Pure zirconia is also known as cubic zirconia, translucent zirconia, monolithic zirconia and black zirconia. It is currently considered the most modern and resistant material for making dental crowns.
Dental prostheses made from this material are fixed onto dental implants previously placed in the upper or lower jaw.
In order to offer patients the most modern treatments, the ImplArt dental clinic has once again innovated by pioneering the best European technology (Austria) to manufacture 3D zirconia dental prostheses in its own laboratory.
Its modern manufacturing allows treatment to be carried out using 100% computerized techniques, with complete digital planning of the case. This means more comfortable treatment for the patient, much more predictable, and above all, faster.
The translucent zirconia protocol prosthesis is completely white and contains no metal inside. As a result, the colors and shapes are more beautiful and natural.
Planning 3D zirconia implant/prosthesis treatment
For a complete treatment with dental implants, there must first be an extensive conversation between the dental surgeon and the patient. The definition of the total treatment takes place in 3 stages:
1- Firstly: Planning the surgical and prosthetic aspects of the all-tooth or partial implant case. First of all, the patient’s needs are studied, with a clinical assessment and radiological examinations, so that the case can be planned precisely before it is carried out.
3- Thirdly: Preparation of the final dental prosthesis. Once the implants have healed, the long-awaited making of the complete prosthesis begins, according to the material chosen by the patient at the start of their treatment.
Zirconia dental prosthesis without gums. In some cases it is possible to make a zirconia dental prosthesis without the pink gum layer. In an acrylic dental protocol this would not be possible.
Not all protocol prostheses are the same and made of acrylic!
The choice of implant prosthesis material
Nowadays, you can choose from a variety of materials for fixed prostheses on implants (dental protocols). In the past, there were only metal-ceramics (metal structure and porcelain exterior) and acrylic (resin), made by hand.
Today, ImplArt is able to offer patients options with extreme resistance and superior aesthetics, such as computer-engineered translucent zirconia. In this sense, each type of prosthetic material can have an impact on the patient’s treatment in terms of price, preparation time and the final aesthetics of the total implant.
Therefore, in this article, we will explain the most modern model of fixed prosthesis on implants: the computerized translucent zirconia prosthesis, as well as its advantages and characteristics.
What is 3D dental zirconia? Zirconia is a white material that has the strength of a metal
Zirconia dental prosthesis being designed on a computer, with a photo of the face superimposed. This gives us additional information about the lips, skin and gum colors, the shape of the teeth and the final appearance of the smile.
Types of zirconia prosthesis for dental protocols
Today there are three types of dental zirconia to better perform protocol prostheses on implants (fixed dental prostheses), namely :
1. milky whitezirconia structure (lower volume), together with applied porcelain overlay (higher volume)
2. 3Dtranslucent zirconia prosthesis (larger volume), i.e. with a small application of porcelain on the outside of the teeth (smaller volume)
3.3D monolithic pure zirconia prosthesis (full volume) with make-up, so no additional porcelain applied
The aesthetics of aesthetic zirconia fixed prostheses are unbeatable. Notice how translucent the material is and how beautiful and natural it looks.
What does the 3D translucent pure zirconia implant prosthesis look like?
In this type of zirconia prosthesis, there is only a small porcelain overlay on the structural part of the prosthesis. In short, the entire final process of making the monolithic zirconia prosthesis is done by computer programs and robotic machines( Digital Dentistry).
Therefore, we are sure that the fittings will be perfect, the anatomy will be that of natural teeth, and the colors will be realistic.
Dental zirconia protocol. Note that there is a small layer of translucent porcelain on the outside of the tooth to give it more shine, better color and more translucency. The rest of the prosthesis is solid and made of pure zirconia that has been tinted to match the natural color of the tooth and gums. The holes will be closed after the fixed prosthesis has been installed.
Advantages of the 3D zirconia protocol prosthesis
In contrast to metal as a structure, the main advantages of translucent zirconia are its biocompatibility, excellent aesthetics and extreme resistance. Zirconia, with the white structural part of the dental prosthesis, undeniably enhances the natural cosmetic characteristics of porcelain.
In fact, dental zirconia is exceptionally strong and durable as a base. So much so that the use of small portions of porcelain over this translucent zirconia structure provides complementary aesthetics for the complete implant.
