Tag: quando

Fixed dental prosthesis – Specialist clinic

Fixed dental prostheses are an excellent treatment for replacing missing teeth, combining aesthetics and chewing ability, taking advantage of your original teeth.

Implart Odontologia specializes in aesthetic and conventional fixed dental prostheses.

A fixed prosthesis is a type of dental prosthesis that cannot be removed by the wearer. It differs from dentures, for example, which can be removed whenever the person wants. It is indicated for various types of restorations and rehabilitations, from the replacement of a single tooth to the rehabilitation of a complete arch.

It can, for example, be installed on a tooth or fixed on dental implants. Implart specializes in dental prostheses because it has its own dental prosthesis laboratory with a team specializing in prostheses and 3D printers that sculpt various types of prostheses in ceramic material.

The Cerec and Ceramill Motion 2 printers are some of the most modern tooth printers in the world. In this way, prostheses are made with greater speed and precision, without the need to send molds elsewhere. Some facial aesthetic treatments can be used in conjunction with dental prostheses to achieve even more impressive results: such as Botox, wrinkle fillers and lip fillers.

Types of fixeddentalprosthesis

Single tooth reconstructions

Also known as dental blocks, onlays or inlays, they serve to restore a tooth when the crown is partially compromised, usually by decay. The prosthetic piece covers only the decayed part of the dental crown. It is bonded with dental cement after the site has been cleaned and prepared.

porcelain onlay aesthetic restoration — *Inlay is a porcelain block designed to reconstruct the inside of a tooth*

fixed dental prosthesis — *Onlays are indicated for restoring teeth with tooth wall loss, restoring tooth structure*

There are different materials used to make fixed partial dentures, the most common being metal alloy – metalloceramics, resin, porcelain and 3D zirconia (considered the most aesthetic material).

Dental crowns – caps, pivots and jackets

A prosthesis that replaces the dental crown when it has completely decayed. In these cases, the root can still be maintained with root canal treatment or removed and replaced with a dental implant. The prosthetic dental crown is made of resin or porcelain.

When the root can still be maintained, the prosthetic crown is then bonded to the prepared tooth or to an abutment installed inside the treated canal. When an implant is indicated to replace the root, the prosthetic crown is screwed onto the implant.

single implant — *Example of a cemented crown installed on an implant*

Fixed Bridges – Fixed Dentures

Multiple crown prosthesis to fill a larger space. It can also be fixed on implants or on previously prepared teeth used as abutments. The indication depends on tooth and root decay.

bridge on implants — *Fixed dental bridge on titanium implants*

Dentures for all teeth – full mouth / rehabilitations

It replaces the complete absence of teeth from the arches. For a long time, dentures were the only way to make up for this absence, but there are some known discomforts with this type of prosthesis, such as mobility due to the lack of complete adhesion and possible injuries.

The fixed full denture has come as a solution because it is completely stable in the mouth for the elderly, giving them the security to speak, chew and smile.

Fixed dental prostheses on dental implants can be made of resin (Bränemark protocol), porcelain with a metal internal structure or metal-free zirconia.

After having extensive dental prostheses, the patient can have an even better result with aesthetic harmonization treatments or lip fillings.

It is always important to remember that, once treatment has been completed, you should visit your dentist every 6 months for prophylaxis and to monitor the results of your treatment.

Learn more: Immediate loading in total implants

valor de implante dentario — *Example of a full-arch prosthesis*

Dr. Roberto Markarian, implant dentist and clinical director of ImplArt, is a specialist in dental implants and prostheses. He constantly seeks to update and improve his knowledge, taking part in the main congresses and courses in the field.

This means that ImplArt Odontologia is always in line with the latest advances in research and development of dental prostheses that are increasingly similar to natural teeth. Get to know our team and philosophy. The ImplArt Clinic is located in one of the most privileged areas of São Paulo, with easy access by car or subway (Vergueiro on line 1 blue).

Come and visit us. If you have any questions, please make an appointment or contact us through one of the channels below. We’ll be happy to help you.

Agende sua consulta agora por WhatsApp

Periodontal disease – causes

Periodontal disease is a set of inflammatory manifestations caused by bacteria that affect the supporting tissues of the teeth, which in advanced cases leads to tooth loss. Periodontal disease is the main cause of tooth loss in adults. Bacterial action in these structures begins with the accumulation of plaque on the tooth surface.

Why gum disease occurs

The accumulation of bacterial plaque occurs mainly due to poor oral hygiene, poorly performed or hampered by the shape of the teeth (crooked teeth or teeth that are too close together) and long periods without visits to the dentist’s office for preventive treatment.

In early cases, the toxins released by the bacteria inflame the gums, which then become red, swollen and bleed easily. In moderate cases, the gums lose their attachment and form pockets, called periodontal pockets.

