Find out the most frequently asked questions about prostheses on implants
Are implants aesthetically pleasing?
In short, it depends a lot on the system used and the local conditions. Aesthetics have improved a lot in recent years. But it’s important to bear in mind that, however good the implant and the professional, the first is still a prosthesis on an implant, i.e. the replacement of natural teeth with artificial ones.
Therefore, expectations regarding implants are common, but can usually be followed by a certain amount of frustration. In many cases, the aesthetic solution is quite acceptable. Fortunately, there have been many advances, not only in the materials used to make prostheses, but also in techniques.
Nowadays we can build prostheses that look more and more like natural teeth. However, the main objective must always be functional. The implant is far superior to other prosthetic procedures, and in the absence of teeth, it’s the best we can do.
In simpler cases, some kind of temporary implant prosthesis is provided for the patient to use immediately after surgery. In the case of the totally edentulous, the period is limited to a few hours to a few days after the first surgery. In the second stage, once the implants have healed, the patient is not left without the prosthesis. In some cases, the immediate loading technique can be used.
Can I eat anything after the prostheses have been fitted? What if I fracture a tooth in the implant-supported prosthesis, is the implant lost?
Not everything can be eaten, but the restrictions are not too severe. Certain foods can even fracture natural teeth. In short, a diet with a minimum of care is sufficient to preserve the teeth of implant-supported prostheses. One positive fact is that repairing fractured teeth is relatively easy.
What happens if the implant (post) becomes mobile after the prosthesis (tooth) has been placed?
All mobility is progressive and indicates that the implant has been lost. Each case is assessed individually and, in principle, the implant can almost always be replaced. This event brings frustration not only for the patient, but also for the dentist. In fact, what happens is an increase in treatment time and, above all, the need to be patient in order to complete it.
I have a full upper prosthesis. I would like to know about the possibility of placing an overdenture without a palate. How many implants? What are the costs?
The overdenture without a palate is a good option because it makes the wearer feel more comfortable. To do this, at least four implants need to be placed. Another option is a fixed prosthesis on implants. This would require four to six implants.
The cost of this type of treatment is variable and it depends on tests to predict the availability of bone in the area. In other words, prices can only be given after a face-to-face consultation and an assessment of the particularities of each case.
I would like to know about the possibility of replacing two removable prostheses with staples with fixed prostheses without staples or implants. I would also like to eliminate the visualization of the staples in my smile.
A treatment like this appears to be of little complexity and can be completed in a short time, according to our Day Clinic philosophy. We always suggest that you also have your teeth whitened to make your whole smile whiter and more aesthetically pleasing.
I have two fixed bridges (one on each side) on the top and I have two implants started (the pins have been placed). I’d like to complete the implants and replace all my teeth with nice white ones, because mine are yellow and the bridges are old with the metal showing. I would also like to know how many days it would take to do a treatment.
I wear lower and upper dentures. Can I get my teeth back? Can you provide information on costs?
Nowadays it is possible to restore teeth even for people who have been wearing dentures for many years. There are many alternatives, especially dental implants. To get an estimate on the price of dental implants, you’ll need a face-to-face consultation and more detailed examinations, which can easily be carried out at our clinic.
Example of replacing a denture with a fixed zirconia prosthesis on implants
Should I go back to the dentist after having my teeth fitted?
At least one clinical radiographic check-up is required every year. It is also the patient’s obligation to attend these check-ups. Appointments are important to identify any problems in time for them to be reversed. They are also used to carry out professional cleaning of the prosthesis, to assess whether the user is performing daily oral hygiene properly, among other aspects that only a professional dentist can identify.
Will chewing ability improve after implants?
Above all, implants have much better functional results than dentures and removable prostheses. Patients who have been wearing dentures for a long time and have implants fitted feel the difference is very significant. The fixed implant prosthesis does not move and the patient certainly feels more comfortable and secure when chewing, speaking and smiling.
I’ve heard that porcelain is the best material for teeth. If I want an implant-supported prosthesis with porcelain teeth, would that be possible?
If you have any further questions about prostheses on implants, please contact us through one of the channels below or make an appointment. We’ll be happy to help you!
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.
