized team and equipment that helps make modern dental prostheses quickly and precisely, much more like real teeth, such as the modern translucent zirconia prosthesis. ImplArt’s prosthetics laboratory has two of the most modern dental 3D printers on the market: the Cerec Sirona System and the Ceramill Motion 2.

They do everything from computerized three-dimensional design to milling teeth in ceramic material. Find out more by clicking here.

Digital radiology laboratory

With a digital panoramic X-ray machine and computerized tomography.

Computerized treatment and surgery planning

Exclusive software that plans and simulates various dental treatments. This way, patients know how their treatment will go before they even start it.

Day Clinic

The Day clinic is a type of service that carries out one or more dental treatments intensively. In this way, oral rehabilitation can be achieved in the shortest possible time (subject to assessment of the complexity of each case).

One of the main features of aesthetic oral rehabilitation is the porcelain dental crown

This is a dental reconstruction that aims to cover or encase a tooth that has had its structure compromised, or even after root canal treatment. Teeth with a root canal almost always need a reinforcing post to give the dental crown a better structure. The dental crown can be made from a number of porcelain options currently available.

In some cases, dental crowns can be better made in one day with the CEREC 3D dental prosthesis and crown in our clinic thanks to the technologies in our laboratories. Dental posts (cores) can be metal or aesthetic (zirconia or fiberglass).

Read more: aesthetic cores

Above all, the ImplArt dental clinic, coordinated by Dr. Markarian, seeks to conduct treatments with clarity, respect and seriousness, so that its patients feel confident, calm and satisfied. So don’t suffer from dental problems.

We understand your fears and expectations, which is why we invest in treatments that are less and less invasive and uncomfortable.

If you have any questions about aesthetic oral rehabilitation prices, values and techniques, then please contact our team via one of the channels below or come and visit us. We’ll be happy to help you!

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Computerized dental aesthetics – Digital Pre-treatment planning

Computerized dental aesthetics

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

Predictable results with digital dental treatment planning

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

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

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

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

Computerized dental aesthetics (Smile Design)

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

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

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

Intraoral scanning for digital smile planning

Some cases that can be planned on a computer:

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

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

Digital smile planning with dental implants

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

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

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

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

At the same time, guided surgery makes it possible:

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

Digital orthodontic treatment planning

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

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

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

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

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Cerec 3D – Emax Cad crowns

Emax Cad crowns are prostheses used in oral rehabilitation and dental restoration to cover, protect and strengthen teeth that have been extensively damaged by decay or root canal treatment.

Ceramic crowns in Emax Cad

Developed by the German company Ivoclar, the technical name of the Emax material is lithium disilicate and it has the ability to offer high aesthetics and high resistance.

Dissilicate porcelain is classified as a glass porcelain, or glass-ceramic, with diverse applications for dental prostheses on teeth and implants, contact lenses, porcelain blocks, individual crowns on structure. In other words, these are applications for single teeth or up to 3 teeth. For larger dental prostheses, we use other types of dental porcelain, such as translucent dental zirconia.

emax cerec implart crowns — *Digital emax crowns guarantee the best aesthetic results*

EMAX crown applications

Dental crowns can also be placed on dental implants to replace missing teeth. They can be made from different materials such as temporary resins, but the main one is Emax Cad ceramic. What are the main advantages of the Emax Cad crown?

High resistance and durability;
Very aesthetic look, similar to a natural tooth;
Range of blocks with different colors and types of resistance for different uses;
Minimally invasive restorations;
It can be made using the metal-free technique (no metal in the internal structure). This makes the crown look translucent and much more aesthetic in bright environments.

emax crowns — The digital emax crown is milled by robotic machines in the blue phase, when the material is still soft. The material is then crystallized at over 700 degrees to achieve the final color. On the right, it has received the final polish that guarantees the smoothness of the structure and final pigmentation (even in black light environments).

Emax porcelain crowns in digital dentistry – how are they made?

ImplArt Odontologia is equipped with the modern Cerec 3D system with CAD/CAM technology, which simulates and digitally plans the treatment right through to making the Emax Cad ceramic crowns. The system is complete and consists of three units:

1 – Intraoral scanner: high-precision color camera that makes digital molds of the patient’s teeth and sends them to the computer.
2 – Computer and software: receives the information captured by the intraoral scanner and carries out simulation and personalized treatment planning using 3D images.
3 – Machining bay: robots mill the Emax Cad ceramic block based on the computerized design until the shape of the crown is achieved. The result is a piece that is strictly compatible with the patient’s needs.

emax ceramic crowns 3d printer — *Complete oral rehabilitation of the lower arch using emax computerized porcelain*

When the milling is complete, the piece undergoes a sintering process at approximately 850°C and acquires high strength, shade and translucency. The CEREC 3D system certainly speeds up treatment, even allowing it to be carried out and finalized in Day Clinic planning.

With it, it is possible to make crowns and restorations that are very precise and customized to the needs of each case. Contact us and make an appointment to find out if your case could benefit from this technique.

We’ll be happy to solve your problem in our specialized clinic. We also offer translucent zirconia crowns, a new type of dental porcelain that is even more resistant than Emax.

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Immediate loading – Indications and planning

The topic of implants with immediate loading has always been very present when it comes to dental implants. The term is related to pressure, i.e. loading on the newly installed implant, therefore immediately after surgery. It is important to note that the decision on whether or not to perform immediate loading on the implant should be made by the implant dentist. Assuming that this is the main desire of all patients, it is the implant dentist who must certainly assess the conditions conducive to the use of this technique.