The structure of the zirconia dental prosthesis is white and, at this stage, not yet colored or shiny. In the next phase of the prosthetic work in our dental laboratory, the piece will come to life with the pigmentation of teeth and gums. The final colors depend on the consensus between the person’s taste and the dentist’s opinion. However, you can virtually choose any color from the available range. The most commonly used shades for porcelain zirconia teeth are B1, A1, BL4, A2, B2. For the gums, we try to follow the color of the patient’s natural gums, with the most common colors being STG4, STG5 and STG8.
Work on applying layers of ceramic. In the end, all the natural aspects of the teeth and gums will be reproduced, imitating their tones, textures and translucency.
Zirconia prosthesis with aesthetic ceramic application, ready to be installed on the implants
Superior aesthetics of 3DZirconia
Dental zirconia can be custom-made in such a way that it resembles the enamel and gum tissues, thus optimizing the aesthetic result.
Translucent dental zirconia is undeniably the best material for fixed prostheses on implants, as it offers translucency, naturalness and strength as a result.
First of all, it should be noted that the zirconia protocol prosthesis makes no noise when chewed, is not heavy, nor does it damage dental implants, and certainly not opposing teeth.
Translucent dental zirconia is a material that above all does not change color, does not stain and therefore does not wear out with use.
Observe the natural anatomical details of the finished porcelain and zirconia fixed dental prosthesis. This work is done in our in-house digital dental laboratory.
How are 3D translucent zirconia dentures made?
The ImplArt Clinic has all the infrastructure to make your zirconia fixed prosthesis in its own laboratory. Here’s how it works: a zirconia dental prosthesis is manufactured using computerized processes, starting with the milling of a solid block of zirconia.
Above all, because it is a CAD-CAM (computerized) job, your dental project is stored in our laboratory, so the original project can be printed again quickly, should the need arise.
Dental prostheses: versions with or without artificial gum are possible (but it depends on an examination to check feasibility).1-Without gum layer; 2-Light gum layer; 3-With gum layer.
Maintenance of fixed 3D translucent zirconia dental implants
First and foremost, zirconia is extremely resistant and is certainly the strongest material for dental use. As such, its resistance is superior to porcelain and, of course, resin.
Maintenance for a zirconia prosthesis involves a visit to the dentist every 6 months for prophylaxis, in order to monitor oral health in the same way as recommended for all other patients.
The risk of the prosthesis fracturing is, above all, very rare, due to a characteristic of the material.
With regard to the color and shape of the teeth, these remain unchanged over time, making the material an excellent choice for its durability and, above all, long-term aesthetics.
It is always important to remember that, once treatment is complete, you should visit your dentist every 6 months for prophylaxis and to monitor the results of your treatment.
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%.
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.
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:
Temporary teeth, also known as “provisionals” or temporary crowns, have undergone important developments over time. However, until recently provisional prostheses were made without the need for perfection in aesthetics and adaptation, as they would be replaced by permanent dental prostheses.
All about 3D Printed Temporary Teeth /Provisionals
What are temporary teeth for?
Temporary prostheses now allow you to “visualize” the final result of your design or treatment, from something as simple as a crown to an oral rehabilitation of all teeth.
Provisionals today serve as prototypes for permanent restorations and allow you to make a better decision about the size, shape, appearance, function and color of your final restorations.
Temporaries have become an important and necessary part of any smile or bite reconstruction. They serve several other important functions, including:
Protect teeth that have been prepared for a final restoration.
Cover exposed dentin to prevent tooth sensitivity, plaque build-up, cavities and pulp problems.
Prevent unwanted tooth movement.
Allow patients to eat and speak normally.
Maintaining the health and contours of the gum tissue.
Allow patients to test the fit, appearance, comfort and function of their smile makeover or early restoration.
To serve as an example and aesthetic reference when discussing the case with the patient.
Allow functional or bite problems to be solved during the intermediate period in which they are worn.
Save time and money by providing an exact plan of what the final restorations will look like, thus reducing the need for additional procedures, adjustments and remakes.
Find out about our new coronavirus measures at the ImplArt Clinic
Do I have to get a temporary one? Or can I do without?
Temporary teeth: crowns, bridges, fixed or removable prostheses are important for intermediate stages at the dentist. Unless you’re having a one-day treatment (Day Clinic), you’ll always need a temporary dental prosthesis.
If you choose to have a treatment, a temporary restoration is placed on the prepared teeth which offers protection, comfort and aesthetics while you wait for the final restoration to be made and placed.