Certainly one of the great delights of our work is receiving the feeback from our patients, who are always full of joy and satisfaction. The conclusion of a treatment is a moment of great expectation because it often involves the realization of dreams. In these dental implant testimonials, you’ll get to know a little more about some of our dear patients, who often travel from far and wide to have their treatment carried out at the ImplArt Dental Clinic.
Patients come from all over the world, from Japan, Australia, the United States and England to the most beloved parts of Brazil. The ImplArt Dental Clinic is certainly a center of knowledge and high technology in dental implants and computerized dental prostheses, a pioneer in Day Clinic Dentistry. In this way, patients come to us for our know-how as a team, based on all the knowledge of our clinical director, Dr.Roberto Markarian, implant dentist, PhD, a reference in implants and computerized prostheses in Brazil.
Below you’ll find the ImplArt Clinicdental implant testimonials that we’ve put together for you to learn a little more about our treatments and how they have the power to impact and improve patients’ lives.
The video above shows dental implant testimonials from a patient from São Paulo-SP, following dental implant treatment. Dental implants are indicated for patients who have already lost one or more natural teeth. The patient chose the ImplArt Clinic because it has extensive experience in the rehabilitation oftotal dental implant patients, with a portfolio of thousands of completed cases.
Read the testimony of Kazue, a patient who came from Japan to have her dental implant treatment at the ImplArt Clinic.
A patient came all the way from Japan to have her implants carried out with a Day Clinic at Clinica Dentaria ImplArt. Here’s what she has to say about her intensive treatment at ImplArt. In her testimonial, patient Kazue says that the“ImplArt Clinic is TOP!”
Read another of the dental implant testimonials from a patient who came from another state to have treatment at the ImplArt Clinic.
These dental implanttestimonials certainly bring us immense joy and satisfaction, knowing that we are always helping to improve our patients’ quality of life.
More dental implant testimonials: patient Augusto Araújo came from the United States
Augusto came from the United States to have his dental implant treatment at the ImplArt Clinic. Here’s what he had to say about his treatment at ImplArt. Follow this heartfelt testimonial:“I recommend the ImplArt Clinic to anyone who wants to have a beautiful smile like mine!
Augusto talks about the stages of treatment and the team that attended to him: “I’m very happy with the results of the treatment!” “I recommend Dr. Roberto and the entire ImplArt team.”
See also other testimonials on dental implants, dentures and dental aesthetics
Here are some real dental implant testimonials from our patients, so you can see our quality from those who have experienced it. We pride ourselves on meeting your needs!
“I’ve been a patient of the ImplArt clinic for a few years, when I met Dr. Roberto Markarian. At the assessment appointment, he explained the treatment very clearly. I was someone who had a lot of trauma and fear of dentists, I couldn’t smile and I was very embarrassed.
I just have to say thank you for getting to know this clinic, which took very good care of me, excellent professionals, I was always attended to promptly throughout my treatment. Today I can smile. Congratulations to Clinica ImplArt and Dr. Roberto Markarian, and I can’t forget to mention Vivian, who has always been very attentive. How good it is to be able to count on professionals like you.”
Shirlei Gonçalves
“I am a patient of the ImplArt clinic, I had a total upper and partial lower implant treatment, assisted by Dr. Roberto, a highly competent professional, as well as his clinical staff! My treatment was carried out by Dr. Adriana, who is highly professional and attentive! I’m very happy with the result, it looks great and I get nothing but compliments.”
Solange Godoy
“I was very afraid of getting implants, but Dr. Roberto gave me so much reassurance that I had no doubts. I had the implants, I didn’t feel a thing and I didn’t have any problems. I was very pleased with the results, it even changed my self-esteem with the excellent work done. Dr. Brenda was an excellent professional, always attentive and explaining all the treatment procedures. A reliable team. The service was exceptional. I highly recommend it.”
Dulceni Paglione
“ImplArt has changed my life. It changed the way I smile and interact with people. I now have much more confidence in myself, my self-esteem has grown. I thank them for all their care and I say to anyone who is going to start treatment: you can trust them, because they are serious and their work is very good.”