This condition is very worrying because when the gums lose their adherence it opens a door for bacterial activity below the gum line, meaning that tartar can build up on the surface of the tooth root and inflammation of the bone tissue and all the supporting structures of the teeth can occur.

Without proper control, inflammation leads to gradual bone loss and teeth become soft, fall out or need to be extracted. Look at your teeth and gums: some conditions can be signs of periodontal disease:

Plaque and tartar adhered to the teeth, mainly on the line between the gums and teeth. Plaque is colorless and viscous. Tartar is when the accumulated plaque calcifies and is yellowish or whitish in color;
Gums that are swollen, red or bleed easily when brushing, flossing or involuntarily;
Retracted gums, sagging or separated from the tooth;
Tooth sensitivity;
Part of the tooth root exposed;
Changes in the position or mobility of the teeth;
Tooth loss;

periodontal disease bone loss — Periodontal disease - causes

periodontal disease space between teeth dental blackspace tilted teeth bone loss and gum recession — Periodontal disease - causes

Periodontal disease: causes

Accumulation of plaque and tartar

Plaque is a viscous, transparent film that forms on the teeth near the gum line. The toxins released by the bacteria inflame and irritate the gums, which can turn red and bleed. Tartar is when this plaque becomes hardened (yellowish or whitish calculus) and can only be removed by a professional. When the gum becomes loose, it exposes the root and calculus can build up in this area. Bacterial activity in this area leads to the gradual deterioration of the bone around the tooth.

Medicines

Some medications can interfere with oral health and favor the onset of periodontal disease or make it difficult to cure. The main classes of these drugs are: contraceptives, antidepressants, anticonvulsants, antihypertensives, some used to treat cardiovascular problems and drugs to prevent organ rejection in transplant patients. It is important that patients inform their dentist of any medication they are taking.

Low immunity

Patients in this condition, in most cases as a result of AIDS or chemotherapy, find it more difficult to respond to infectious processes and are more susceptible to the progression of periodontal disease.

Diabetes

Diabetes can cause difficulty in healing, changes in blood circulation and a drop in immunity. Diabetics are more likely to suffer from periodontal disease than non-diabetics.

Bad habits and functional conditions

Smoking –smoking reduces vascularization and consequently oxygenation of the cells. This makes it difficult for the body to respond to any infection. It also hinders healing processes and reduces salivation (which is essential for removing and fighting bacteria on the teeth). Read more about the harmful effects of smoking on oral health.
Poor nutrition – a lack of intake of various nutrients, such as vitamin C, can reduce immune resistance and promote oral infections.
Poor oral hygiene – proper brushing is the best way to remove food residue that may stick to the teeth and gums. The accumulation of this waste serves as “food” for bacteria. In addition to brushing properly, flossing and antiseptic rinses are recommended.
Failing to visit the dental practice regularly – visits are essential for identifying problems at an early stage and for carrying out prophylactic professional cleanings.
Bruxism – the habit of grinding and clenching teeth can accelerate the process of destruction of bone and gum structures with active periodontal disease. Read more about treating and controlling bruxism.
Malocclusion and crooked teeth – conditions that can encourage food residue to accumulate on the teeth and make it difficult to remove.

Emotional causes

Stress – Stressed individuals may have an altered immune response to infectious conditions. Tension can also encourage bruxism.

Genetic factors

There are people who are genetically predisposed to periodontal disease, even if they maintain good oral hygiene habits and visit the dentist regularly. A test can be carried out to find the genetic marker that influences periodontal disease.

Hormonal factors

Pregnancy – During pregnancy there are intense hormonal changes and the woman’s body can be slow to respond to infectious conditions. In addition, there are studies that show that periodontal disease can influence premature birth.
Puberty and menopause – As with pregnancy, puberty and menopause are phases of intense hormonal changes that can certainly make the body more susceptible to infections.

How can periodontal disease be prevented?

Maintain proper and regular oral hygiene. Spend more time brushing. Don’t forget the inside. People tend not to brush the less visible areas of their teeth properly and it is precisely in these areas that plaque and tartar can build up;
Visit the dentist regularly for professional prophylactic cleaning (scraping off plaque and smoothing the tooth surface);
Avoid excessive consumption of sugar and refined foods (the bacteria present in plaque feed on these sugars).

Even if you don’t notice these signs, regular visits to the dentist should not be abandoned. A professional eye can identify problems in time to treat them. Preventive care is certainly very important. They prevent problems in the future and can save you time and money.

Agende sua consulta agora por WhatsApp

5 Biggest Risks for Dental Implants

Are there any risks for dental implants? We’ll find out about 5 of them in this article. Dental implants are a more up-to-date, modern and low-risk alternative for tooth replacement than a fixed prosthesis on teeth or a removable prosthesis, the old dentures.

