Well Clinic Odontologia is a multispecialty dental clinic in Jardim Paulista, São Paulo. It treats adults and children. The clinic is the birthplace of Digital Smile Design (DSD). Dr. Christian Coachman created the DSD system here. The protocol is now used in over 80 countries. The practice reflects six generations of dentists.
Founded in 1999, Well Clinic runs its own digital lab on-site. The lab uses a full CAD/CAM workflow and intraoral scanning. Dr. Fabiane Pulga is an official Invisalign Speaker and Top Doctor Emerald. The surgical team plans orthognathic surgery digitally. Treatment begins with a two-hour consultation covering medical history, sleep, and inflammation. International support is available in English and Portuguese.
","text_type":"short_description","reviews":[],"clinic":{"id":8913,"alias":"well-clinic-odontologia","name":"Well Clinic Odontologia","short_description":"Well Clinic Odontologia is a multispecialty dental clinic in Jardim Paulista, São Paulo. It treats adults and children. The clinic is the birthplace of Digital Smile Design (DSD). Dr. Christian Coachman created the DSD system here. The protocol is now used in over 80 countries. The practice reflects six generations of dentists.
Founded in 1999, Well Clinic runs its own digital lab on-site. The lab uses a full CAD/CAM workflow and intraoral scanning. Dr. Fabiane Pulga is an official Invisalign Speaker and Top Doctor Emerald. The surgical team plans orthognathic surgery digitally. Treatment begins with a two-hour consultation covering medical history, sleep, and inflammation. International support is available in English and Portuguese.
","images":[{"base_url":"clinic/6ade8f5b77d0d","title":"Fachada de Well Clinic Odontologia con jardín y área de estacionamiento"},{"base_url":"clinic/6ade8f5d88d6a","title":"Exterior de Well Clinic Odontologia con fachada moderna y letrero de la clínica"},{"base_url":"clinic/6ade8f5f63d92","title":"Sala de espera en Well Clinic Odontologia con asientos modernos y estación de café"},{"base_url":"clinic/6ade8f616cc72","title":"Sala de consulta en Well Clinic Odontologia con gráficos dentales digitales"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Brasil","id":31,"alias":"brazil","iso_code":"BR"},"city":{"name":"São Paulo","id":2519,"alias":"sao-paulo"},"address":"Rua Bento de Andrade, 116, Jardim Paulista, São Paulo, Brazil"},"rating":{"rating":0,"google":0,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":3,"year_foundation":1999},"accreditations":[]}}],"meta":{"total_count":1,"total_pages":1}},"clinicsMeta":{"total_count":1,"total_pages":1},"clinicsCount":1,"clinicsCountByEntity":{"clinic_count":83},"doctors":{"doctors":[],"meta":{"total_count":0,"total_pages":1}},"reviews":{"reviews":[],"meta":{"total_count":0,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{},"texts":{"guide_mc":{"text":"Día 1: Llegada
Día 2: Preoperatorio
Día 3: Procedimiento de dentadura postiza híbrida All-on-2 Implant
Día 4-7: Postoperatorio
Semana 1-2: Rehabilitación
Semana 3-6: Rehabilitación
Semana 7-12: Resultado Final
Tenga en cuenta que este cronograma es una guía general. Los casos individuales pueden variar según la salud personal, la condición dental y la velocidad de curación.