Eliana Fagundes
“First world dental clinic, the tooth scanner only exists at Implart, I was impressed with the perfect result. Dr. Roberto is highly competent and gives us all the security we need when deciding to have an implant or more complicated surgery on our teeth. The team is top 10. I had my treatment with Dr. Roberto and his team and I highly recommend them.”
Valerie Hair
“I recently finished my treatment. I had Swiss implants and a porcelain prosthesis. I would like to praise the work of Dr. Roberto and all the qualified professionals in his team. These people work seriously and responsibly.”
Sebastião Melo
“Now that I’ve completed the full upper arch implant procedure I started about four months ago, I’m here to give my testimony to help anyone who needs treatment and has doubts about where to get it. I went through a real via crucis to get to Dr. Roberto’s clinic, because if you don’t have a referral, searching on the internet gives the impression that all dental surgeons are good, which is a total mistake.
Mentions like “graduated from such and such university” don’t mean much. Many don’t have the qualifications or equipment for more complex surgeries. Before arriving at Dr. Roberto’s clinic, I went to several that I thought were specialists, and I was frightened by the procedures suggested for my case. But as I’m very fearful, I didn’t agree to be treated at such clinics.
I continued researching and came across Dr. Roberto, who gave me a totally different solution from those who had gone before him, and so I began treatment. It was a blessing for me because I didn’t have to undergo surgery in a hospital under full anesthesia. It was easy, painless and I recovered quickly. “
Hideki Oshiro
“I found Implart through a Google search. I was looking for a clinic in São Paulo that would serve me with quality and speed, as I live in Miami. I wanted zirconia treatment, as is done here, and I found what I wanted at Implart. A committed team, a director with credibility and knowledge. I was very happy with my choice and came back very happy.”
Rafaela Nunes
“Having completed the first stage of my treatment, I’m taking the initiative to express my satisfaction with Implart. When I read the contract, I liked it. Objective, clear and transparent. Extremely professional. The clinic is well-kept, cozy, no-frills and very well equipped. I was able to see for myself that the materials used in my treatment were top quality. Very fine needles for anesthesia.This means that we feel almost nothing from the sting (of course, in this case, the professional’s hand is fundamental).
Anesthetics that left me wondering whether I was anesthetized or not, because the effect was so subtle. Powerful, though. Just as you hardly notice when the anesthetic wears off. There are no abrupt sensations. The restoration of a tooth that came in the way was carried out perfectly. The temporary prosthesis was very good. It fitted very well and the aesthetics were excellent. Very natural and very close to my original teeth.I love it!
Then the surgery! The next day it seemed like I hadn’t even undergone it, how comfortable I was. All of the above is very important, but for me the most important thing is Implart’s team of professionals. What really struck me was that everyone I spoke to was discreet, spontaneous, affectionate and welcoming. Dr. Roberto, congratulations on your clinic.And in my humble opinion I think it’s a model clinic.
If one day a dental student is able to do an internship at Implart, it would be a privilege. Believe me, everything I’m saying is the observation of a 60-year-old who has worked with a variety of professionals, from very good to very bad (all in private practice). I love being seen in a dental clinic. It’s more complete, modern and efficient.”
Setsuko Katayama, São Paulo-SP
“I thank and congratulate Dr. Roberto Markarian and his entire team for their competence, professionalism, ethics and respect. You have given me back the will to smile.”
Eva Bastos, São Paulo-SP
“The experience I’ve had with ImplArt dentistry couldn’t have been better. High professionalism, proper treatment and accurate information provided to patients are qualities that make ImplArt stand out in the dental field. Patients with limited time, as in my case, get a full guarantee of a service provided with precision.
The MSN patient support service provided by the administrative assistant makes Implart stand out and gives us the guarantee of an infrastructure prepared to meet all our needs with comfort and credibility. No matter the distance, time or need, IMPLART has shown that it makes a difference at national and international level. Thank you to everyone who makes ImplArt a differentiated and reliable service.”
Jomo Löw – Sacramento – California
“I’m very anxious about going to the dentist and I’ve always avoided it as much as possible. Now it’s been five years without treating my teeth, so I ended up losing some dentures, had a lot of cavities and an episode of pain. Then I came across the IMPLART clinic and this sedation technique. It was very easy to have the treatment this way. The doctor who saw me was very attentive and looked after me until the end of the procedure. I also found that the dentist worked quickly and did some implants and treated the cavities while I was asleep. It was a bit magical but when I woke up everything was ready, I thought it was great.”