Currently, implant surgery is studied beforehand by the implant dentist (dental implant specialist) through the patient’s panoramic X-ray and CT scan. It is therefore possible to assess whether the patient has favorable bone conditions for the use of this technique. However, it is at the time of implant surgery, by locking the implant, that it is possible to guarantee that the immediate loading technique can be carried out. In this way, the professional can also change the technique used to make the prosthesis if the necessary implants are not locked during surgery. Although the bone structure is studied beforehand through examinations, it is only during surgery that the real bone situation can be gauged.

How is immediate loading surgery with dental implants performed?

Surgery is performed to install dental implants in the jawbone. The surgery should take place like a conventional dental implant surgery. Prior to the surgery, plans are made for an immediate temporary prosthesis, so that the patient will never be without teeth. There are prerequisites for using the installed implant:

Sufficient torque (greater than 35 N.cm)
Long implant (longer than 11 mm)
Implant with sufficient diameter: Larger than 3.75 mm
Planning a prosthesis compatible with the implant‘s ability to withstand forces
Sufficient number of implants
Good distribution of implants in the arch
Patient without bruxism symptoms
People without symptoms of diseases that compromise tissue and bone healing (e.g. diabetes)
Non-smoking patient (smoking greatly reduces the chance of implant success)

Learn more about immediate loading

immediately loaded implant — Immediate loading means that the implant will be loaded with the crown as soon as it is inserted. In practice, loading occurs with the placement of the tooth, which will transmit the force of chewing through the implant to the bone.

This means that not all cases are good for immediate loading. Sometimes, only during implant installation will we be able to tell if the implant has met the requirements for immediate loading. Therefore, in some cases immediate loading can be aborted to allow the implant to heal in a conventional way (between 3 and 6 months).

If the surgery goes well, you can then start on the provisional or even definitive prosthesis, which requires molds and measurements of the arch. Immediate loading is usually carried out with a temporary prosthesis and, after the implants and gums have healed (between 3 and 6 months), the definitive prosthesis is made.
Watch the video below where we show the total implant surgery and the installation of the protocol prosthesis.

Although it is possible to carry out the treatment with the definitive material initially, we consider it better to make a temporary prosthesis, as the gums must swell and the bone changes shape during the initial three months of healing after surgery.

Best material for fixed prostheses

Currently, the most modern material for fixed prostheses is zirconia. Zirconia is a biocompatible material in line with the biological dentistry trend, which seeks to avoid the use of metals in dental treatments. It is also highly resistant and can be designed using computer graphics, which gives a much more natural aesthetic result compared to other types of dental prosthesis materials.

If you have any questions, please contact our team.

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Transparent aligner – braces without parts glued to the teeth

The transparent aligner is a modern option for orthodontic treatment. Because it is transparent, it is much more discreet and almost imperceptible. Unlike conventional fixed orthodontic appliances , clear aligners are plate-shaped and do not have brackets, metal wires or colored rubber bands. Orthodontic treatment with clear aligners consists of the sequential use of different plates, with minor adjustments to each one.

It also plays a fundamental role in oral rehabilitation when there has been tooth loss. When tooth loss is not immediately replaced with dental implants, nearby teeth tend to move, taking the place of the extracted tooth. Therefore, before the patient can receive the implant, space must be made by moving the teeth back to their original position so that the site can receive the dental implant. This is done with orthodontic braces.

Therefore, in the event of tooth loss, the ideal is to replace the lost tooth with a dental implant as soon as possible.

How the aligner works without glued parts

The patient wears each plate for about 2 weeks and the teeth move progressively until they reach the ideal position. The aligner plates are custom-made for each patient, based on a digital mold taken from the teeth using an intraoral scanner and computerized planning.

In this planning, tooth movement can be simulated in advance with three-dimensional images and the patient can follow the progress of the treatment. Sometimes the aligners need accessories such as resins bonded to the tooth or a mini dental implant to guide the treatment.

We work with national aligners and aligners imported from the United States – Invisalign

Digital documentation

The documentation for this model of orthodontic appliance is a set of scans and photographs used for the digital planning of orthodontic treatment with clear aligners. The 3D orthodontic documentation for treatment with clear aligners consists mainly of:

Panoramic radiography

Digital radiological examination that allows visualization of teeth and bone structures.

Lateral Teleradiography

Radiological examination that allows cephalometric tracings to be analyzed. Radiological examinations make it possible to diagnose occlusion problems, missing teeth, erupted teeth and the bony structures of the face.

Intraoral scanning

A high-precision camera scans the teeth and gums and then creates a 3D mold of the arches. It then reproduces details such as the color and shape of the teeth and dental occlusion on the computer screen.

Extraoral and intraoral photos – facial and intraoral photos. digital orthodontic documentation

The documentation, along with a standard questionnaire, is sent to the factory responsible for making the clear aligner plates. All of the patient’s images are then entered into software for virtual planning of the tooth design and tooth movement.

transparent aligner — **Click on the image to watch the simulation**

Once the treatment has been approved, the Invisalign factory makes a series of customized aligner plates for the patient to wear sequentially. The plates must be worn 24 hours a day and removed only when eating or cleaning the mouth. Ask us about the best model, value and price.

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Predictable results with digital smile planning

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

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

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

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

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

Dental Aesthetics (Smile Design)

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

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

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

Intraoral scanning

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

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

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

Digital dental implant planning

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

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

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

Read more about fear of dental implants

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

Guided surgery makes it possible:

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

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

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