Temporaries are used while you have crowns, bridges, inlays, onlays and porcelain veneers made for you and sometimes even for removable partial dentures, complete dentures and implant treatment.
Temporary restorations are especially important when several teeth have to be prepared, or when occlusal (bite) or cosmetic changes are foreseen. It is easier to adjust temporary acrylic resin restorations than to modify final permanent restorations made from metal, zirconia, ceramic or metal-ceramic materials.
Here at the ImplArt Clinic we use Digital Dentistry CAD / CAM technology (computer-aided design / computer-aided manufacturing).We can create your restorations in your office – create, bond and fit the permanent restoration in just one session, thus eliminating the need for temporaries.
Temporary restorations are also necessary when there is little or no removal of tooth enamel during the final placement of some porcelain veneers, as may be the case with some types of porcelain veneers (with little or no wear), such as dental contact lenses and ceramic laminates.
The time needed to use a temporary varies from a few days (short term) for simple cases, such as a single crown, to several weeks (medium term) for cases such as inlays, onlays and veneers. Provisionals are required for several months (long-term) for complex cases, such as full mouth reconstruction.
How are temporary crowns made?
They can be done using a direct or indirect technique. A direct technique is performed chairside (in the mouth) by your dentist. An indirect technique requires taking a mold (with putty or an intraoral scanner) of your mouth and making your temporaries outside your mouth and/or in an external laboratory.
When provisionals will need to be used for the long term or as diagnostic tools, laboratory-made provisionals are generally better because their materials provide greater strength and are more resistant to wear and discoloration.
As they more closely resemble the final result of treatment, lab-made temporaries also give you and your dentist a more accurate idea of whether you will be able – or want – to live with permanent restorations in this shape, design and fit.
If your permanent restorations are fabricated in an external dental laboratory, the dentist will make a mold of the teeth to be restored. Molds or digital images of your smile are sent to the laboratory, where a three-dimensional simulation of the desired aesthetic proposal or smile restoration is made.
Temporary prostheses made on a 3D printer in our dental laboratory
3D-printed provisionals in the light-hardening phase
The planning is returned to your dentist so that you can approve the shape, contours and appearance of the proposed treatment together with him. Once the treatment has been approved, your teeth are prepared for the final restorations.
Once the provisionals have been made, your dentist will install the teeth using a temporary cement (glue).
If changes need to be made to the bite or shape of the temporary crown, these can also be made at any time.
Materials used in provisional prostheses
Temporary restorations can be made using different materials. We will select the most suitable material for you, based on your treatment plan and taking into account how long you will need to wear it.
The materials used in the dental office to make provisional restorations include prefabricated acrylic (plastic) crowns, self-curing resins, light-curing resins, bisacrylic resins, composite resins, ceramics and, more recently, resins for 3D printing and resins for computerized milling.
Temporaries made in the laboratory are generally made of acrylic, but the ones we use most (at ImpLArt Clinic) are 3D-printed and those made by milling machines.
Materials for a temporary tooth should be strong, wear-resistant, natural-looking, with good color stability, easily adjustable and capable of producing temporaries with a good fit along the gum line.
Temporary teeth 3D Printed : how and why they are used
Placing and removing provisionals
It’s very important that your provisionals are secure and stable in place. If they fall out, the prepared teeth can shift position and this can cause a change in the way the final and permanent restorations fit together.
Therefore, if your temporary falls out or you have a problem, call your dentist to schedule a brief appointment to have it re-cemented or replaced. Temporary crowns are typically bonded using temporary cement.
The temporary cements that dentists use generally have a soft, creamy consistency and come with a modifier used to loosen the cement when removing them.
When the temporaries are loose enough, your dentist will use finger pressure or an instrument such as tweezers to carefully remove them.
Can the provisional fall? Can it break?
When a temporary crown breaks, it should be replaced quickly. Both to protect the tooth below the crown and to avoid the aesthetic discomfort of having a broken tooth.
How much do temporary prostheses cost?
Generally, there is no separate charge for temporaries, as temporary restorations are a necessary part of many dental treatment procedures.
However, the cost of the temporary depends on different factors, including whether they were made in the dental office by the dentistor created by an external laboratory, the materials used to make them, the types and number of adjustments that may be needed, whether the temporaries are for one tooth or several.
An important cost consideration is how long the temporaries need to be in the mouth. For example, if the temporary is a denture or bridge with a dental implant, it may need to remain in place for six months to a year.