M.R.R., businesswoman, São Paulo-SP
“It’s very easy for me to write in the form of testimonials about the dental implants I had for two years with Dr. Roberto from the ImplArt Clinic, because what seemed impossible at first, through Dr. Roberto’s skillful hands, became concrete every day.When I arrived at the office for a consultation more than two years ago, I had periodontal disease that had already compromised most of my teeth, both upper and lower. After the consultation, Dr. Roberto informed me that it was a difficult case, but not impossible to treat, and his suggestion was to implant both upper and lower teeth.
In a very didactic way, he explained the treatment step by step, showing me that one of the main elements in the whole stage would be patience and that’s what I had during the long process of surgeries and tests, but my calm, patience was due a lot to the confidence that Dr. Roberto gave me, his security, his intelligence, his education and affection were essential for me to go through this trajectory very calmly and sure that I would ultimately achieve my KOLYNOS smile, which can be COLGATE, SMILE.”
Cida Santos, University Professor, São Paulo – SP
“I was recently in São Paulo because I travel frequently for work. Due to the sudden need for emergency treatment, I came across the ImplArt Clinic, which promptly solved my problem. My time in the city, about a week, was enough for a definitive treatment to be completed. I was very pleased with the speed of treatment and the quality. I recommend it!”
Albert Cardoso, Fortaleza – CE
“As I have known Dr. Roberto for some time, I let him know in advance that I was coming to São Paulo, as I visit my family periodically. Dr. Roberto asked me to send him some tests in advance, which I promptly did by email. I was impressed by how useful technology can be even for dental treatment. I prefer the service in Brazil, as the dentists here are very cold and the prices are much higher.”
Regina Abreu, London – England
“I remember one Friday when I was performing at the Sala São Paulo, a jacket that was right in front of me broke. I called Dr. Markarian, made an appointment, he examined me and said that if I waited for surgery to finish, he would put an implant in. The result: I had the implant, left the office, came home, got ready and went to the repair, driving normally.
I arrived after midnight enraptured by the music and without remembering that I’d had an implant. I know a lot of people who have implants, get sick, have inflammation, get down, stop exercising. Thanks to the doctor’s safety, competence and in-depth knowledge, I never had any problems and everything went smoothly. That’s why I say that I was even sad, regretting the end of the treatment. A big hug to all of you and much success to the Clinic, especially to Dr. Roberto.”
Dr. Roberto Markarian is a reference in dental implants and computerized dental prostheses in Brazil. As well as having more than 10,000 implants installed, he is a researcher and produces knowledge that is published worldwide in renowned scientific journals in the field of dentistry. He is responsible for promoting knowledge and high technology applied in all the treatments offered by the ImplArt Clinic.
Know more about the risks and dangers of dental implants
Crucial to the success of the procedure is the thorough planning of the implant surgery and the choice of specialist professionals who are qualified to carry out the dental implant surgery. This increases the chance of success of this important treatment, and therefore the chances of any complications are minimal.
So rest assured that you can enjoy all the benefits that this rehabilitative and safe treatment offers patients. The implant-supported prosthesis is made to resemble the person’s other natural teeth and also offer similar chewing strength.
Oral rehabilitation with dental implants is usually the best option for re-establishing the patient’s aesthetic and chewing functions, a treatment called total dental implantation.
Patients who grind or clench their teeth (bruxism) can exert a lot of force on the implants, with an increased chance of breakage or fracture of the implants or the parts that make up the implant prostheses.
Patients who bruxism also increase the risk of loosening the screws that fix the implant crown. When this happens, the patient reports that the implant is “soft”. However, we mustn’t confuse the prosthesis becoming loose with the implant pin coming loose from the bone (which is much more serious).
Most commonly, when the problem is just the loose implant tooth, the patient feels no pain, while when the implant is lost there is always pain. If the implant fractures or comes loose from the bone, it must be replaced, starting the dental implant process all over again.
Check complete PODCAST about 5 biggest risks for dental implants:
Is it the dentist’s fault that my implant fractured?