"}}},"relations":{"countries":[{"name":"Albania","alias":"albania","iso_code":"AL"},{"name":"Azerbaiyán","alias":"azerbaijan","iso_code":"AZ"},{"name":"Brasil","alias":"brazil","iso_code":"BR"},{"name":"Bulgaria","alias":"bulgaria","iso_code":"BG"},{"name":"China","alias":"china","iso_code":"CN"},{"name":"Colombia","alias":"colombia","iso_code":"CO"},{"name":"Corea del Sur","alias":"republic-of-korea","iso_code":"KR"},{"name":"Egipto","alias":"egypt","iso_code":"EG"},{"name":"España","alias":"spain","iso_code":"ES"},{"name":"Estados Unidos","alias":"united-states","iso_code":"US"},{"name":"India","alias":"india","iso_code":"IN"},{"name":"Jordania","alias":"jordan","iso_code":"JO"},{"name":"México","alias":"mexico","iso_code":"MX"},{"name":"República Checa","alias":"czech-republic","iso_code":"CZ"},{"name":"República Dominicana","alias":"dominican-republic","iso_code":"DO"},{"name":"Rumania","alias":"romania","iso_code":"RO"},{"name":"Singapur","alias":"singapore","iso_code":"SG"},{"name":"Tailandia","alias":"thailand","iso_code":"TH"},{"name":"Turquía","alias":"turkey","iso_code":"TR"},{"name":"Vietnam","alias":"vietnam","iso_code":"VN"}],"cities":[{"name":"São Paulo","alias":"sao-paulo"},{"name":"Curitiba","alias":"curitiba"},{"name":"Rio de Janeiro","alias":"rio-de-janeiro"}],"operations":[{"name":"Implantes dentales All-on-4","alias":"all-on-4-dental-implants"},{"name":"Implantes dentales guiados por ordenador All-on-4","alias":"computer-guided-all-on-4-dental-implants"},{"name":"Implantes dentales en un día All-on-4","alias":"same-day-all-on-4-dental-implants"},{"name":"Implantes dentales de carga inmediata All-on-4","alias":"immediate-all-on-4-dental-implants"},{"name":"Limpieza de dientes (descamación)","alias":"teeth-cleaning"},{"name":"Carillas sin tallado","alias":"no-prep-veneers"},{"name":"Carilla de porcelana","alias":"porcelain-veneer"},{"name":"Implante dental","alias":"dental-implant"},{"name":"Instalación de un implante dental con corona","alias":"installation-of-a-dental-implant-with-crown"},{"name":"Tratamiento de la pulpitis","alias":"treatment-of-pulpitis"},{"name":"Invisalign","alias":"invisalign"},{"name":"Carillas dentales","alias":"installation-of-a-veneer"},{"name":"La sonrisa de Hollywood","alias":"hollywood-smile"},{"name":"Limpieza profunda (raspado y alisado radicular)","alias":"deep-cleaning-scaling-and-root-planing"},{"name":"Corona dental el mismo día","alias":"same-day-crown"},{"name":"Instalación de una corona de porcelana.","alias":"installation-of-a-porcelain-crown"},{"name":"Extracción quirúrgica de diente /raíz del diente","alias":"surgical-extraction-of-tooth-root"},{"name":"Apicectomía endoscópica","alias":"endoscopic-apicoectomy"},{"name":"Mini-implantes","alias":"mini-implants"},{"name":"Extracción dental","alias":"tooth-extraction"},{"name":"Tratamiento de conducto","alias":"root-canal-treatment"},{"name":"Blanqueamiento dental","alias":"tooth-whitening"},{"name":"Brackets","alias":"braces"},{"name":"Extracción de muelas del juicio","alias":"wisdom-tooth-removal"}],"diagnostics":[{"name":"Diseño de Sonrisa Digital","alias":"digital-smile-design"},{"name":"Diseño asistido por ordenador (DSD)","alias":"computer-aided-design-dsd"},{"name":"Consulta con creación de plan de tratamiento","alias":"consultation-with-creation-of-treatment-plan"},{"name":"Consulta con un dentista","alias":"consultation-of-a-dentist"},{"name":"Consulta con un cirujano maxilofacial","alias":"consultation-of-a-maxillofacial-surgeon"},{"name":"Radiografía periapical","alias":"periapical-x-ray"},{"name":"Radiografía panorámica","alias":"panoramic-x-ray"},{"name":"Escaneo Cerec Omnicam","alias":"cerec-omnicam-scanning"},{"name":"Modelos de diagnóstico digital Cerec Omnicam","alias":"cerec-omnicam-digital-diagnostic-models"},{"name":"Axiografía electrónica","alias":"electronic-axiography"},{"name":"Detección de caries con DIAGNOCam","alias":"caries-detection-with-diagnocam"},{"name":"Escaneo intraoral","alias":"intraoral-scanning"}],"illnesses":[{"name":"Periodontitis","alias":"periodontitis"},{"name":"Paradontosis","alias":"paradontosis"}],"illnessKinds":[{"name":"Tratamiento dental","alias":"dentistry"}],"illness_kinds":[{"name":"Tratamiento dental","alias":"dentistry"}]},"popularSearches":[{"name":"Implante