The technique for inserting dental implants is very safe, with an estimated 92% chance of success in non-smoking patients with good health and healthy habits. There are several types of dental implants available today, the most modern of which is the metal-free ceramic implant, an excellent option for those looking for metal-free implant treatment.

The single tooth implant, or total dental implant, is used to replace the root of one or more missing teeth and will serve as a support for an artificial tooth called adental prosthesis or dental crown.

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.

But in very few cases, there can be some risks with dental implants. Here are the 5 main risks of dental implants:

1 – Risk of implant breakage

Patients who grind or clench their teeth (bruxism) can exert a lot of force on the implants, with an increased chance of breakage or fracture of the implants or the parts that make up the implant prostheses.

Patients who bruxism also increase the risk of loosening the screws that fix the implant crown. When this happens, the patient reports that the implant is “soft”. However, we mustn’t confuse the prosthesis becoming loose with the implant pin coming loose from the bone (which is much more serious).

Most commonly, when the problem is just the loose implant tooth, the patient feels no pain, while when the implant is lost there is always pain. If the implant fractures or comes loose from the bone, it must be replaced, starting the dental implant process all over again.

Check complete PODCAST about 5 biggest risks for dental implants:

Is it the dentist’s fault that my implant fractured?

There are several factors to consider, some of which would be the material of the prosthesis, the number and positioning of the implants, correct surgical technique, material of the dental implant, type of prosthetic components chosen, type of prosthetic connection chosen.

Assuming that the professionals are working to do their best, it’s rare that there will be any negligence in this regard. What really counts is the willingness of the patient and the professional to start again, perhaps trying to improve or perfect one of the strategies.

riscos do implante dentário — Apresentação das partes do implante dentário: implante (no osso), pilar + coroa dental (dente artificial)

2 – Inflammation in implants and risks

Inflammation can occur in a dental implant, manifesting itself as pain, swelling, pain when chewing, bleeding, and even the formation of pus in the implant. Please note that in any area of medicine where an artificial part is used inside the human body, there can be an adverse reaction of rejection.

This rejection phenomenon can occur in relation to the dental implant or an associated material such as a bone graft or a protective membrane. Bacterial infection can also occur in the implants, which can even prevent bone integration.

one of the risks of dental implants is peri implantitis — The implant on the left in the image has inflammatory bone loss, while the implant on the right has a normal bone level

That’s why all treatments at ImplArt begin with a thorough oral cleaning, as well as the removal of any infectious diseases such as cavities and periodontal disease. The patient will only have implant surgery if their mouth is clean and their oral health is good.

This is possible even if the patient doesn’t have all their teeth yet. When the prostheses on implants are finished, we teach the patient how to properly clean the dental implant. This correct hygiene is very important and certainly contributes to the chances of success of the dental implant.

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.

Agende sua consulta agora por WhatsApp

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.

4 – Risks in the bone around the implants

Bone loss can occur in an implant that has suffered infection while healing in the bone. In addition, in cases where immediate loading is carried out, i.e. a temporary or permanent tooth is placed in position immediately after surgery, there is a greater risk of bone and implant loss.

This is because the newly placed dental implant does not yet have a mature attachment to the bone and needs to rely exclusively on its mechanical locking into the bone in order to fix itself. Most of the time, if the indication and technique are correct, immediate loading works well.

But in cases of immediate failure, the consequences can be serious, for example leading to major bone loss in the area. There are more advanced dental implant models that have improvements to the fit of the tooth and also in the chemistry of the surface so that healing in the bone occurs faster and more efficiently.

Today we have dental implants that allow you to have a permanent tooth in 1 month! Get to know the dental implant models with the best advances, such as Straumann implants, Neodent cone-morse implants (national), SIN implants (national).

dental implant risks — *Implant shapes and models have to do with clinical indications*

5 – Increase in risk factors – patient health and habits

There are risks to the success of implant treatment that don’t depend on the professional or the materials used, but on patient factors. Failure to clean the teeth,smoking and diabetes increase the chance of problems with the dental implant.

In this article, we only discuss the RISKS in dental implants, however the success rates of dental implants are very high, especially for current implant dentistry techniques performed by a dental implant specialist.

Dental implants are an excellent treatment if they are well indicated, planned and executed.

Come and see our work! The ImplArt Dental Clinic has been dedicated to implant dentistry and oral rehabilitation for 18 years. We are located in São Paulo, Brazil.

DR. ROBERTO MARKARIAN IMPLANTODONTISTA SITE — 5 Biggest Risks for Dental Implants

Text written by DR. ROBERTO MARKARIAN – CRO-SP 73.583 – updated on 26-08-2024
Founder and Director of the ImplArt Dental 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 in all the treatments offered by the ImplArt Dental Clinic.

Agende sua consulta agora por WhatsApp