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Full Arch Implants: What is it, how is it done, how does it work?

The Full Arch Implants is a type of total fixed dental prosthesis that is indicated for people who have lost all their teeth in the same arch. It consists of 12 to 14 teeth attached to a single structure screwed onto 4 to 6 strategically placed dental implants.

A dental protocol prosthesis treatment provides a quick and efficient solution for oral rehabilitation, with surprising aesthetic and functional results that help restore the natural appearance of the smile and consequently improve self-esteem.

protese protocolo sobre implante total Full Arch Implants — Upper and lower Full Arch Implants with dental implants placed in the jawbone. The dental prosthesis is connected and secured to the implants using fixing screws.

Full Arch Implants: Indications for use

The Full Arch Implants is a treatment designed to enable oral rehabilitation for people who have lost their teeth and have considerable bone loss.

The Full Arch Implants is an innovative oral rehabilitation technique that can be indicated for a variety of cases in which tooth loss is extensive or total. Here are some scenarios in which implants with a prosthesis are often indicated:

Total Edentulism (absence of all teeth): The Protocol Prosthesis is an excellent option for patients who have lost all their teeth in one or both dental arches.
Severe tooth loss: When tooth loss is extensive and negatively affects the patient’s chewing function, aesthetics and quality of life.
Compromised or Unrecoverable Teeth: If your remaining teeth are severely compromised due to tooth decay, periodontal disease or other problems, the Implant Protocol can be an effective alternative.
Generalized Tooth Wear: Patients suffering from generalized tooth wear, whether due to bruxism or other conditions, can benefit from the Fixed Protocol to restore chewing function.
Difficulties with Removable Dentures: Individuals who face challenges with traditional removable dentures that hurt, have difficulties with retention, stability and discomfort, can opt for the stability and fixation of Protocol Dentures.

Contents of this article

Types of Full Arch Implants

Fun fact: Historically,Full Arch Implants treatment was invented more than 60 years ago by Dr. Branemark, a Swedish doctor who was also the inventor of the implant itself. At the time, he created a step-by-step procedure that is still followed today! and ends with the installation of a prosthesis made of acrylic (resin), which is the same material used in dentures.

However, Full Arch Implants treatment has evolved over time. Today, in addition to resin, we have more modern materials to make the protocol prosthesis, such as translucent zirconia, as well as zirconia with porcelain, and even metal-ceramic (porcelain), as options for those undergoing total implant treatment.

prótese protocolo o que é como é fixada — Full Arch Implants prosthesis: The prosthesis is attached to some dental implants that are previously placed in the bone. The final aesthetic can be customized, for example in this case, the patient wanted a small gap between the teeth (diastema).

How does the Full Arch Implants work?

The treatment goes through two stages, surgical and prosthetic. The surgical phase involves placing titanium implant pins in the bone (usually four to five in each arch). The healing of the implants takes between 2 and 4 months, depending on the type of implant chosen and the condition of the bone, as in cases of bone grafting the period can increase.

So the final deadline has to take into account the time taken for the implants + the time taken for the grafts to heal + the time taken to make the prosthesis.

That ‘s why the final treatment period varies from case to case, but on average a treatment is completed in 6 months.

Treatment with a protocol prosthesis is therefore carried out in two stages:

Step 1: How to install dental implants for full arch prostheses:

At this stage, the dentist performs surgery to insert the dental implants into the jaw bone. The number of implants needed varies according to the number of missing teeth and the quality of the bone. Dental implants are inserted in specific areas of the jaw or mandible, taking into account the patient’s bone quality.

Step 2: How the denture is fixed:

After osseointegration of the implants, which is the process of integrating the implants into the bone, the dentist takes a mold of the dental arch. Based on the impression, the prosthodontist makes the definitive dental prosthesis, which is fixed to the implants using screws. The advanced technique allows the prosthesis to be firmly fixed to the implants, giving the patient a feeling of security and naturalness, without gum pain.

See images of Full Arch Implants prostheses below

See below this treatment carried out in our clinic to replace an old complete fixed prosthesis. First, a test was carried out with a temporary dental prosthesis to check the appearance of the treatment. Secondly, a new fixed zirconia prosthesis was made over the patient’s previous implants.

Full Arch Implants 2 — *Stages in the design of the protocol prosthesis, using computerized technology.* Above left, you can see the 3D design of the prosthesis. On the right, the dental prosthesis for the protocol is positioned on a printing machine in our dental laboratory. Below, the planned prosthesis is ready.

How the Branemark dental Full Arch Implants are made

The manufacturing of the protolo dental prostheses will be done in several stages, which mainly include:

Impressions: Digital impression of the mouth is carried out with the aid of intraoral scanners, or with traditional molds with putty. The images obtained are the basis for the computerized design.

Defining general volumes: In this phase, the patient’s lip volumes, tooth inclination, mouth corridor and vertical dimension are determined. Often these definitions are made on a wax plane, which allows you to sculpt and test as you wish.