dental","alias":"dental-implant","type":"operation","id":792},{"name":"Carillas dentales","alias":"installation-of-a-veneer","type":"operation","id":574},{"name":"Implantes dentales All-on-4","alias":"all-on-4-dental-implants","type":"operation","id":390},{"name":"Brackets","alias":"braces","type":"operation","id":572},{"name":"Implantes dentales All-on-6","alias":"all-on-6-dental-implants","type":"operation","id":391},{"name":"Consulta con un dentista","alias":"consultation-of-a-dentist","type":"diagnostic","id":330},{"name":"Consulta con creación de plan de tratamiento","alias":"consultation-with-creation-of-treatment-plan","type":"diagnostic","id":457},{"name":"Consulta con un cirujano maxilofacial","alias":"consultation-of-a-maxillofacial-surgeon","type":"diagnostic","id":431},{"name":"Radiografía panorámica","alias":"panoramic-x-ray","type":"diagnostic","id":332},{"name":"Electromiografía","alias":"electromyogram-emg","type":"diagnostic","id":136}],"operationPrices":{"operation_prices":{"919":{"operation":{"name":"Dentadura","alias":"denture","use_for_listing":true},"country_price":{"US":{"amount":1600,"max_amount":3400,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"MX":{"amount":300,"max_amount":400,"currency":"USD","clinic_count":38,"price_kind":"from_range","price_source":"mixed","scope":"country"},"TH":{"amount":330,"max_amount":430,"currency":"USD","clinic_count":11,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":500,"max_amount":700,"currency":"USD","clinic_count":15,"price_kind":"from_range","price_source":"tariff","scope":"country"},"BR":{"amount":400,"max_amount":1500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":true,"MX":true,"TH":true,"ES":true,"BR":true},"description":"Esta terapia implica el uso de reemplazos removibles para los dientes faltantes, mejorando las habilidades del habla y la masticación.
"},"1039":{"operation":{"name":"Instalación de una prótesis dental completa","alias":"full-dentures-installation","use_for_listing":true},"country_price":{"US":{"amount":3800,"max_amount":7500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"MX":{"amount":650,"max_amount":3600,"currency":"USD","clinic_count":4,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":500,"max_amount":730,"currency":"USD","clinic_count":9,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":840,"max_amount":4200,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"BR":{"amount":200,"max_amount":3000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"MX":true,"TH":true,"ES":true,"BR":true},"description":"Esta terapia reemplaza todos los dientes originales, mejorando la capacidad de masticar, el habla y la confianza mediante la colocación de prótesis hechas a medida.
"},"1045":{"operation":{"name":"Colocación de una prótesis inmediata","alias":"immediate-dentures-installation","use_for_listing":true},"country_price":{"US":{"amount":2000,"max_amount":4000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"MX":{"amount":800,"max_amount":1500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":540,"max_amount":1900,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":750,"max_amount":1400,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"BR":{"amount":900,"max_amount":2100,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"MX":true,"TH":true,"ES":false,"BR":false},"description":"El procedimiento consiste en colocar un juego de dientes de reemplazo justo después de la extracción, lo que reduce el tiempo de curación y preserva la apariencia.
"},"1154":{"operation":{"name":"Prótesis híbrida sobre implantes dentales All-on-2","alias":"hybrid-all-on-2-implant-denture","use_for_listing":true},"country_price":{"US":{"amount":14000,"max_amount":25000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"MX":{"amount":3800,"max_amount":10500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":1500,"max_amount":10500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":6200,"max_amount":9000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"BR":{"amount":5200,"max_amount":8500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"MX":true,"TH":true,"ES":false,"BR":false},"description":"Esta terapia utiliza dos implantes para sostener una dentadura postiza completa, brindando estabilidad y una apariencia similar a la de un diente natural.