There are several factors to consider, some of which would be the material of the prosthesis, the number and positioning of the implants, correct surgical technique, material of the dental implant, type of prosthetic components chosen, type of prosthetic connection chosen.
Assuming that the professionals are working to do their best, it’s rare that there will be any negligence in this regard. What really counts is the willingness of the patient and the professional to start again, perhaps trying to improve or perfect one of the strategies.
Apresentação das partes do implante dentário: implante (no osso), pilar + coroa dental (dente artificial)
2 – Inflammation in implants and risks
Inflammation can occur in a dental implant, manifesting itself as pain, swelling, pain when chewing, bleeding, and even the formation of pus in the implant. Please note that in any area of medicine where an artificial part is used inside the human body, there can be an adverse reaction of rejection.
This rejection phenomenon can occur in relation to the dental implant or an associated material such as a bone graft or a protective membrane. Bacterial infection can also occur in the implants, which can even prevent bone integration.
The implant on the left in the image has inflammatory bone loss, while the implant on the right has a normal bone level
That’s why all treatments at ImplArt begin with a thorough oral cleaning, as well as the removal of any infectious diseases such as cavities and periodontal disease. The patient will only have implant surgery if their mouth is clean and their oral health is good.
This is possible even if the patient doesn’t have all their teeth yet. When the prostheses on implants are finished, we teach the patient how to properly clean the dental implant. This correct hygiene is very important and certainly contributes to the chances of success of the dental implant.
Inflammation in implants leads to aesthetic, gum and bone problems
3 – Risk of facial nerve damage
If the surgery is not well planned, with the use of CT scans and other imaging tests for mapping,damage to the jaw nerve can occur during dental implant surgery. In the area at the back of the mouth in the lower arch, there is a nerve that can be very superficial, especially if the patient has been without teeth for many years.
In patients with advanced periodontal disease, bone loss can also put the nerve at risk due to its proximity.To reduce the risk of nerve damage and paresthesia, the implant dentist will carry out imaging tests. The most commonly requested exam is a panoramic X-ray, but a cone beam CT scan helps to measure the bone and plan the implant.
Computer-guided surgery – reducing risks
To minimize the risks even further, we can perform computer-guided partial or total implant surgery, which offers little invasiveness and allows for perfect positioning of the dental implant, with no room for error.
Crooked or poorly positioned implants can have poor bone integration or even rejection. It is not in all cases that we are able to recover the patient from oral nerve damage or poorly placed implants.
Depending on the severity of the problem, an injury to the jaw nerve can lead to sequelae such as numbness in the jaw or loss of sensation in the tongue or to the sensation of tastes (gustation).
At the ImplArt dental clinic, 100% of cases are operated on with a CT scan, which can be done in our own radiology center.
Guided implant surgery reduces the risk of dental implant positioning errors
4 – Risks in the bone around the implants
Bone loss can occur in an implant that has suffered infection while healing in the bone. In addition, in cases where immediate loading is carried out, i.e. a temporary or permanent tooth is placed in position immediately after surgery, there is a greater risk of bone and implant loss.
This is because the newly placed dental implant does not yet have a mature attachment to the bone and needs to rely exclusively on its mechanical locking into the bone in order to fix itself. Most of the time, if the indication and technique are correct, immediate loading works well.
But in cases of immediate failure, the consequences can be serious, for example leading to major bone loss in the area. There are more advanced dental implant models that have improvements to the fit of the tooth and also in the chemistry of the surface so that healing in the bone occurs faster and more efficiently.
Implant shapes and models have to do with clinical indications
5 – Increase in risk factors – patient health and habits
There are risks to the success of implant treatment that don’t depend on the professional or the materials used, but on patient factors. Failure to clean the teeth,smoking and diabetes increase the chance of problems with the dental implant.
In this article, we only discuss the RISKS in dental implants, however the success rates of dental implants are very high, especially for current implant dentistry techniques performed by a dental implant specialist.
Dental implants are an excellent treatment if they are well indicated, planned and executed.
Come and see our work! The ImplArt Dental Clinic has been dedicated to implant dentistry and oral rehabilitation for 18 years. We are located in São Paulo, Brazil.