Aesthetic testing of teeth: With the volumes of the prostheses defined, we set about selecting the teeth – their size, color, volume. These teeth are tested with wax or by means of 3D prototype prostheses that allow us to anticipate the final result and, of course, facilitate corrections.

Fabrication of the final prosthesis: The prosthesis goes on to the final steps, which may be acrylicization in the case of resin protocol prostheses, or the elaboration of structures + application of porcelain for zirconia or metal-ceramic protocol prostheses.

So the result is a piece that is completely customized to the needs of each patient, built with the participation of the implant dentist and the patient at every step, and the result is predictable (i.e. it’s not a surprise on the last day of treatment).

How the resin dental (Acrylic) Full Arch Implants works

The base of the acrylic prosthesis is made with a titanium reinforcement bar, a material that is biocompatible with the human body, does not cause rejection and has low allergenic potential. This reinforcement bar makes the protocol denture with its milled structure resistant, more delicate and comfortable.

The resin teeth are attached to this bar, as well as a layer of artificial gum that mimics the natural mucosa. The titanium-framed protocol prosthesis is attached to the implants, giving the wearer peace of mind when chewing, speaking and smiling.

The titanium bar gives the protocol prosthesis strength, while the resin coating gives the branemark prosthesis naturalness.

Rapid Implants and Prococolo Prosthesis in 72 hours with immediate loading

It is important to note that there is a way to make implants and prosthetic prostheses faster (*in some cases).

In immediate loading treatments, the prosthetic phase of installing the protocol prosthesis is carried out immediately after implant surgery (without waiting for the implants to heal).

In this procedure with rapid protocol implants, it is possible to install dental implants with technology that favors and accelerates the healing process, making it possible to install the prosthesis within 72 hours, the immediate loading technique. However, in the vast majority of cases, it is decided to wait until the recommended healing time to ensure greater safety and success of the procedure.

(*)The possibility of this treatment with rapid implants should be checked at your assessment appointment, when we will analyze your case in detail (this possibility is only confirmed after a careful assessment of your remaining bone).

Benefits of the fixed prosthesis

The fixed prosthesis offers a number of benefits for patients who have lost all their teeth, including:

Restoration of che wingfunction: The protocol prosthesis allows patients to chew food normally, without difficulty.
Improved aesthetics: The protocol prosthesis provides a natural and harmonious smile.
Stability: The protocol prosthesis is fixed, which guarantees stability and safety for patients.
Durability: The protocol prosthesis can last for many years, with proper care.

Contraindications to the Full Arch Implants

The Full Arch Implants are not indicated for all patients who have lost all their teeth. The main contraindications are:

Patients with systemic health problems: such as diabetes or osteoporosis, coagulation problems, recent cancer treatments, among others.
Patients with insufficient bone in the mandible or maxilla. However, this condition can in most cases be reversed by means of bone grafts that recreate the thinned bone.

Curiosity: We sometimes see outdated dentists discussing the weight of prostheses, but recent studies show that the weight of the prosthesis protocol does not contribute to treatment failure. This discussion has fallen into disuse, as zirconia and porcelain prostheses are not heavy either; it’s just a myth.

Conclusions

The Full Arch Implants technique is an effective and safe option for the oral rehabilitation of patients who have lost all their teeth. It offers a number of benefits, including the restoration of chewing function, improved aesthetics and stability.

In addition to the resin prosthesis, called a acrylic fixed prosthesis, or acrylic prosthesis, you can also have a zirconia protocol prosthesis , which allows all the work to be done by computer. All these treatments are offered at ImplArt Dental Clinic.

The ImplArt dental clinic carries out this treatment with the help of the most modern computerized systems. Make an appointment with an implant dentist and find out more about the dental implant treatments at the ImplArt dental clinic. Come and visit us. We’ll be happy to welcome you, with a complete analysis made by our Head dentist Dr Markarian.

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Fixed dental prosthesis in pure 3D translucent zirconia

Among the latest material options for making a fixed prosthesis for a full arch implant, total implant or protocol prosthesis, we now have an innovative technique full of advantages: 3D pure translucent zirconia. Zirconia is currently the most modern material for both full and partial dental implant prostheses. It is also the most suitable material for dental crowns on single implants or fixed prostheses.

Zirconia dentures combine beauty and strength

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.

Translucent Zirconia — *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.
2- Secondly: Performing the surgery to install the dental implants. At this point, a temporary transition prosthesis for the full arch should also be installed.
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.

Gumless dental zirconia prosthesis. — *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

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

zirconia prosthesis being manufactured — *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.

zirconia and translucency prosthesis — 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.

In addition, zirconia is a super biocompatible and anti-allergenic material and is also used in white dental implant posts.

zirconia dental prosthesis internal structure — 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.

zirconia fixed dental prosthesis — *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.

multlayer zirconia crowns — *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.

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.

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