"},"1157":{"operation":{"name":"Prótesis híbrida sobre implantes dentales All-on-4","alias":"hybrid-all-on-4-implant-denture","use_for_listing":true},"country_price":{"US":{"amount":17500,"max_amount":26500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"MX":{"amount":6800,"max_amount":15500,"currency":"USD","clinic_count":4,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":8000,"max_amount":14500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":6800,"max_amount":10200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"BR":{"amount":4800,"max_amount":8000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"MX":true,"TH":true,"ES":false,"BR":false},"description":"Esta terapia ofrece una restauración fija de arcada completa con cuatro implantes dentales, lo que mejora la función y la estética de la boca.
"},"1164":{"operation":{"name":"Prótesis híbrida sobre implantes dentales All-on-6","alias":"hybrid-all-on-6-implant-denture","use_for_listing":true},"country_price":{"US":{"amount":18000,"max_amount":29000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"MX":{"amount":9000,"max_amount":14500,"currency":"USD","clinic_count":3,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":10300,"max_amount":15500,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":9500,"max_amount":14000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"BR":{"amount":6500,"max_amount":11000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"MX":true,"TH":true,"ES":false,"BR":false},"description":"Esta terapia reemplaza todos los dientes con seis implantes, ofreciendo una solución inmediata y permanente para los dientes faltantes.
"},"1312":{"operation":{"name":"Prótesis sobre 4 implantes por CAD/CAM","alias":"4-implant-overdenture-supported-by-a-cad-cam-titanium-bar","use_for_listing":true},"country_price":{"US":{"amount":17500,"max_amount":26000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"MX":{"amount":7300,"max_amount":14000,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":5000,"max_amount":9800,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":5000,"max_amount":9000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"BR":{"amount":6500,"max_amount":11000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"MX":true,"TH":true,"ES":true,"BR":false},"description":"El procedimiento implica la inserción de cuatro implantes, que sostienen las dentaduras postizas con una barra de titanio diseñada digitalmente para mejorar la estabilidad y la función.
"},"1313":{"operation":{"name":"Dentaduras completas de dióxido de zirconio monolítico sobre 6 implantes de titanio","alias":"full-arch-implant-fixed-complete-dentures-in-monolithic-zirconia-6-titanium-implants","use_for_listing":true},"country_price":{"US":{"amount":18000,"max_amount":28000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"MX":{"amount":9500,"max_amount":15500,"currency":"USD","clinic_count":4,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":11000,"max_amount":18500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":9500,"max_amount":13500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"BR":{"amount":6500,"max_amount":11000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"MX":true,"TH":true,"ES":false,"BR":false},"description":"Este procedimiento utiliza seis implantes de titanio para asegurar las dentaduras postizas completas, lo que aumenta la durabilidad y la estabilidad de la mordida.