Dr. Roberto Markarian is a reference in dental implants and computerized dental prostheses in Brazil. As well as having more than 10,000 implants installed, he is a researcher who produces knowledge that is published worldwide in renowned scientific journals in the field of dentistry. He is responsible for promoting knowledge and high technology applied in all the treatments offered by the ImplArt Dental Clinic.
Dental implant surgery is not a complicated process. Certainly, with current techniques, it’s a common procedure with no unforeseen problems. Implant surgery can take as little as half an hour in the simplest cases, is done in the clinic, in the implant dentist’s own office, with local anesthesia and the patient feels no pain.
Here at the ImplArt Clinic, we get a lot of questions from patients, especially about how dental implants are done in practice. So, to answer this and other questions about implant surgery, we’ve prepared this article to answer all your doubts about the treatment.
What is the best dental implant?
Today there are various types of dental implant with different technologies and healing times. There are even implants that heal in 30 days, called fast-healing implants, such as the Slactive implant, from the Swiss company Straumann, which is a fast-healing dental implant. In addition to this implant, there is the option of the ceramic implant, the only zirconia implant available on the market that is titanium-free and more biological, making it an excellent option for those who don’t want to have metals installed in their mouths.
Dental implant surgery can also be performed with intravenous sedation, for those patients who have a phobia of dentists, or even for those looking for extra comfort.
How to do a dental implant procedure
Is it dangerous to have dental implants? Dental implant surgery is a more straightforward procedure than you might think
Dental implant surgery is a safe procedure, and increasingly has more modern resources to make it faster and more comfortable. Here at Clinica Dentaria ImplArt, we have modern systems and expertise.
Here’s a step-by-step guide to the implant procedure:
Step 1 – The procedure consists of making a small incision in the gum in order to expose the bone bed. The dentist needs to have good access to the area in order to install the implant correctly. If the dental implant surgery is performed with a Surgical Guide, it will be a blunt dental implant surgery
Step 2 – Small drills are then used to perforate the bone. The process is carried out in such a way as to progressively expand the cavity so that it can receive the implant of the size selected by the dentist.
Step 3 – The implant is then inserted into the cavity and given a protective cap.
Step 4 – The area is sutured, or in cases of Guided Surgery, the surgery is completed without the need for stitches.
Watch the video below explaining how dental implant surgery is performed:
In the classic implant treatment, the pin is surgically fixed into the bone and then the gum is sutured. The site is left to rest for around one to six months, depending on the type of implant used. The implant screw remains inside the bone tissue and must therefore undergo the osseointegration process, protected from chewing forces and food residue.
Shortly after the waiting period, a small cut is made in the gum and then the implant receives a piece called a healer, this process is called reopening. The implant cap can remain exposed in the mouth while the implant heals. Afterwards, the healer is removed without anesthesia (because it is not necessary), and a metal abutment is adapted to receive the prosthesis.
Recovery from dental implant surgery / after dentalimplants?
During the rest period, the patient can use a temporary prosthesis for day-to-day activities. This also helps prevent bone resorption, which would require the use of bone grafts in the future. In some selected cases, the implant can be inserted without cutting, through a small circular opening made in the gum.
This greatly favors the healing of the area as well as patient comfort. Implant surgery should be performed by a dentist specializing in implant dentistry, who certainly has the experience and knowledge in the field to determine the best treatment for each patient. In order to have a good post-operative period, people who undergo this procedure should follow the dentist’s instructions, take care of their oral hygiene and avoid smoking, which can compromise the success of dental implant treatment.
Photo of dental implant surgery showing implant being inserted into bone
After dental implant treatment, it is always important to carry out cleaning and prophylaxis every 6 months, as a way of looking after the results achieved and monitoring oral health.
A Clínica Dentária ImplArt possui um laboratório de prótese dentária próprio, ou seja, integrado ao consultório. Dessa forma, podemos oferecer aos nossos pacientes tratamentos odontológicos mais rápidos e próteses cada vez mais precisas de acordo com cada necessidade.
Nosso laboratório interno é equipado com os mais modernos sistemas computadorizados, como por exemplo o sistema alemão Cerec Sirona e a austríaca Ceramill Motion II AmannGirrbach. Ambos os sistemas são compostos com softwares de última geração e impressoras 3D de dentes. Além disso, contamos com a mais moderna impressora 3D UltraCraft ChairSide Pro, com agilidade e precisão na impressão de próteses.