This is sometimes called a “long-term” temporary. In addition, if provisionals are used for aesthetics only, the dental insurance will generally not cover the costs associated with them.
For a more specific estimate, you should discuss the figures with your dentist in consultation. For example, consider that most cases of oral rehabilitation or smile design involve diagnostic planning in order to determine the best way to improve a person’s smile.
Dentists usually charge for this service, and these models can later be used to create temporaries.
How to use temps to view Smile Test Drives
As well as serving a functional purpose, temporary restorations also offer a preview of the final treatment result. If necessary, you can ask your dentist for adjustments to the length of the teeth, shape, color and aesthetics.
Your dentist will technically adjust the temporaries for optimal comfort and functionality, as well as testing your ability to speak naturally. When you and the dentist are satisfied, a new impression will be taken of the 3D-print-approved temporary restorations.
The prototype model of your approved temporaries will then be sent to the dental laboratory, where your final restorations will be fabricated according to this “model”.
In our clinic this is even easier as we work with computerized technologies, so all you have to do is reprint the projected tooth in the new definitive material, whether it’s vitroceramic porcelain or dental zirconia.
In certain clinical situations, temporary restorations can be used to visualize the final results without wearing down the teeth. If you decide that the proposed treatment is not suitable for you, neither you nor your dentist will commit to wearing down the tooth.
In other situations (if there is tooth decay), your teeth should be restored before the temporary ones are made.
Smile test drive
Smile test drive or teeth mockup
A trial smile is a removable acrylic device used during the pre-treatment phase to give you and the dental team a clearer understanding of the expectations for the final result.
To allow you to see the potential result of the proposed restoration in three-dimensional form, a diagnostic wax-up is created and a removable test smile that you can wear in your mouth is made with this wax-up.
In our clinic, this result is planned using computerized models. An experimental smile is made from 3D-printed acrylic.
Once modeled and fabricated, the experimental smile is placed in the mouth. This allows you to instantly visualize, feel and test the result of your new smile with temporary teeth before undergoing permanent tooth preparation.
If you like the expected result, you can choose to continue with the treatment plan. After accepting the treatment, the next step is to get temporaries for the teeth involved.
Temporary prostheses: concerns, care and travel considerations
Provisionals are designed to restore teeth, usually for a short temporary period.
Although today’s temps are realistic, natural and durable, it’s common for some people to have problems with their temps.
Common concerns with temps include:
Temporaries can have a rough feeling that can be irritating to your tongue.
They fall easily.
Teeth with temporary crowns are more sensitive to heat and cold.
It’s harder to chew.
You’re not happy with the way the temps look.
Temporaries can cause bad breath if they are not cleaned properly.
Take care of your provisionals
To face as few problems as possible with your temporary teeth, following the care instructions below can be helpful:
Don’t eat or drink anything hot for at least an hour after your temporaries have been fitted.
So if you feel sensitivity in your gum tissue and teeth, take a mild painkiller and anti-inflammatory according to the instructions. Call your dentist if the discomfort doesn’t subside or gets worse.
Rinse with warm water and salt (1/2 teaspoon of salt in a four-ounce glass) for a few days after placing the temporary to help reduce gum sensitivity.
Avoid sticky foods such as toffee, caramel or chewing gum, as they can dislodge the temporary product.
When brushing your teeth, use a soft-bristled brush to gently massage the gum tissue.
Still floss daily, but pull the floss along the sides of your teeth instead of upwards.
To avoid breakages, don’t chew hard substances such as nuts, ice, peanuts or pencils. If possible, chew on the opposite side of your mouth.
I’m going on a trip and I still have temporary crowns, what should I do?
Depending on the procedure you are undergoing, it may be necessary to remain in São Paulo until the end of a stage of the work or until the final conclusion (rapid treatments in DayClinic).
During this treatment you may need (or want) to wear temporaries / temporary teeth.
Also make sure you discuss this with your dentist before starting any procedure, so that he can schedule the fabrication of your temporaries in time for your trip.
Satisfactory temporaries are especially important when travelling away from the dentist, as it can be more difficult to see the dentist if there are problems with fit, function or the temporary falling out.
Also, if you’re planning a vacation or business trip, complete any necessary dental work before you leave.
If this isn’t possible and you need to use provisional or temporary teeth, let your dentist know your travel plans as far in advance as possible, as this may affect the type of temporaries he will make for you and the strength of the cement used to adhere them.