As impressoras 3D de dentes esculpem diversos tipos de próteses dentárias em bloco bruto de porcelana de acordo com projeto computadorizado personalizado para cada paciente, de Zirconia pura monolítica ou de resina. Os sistemas digitais de nosso laboratório de prótese dentária tornam os trabalhos protéticos mais rápidos e a comunicação mais precisa. Isto pode ser aplicado tanto para protese fixa, quanto para prótese protocolo sobre implante dentario, ou mesmo para coroa dentaria unitária ou proteses removiveis, as dentaduras.
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Todos os sistemas são baseados no sistema Cad/Cam, em que o modelo é escaneado em leitores por contato ou então por raios lasers. Todas as informações coletadas pelo computador são enviadas pela internet. Dessa forma, as próteses são produzidas de forma individual por robôs (impressoras 3d de dentes). Nosso laboratório de prótese dentária pode realizar uma gama de procedimentos com alta qualidade como por exemplo:
There are different materials that can be used to build a dental prosthesis, the main ones being: resin with a metal internal structure (metalloplastics/Branemark protocol), ceramic with a metal internal structure (metalloceramics) and the most aesthetic option which is ceramic with a metal-free dental zirconia internal structure (metal free).
Therefore, among the possible materials for dental prostheses, we have:
resin with an internal metal structure – this is known as metalloplastic or Branemark protocol,
ceramic with an internal metal structure – this is called metal-ceramic,
The most aesthetic option is ceramic with a metal-free dental zirconia structure, also known as metal free.
We can perform your zirconia bridge in Brazil
The evolution of aesthetic dentures
Most total or partial infrastructures are made with metal alloys that play the role of mechanical and functional support. However, their dark color can compromise the final aesthetics, especially in areas that are more apparent and important to patients.
As a result, metal-free ceramic structures are gaining ground, mainly because they achieve a more aesthetic result and because of their biocompatibility, resistance and stability.
Dental ceramics and zirconia are considered the most advanced materials because they do not contain metals in their composition, which provides an aesthetic dental prosthesis that is much more similar to natural teeth.
Zirconia teeth can be single, bridged or full-arch, installed on teeth or on dental implants.
A zirconia dental prosthesis is made to perfectly mimic dental and gum tissues. Above, the zirconia prosthesis designed, and below, the prosthesis installed. Both the color and the shape were designed individually and jointly between the patient and the implant dentist.
Dental zirconia is a white, resistant ceramic material used to build the structure of the prosthesis. A layer of porcelain is applied to this structure, which makes the prosthesis similar to natural teeth in terms of translucency, texture and shade.
As zirconia is white, the prosthesis has a similar shade and translucency to natural teeth, even when exposed to light.
New types of more translucent dental zirconia allow for the complete fabrication of dental prostheses by computer, without the need to apply porcelain manually.
The shade of zirconia is comparable to natural human dentin. In contrast, the same result cannot be achieved with a prosthesis containing a metal framework.
This is because bone and gum changes naturally occur over the years, and this remodeling can expose a small portion of the metal of the prosthesis and thus cause aesthetic damage to the smile.
Another advantage of zirconia is that prostheses made from this material are completely computer-engineered and executed on 3D printers using Cad/Cam systems. This allows prostheses to be made more quickly and accurately.
For your convenience, ImplArt Odontologia has its own digital prost hesis laboratory that develops dental zirconia prostheses. Make an appointment and find out if this technique is right for you. We would be delighted to hear from you!
See below for photos of implant treatments and fixed porcelain and zirconia dental prostheses:
Dental zirconia: better aesthetics for dental prosthesesDental zirconia: better aesthetics for dental prosthesesDental zirconia: better aesthetics for dental prosthesesDental zirconia: better aesthetics for dental prosthesesDental zirconia: better aesthetics for dental prosthesesDental zirconia: better aesthetics for dental prosthesesDental zirconia: better aesthetics for dental prosthesesDental zirconia: better aesthetics for dental prosthesesDental zirconia: better aesthetics for dental prostheses
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