Before your departure, schedule a preventive check of your temporaries to minimize the possibility of dental emergencies while you’re away.
All on four is a technique for full-arch oral rehabilitation, i.e. restoring full dentition to those who have lost all the teeth in an arch. It is a much more comfortable and safer option than a mobile prosthesis (denture), as the fixedprosthesis is attached to 4 dental implants distributed throughout the arch, like a protocol prosthesis. The technique is more economical than a protocol prosthesis and has different characteristics. Find out more about the technique used at Clinica Dentaria ImplArt below and whether it is suitable for your case.
How does the All on 4 technique work? Is this technique right for me?
The All on 4 protocol consists of the surgical placement of 4 implant pins strategically distributed throughout the arch, followed by the fixing of a complete dental prosthesis.
The technique is generally indicated for people who have lost all their teeth in a full arch, upper or lower. Many of them wear mobiledentures and have advanced bone resorption(low bone volume), i.e. they have bone loss and are unable to place several dental implants in the arch.
We can therefore define the All on 4 technique as a dental implant alternative for people with little bone volume. Therefore, there is no need for bone grafts.
Another option for those with little bone volume is to use short or thinner implants, often avoiding bone grafting procedures.
We have performed over 1.000 cases of all-on-four implants since 2008, at ImplArt Clinic !
The choice of which technique is best for your case should be discussed between the patient and the dental surgeon, in consultation, after clinical and radiological assessment. Find out more about smaller dental implants here.
The immediate loading technique can be defined as one in which the prosthesis is fixed more quickly after the implants have been placed. Most of the time, on the same day.
What is the difference between the All on four technique and the traditional protocol prosthesis technique?
In the conventional technique, 6 dental implant pins are generally used throughout the arch to support the protocol prosthesis.
With the All on four technique, four dental implant screws are used, the two posterior ones being longer. They are placed at a greater angle than conventional implants, around 45°. The longer length of the post is intentional to increase the contact area between the implant surface and the bone. This reduces the need to recreate a vertical bone augmentation through bone grafting surgery.
1 – Full denture for lower arch; 2 – X-ray showing 4 dental implants distributed throughout the arch. The two implants in the posterior region are placed at an inclined angle (45°).
As well as increasing the contact area, the use of longer, tilted implants allows them to be placed in a stronger portion of the bone, so that they are securely attached.
Eventually, someone might ask whether this technique would be less efficient than the conventional one, imagining that the load distribution on 4 implants would be greater than 6 pins, for example.
Biomechanical studies show that tilted implants, when they are part of the prosthetic support, have no negative effect on load distribution. Implant tilting has been used in clinical practice for over a decade and has shown favorable results.
Advantages of total prosthesis on All-on-4 implants compared to dentures:
The dental prosthesis is stable because it is attached to the implants. This makes speaking and chewing more comfortable and secure. With a mobile prosthesis, the wearer may feel their prosthesis is unstable.
Dental implants are, in most cases, able to maintain bone volume. In contrast to implant-supported dentures, mobile dentures are unable to prevent bone loss and, as a result, the bone can become thinner and smaller. This is also one of the factors that makes dentures loose due to maladjustment.
The aesthetics of the prosthesis for rehabilitation in undoubtedly much better than a mobile prosthesis. Ceramics, applied zirconia and pure zirconia are advanced technology materials that more faithfully reproduce the characteristics of human teeth, for example, strength, shine, translucency, shades and textures, whereas mobile prostheses are made of acrylic or resin, materials that scratch, fracture and stain more easily.
All on four or All on 4 implant techniqueAll on four or All on 4 implant techniqueAll on four or All on 4 implant techniqueAll on four or All on 4 implant techniqueAll on four or All on 4 implant techniqueAll on four or All on 4 implant techniqueAll on four or All on 4 implant techniqueAll on four or All on 4 implant techniqueAll on four or All on 4 implant technique
Computer-guided implants for less invasive surgery and faster recovery
Rehabilitation with All on 4 implants is best performed using computerized planning, better known as guided implant surgery.
Due to the limited bone volume, we perform a CT scan to accurately measure the width and height of the available bone. With this information, it is much easier to choose implants with diameters and lengths appropriate to the volume, as well as to choose the areas with the best conditions for insertion.
Implant surgical guide planning
Once the measurements of the implants have been defined, as well as the positions in which they will be placed, we make a plastic guide that will serve as a surgical template.
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.
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