"}}},"cityPrices":{"operation_prices":{"1154":{"operation":{"id":1154,"name":"Prótesis híbrida sobre implantes dentales All-on-2","alias":"hybrid-all-on-2-implant-denture"},"city_price":[{"amount":4500,"max_amount":7800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"city","city":{"id":2518,"name":"Rio de Janeiro","alias":"rio-de-janeiro"}}]}}},"videoReviews":[{"id":"0d843a77-508d-4506-9950-8353b50e4086","link":"https://player.vimeo.com/video/1004433703?badge=0&autopause=0&player_id=0&app_id=58479","description":"¡Fue genial! Traslados, alojamiento, tratamiento, todo incluido.","userName":"Igor","user_name":"Igor","preview":"https://i.vimeocdn.com/video/1920970384-d98a1858eee0afdea9fb4b88e2c27c1bf2fd75f293cc35249343d2d371e4bb52-d?mw=800&mh=1418&q=70","updated_at":"2025-03-07T08:20:09.093+00:00","clinicName":"WestDent Clinic","clinic":{"name":"WestDent Clinic","alias":"westdent-clinic"},"clinicUrl":"/clinic/westdent-clinic/","relations":{"operations":[{"name":"Implante dental","alias":"dental-implant"},{"name":"Instalación de un implante dental con corona","alias":"installation-of-a-dental-implant-with-crown"}]}},{"id":"c7d1c1b8-6341-4f6e-ba0a-cb27f3eee995","link":"https://player.vimeo.com/video/1004481280?badge=0&autopause=0&player_id=0&app_id=58479","description":"¿Quién diría que arreglarse los dientes podría ser unas mini vacaciones?","userName":"David","user_name":"David","preview":"https://i.vimeocdn.com/video/1923189492-b7baecdf68e7f0e3c6e354b53b54e23f3f4886e5644ca3aa7b862c88a4cf9d14-d?mw=500&mh=886&q=70","updated_at":"2025-03-07T08:08:58.351+00:00","clinicName":"Evergreen Dental","clinic":{"name":"Evergreen Dental","alias":"evergreen-dental"},"clinicUrl":"/clinic/evergreen-dental/","relations":{"operations":[{"name":"Instalación de un implante dental con corona","alias":"installation-of-a-dental-implant-with-crown"},{"name":"Implante dental","alias":"dental-implant"}]}},{"id":"005945e8-9e63-41b3-9f4d-a0ca8a43db4c","link":"https://player.vimeo.com/video/1037824340?badge=0&autopause=0&player_id=0&app_id=58479","description":"Recomiendo los servicios de Bookimed a todos, me han hecho la vida mucho más fácil.","userName":"Pavel","user_name":"Pavel","preview":"https://i.vimeocdn.com/video/1959898557-bda4b67a6e6a67fdcfa1115e944dac65cb478e35e91d1ef73fd2bdc644c5a85b-d?mw=500&mh=886&q=70","updated_at":"2025-03-07T08:00:40.833+00:00","clinicName":"WestDent Clinic","clinic":{"name":"WestDent Clinic","alias":"westdent-clinic"},"clinicUrl":"/clinic/westdent-clinic/","relations":{"operations":[{"name":"Instalación de una corona de zirconio","alias":"zirconia-crown-installation"},{"name":"Implante dental","alias":"dental-implant"}]}},{"id":"a1a648e1-eed3-4938-b3f9-493022a68a0c","link":"https://player.vimeo.com/video/1037827757?badge=0&autopause=0&player_id=0&app_id=58479","description":"Fue la mezcla perfecta entre salud y vacaciones.","userName":"Inna","user_name":"Inna","preview":"https://i.vimeocdn.com/video/1959902516-31e8432da5cba43625519dbd97d4e6e80e45f2af3711fef5d5727f6884c66c2b-d?mw=500&mh=886&q=70","updated_at":"2025-03-07T08:01:56.951+00:00","clinicName":"WestDent Clinic","clinic":{"name":"WestDent Clinic","alias":"westdent-clinic"},"clinicUrl":"/clinic/westdent-clinic/","relations":{"operations":[{"name":"Instalación de coronas dentales","alias":"dental-crown-installation"},{"name":"Instalación de una corona de porcelana.","alias":"installation-of-a-porcelain-crown"}]}}],"hasVideoReviewsByContext":true,"updatedAt":"2026-10-28T19:02:19.000Z","activeCountries":["BR","ES","US","MX","TH"],"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":3,"days_in_country":7,"rehabilitation_days":6,"satisfied_percent":78,"treatment_duration_hours":4},"illness_kind_details":{"requests_processed":0}},"direction":{"id":31,"name":"Tratamiento dental","alias":"dentistry","name_forms":{"base_form":"Tratamiento dental","form_4":"dentista","form_6":"dentistas","form_11":"dentistas","form_12":"dentistas"}},"illness_kind":{"id":31,"name":{"en":"Dental Treatment"}},"parsed_details":{"procedure_type":"dental","fields":{"anesthesia":["local"],"back_to_work_days":{"min":1,"max":4,"unit":"days","qualifier":"Primary protocol: adult, two implants in one mandibular arch with overdenture, local anesthesia, outpatient. Counted from the surgery day for desk or light work in uncomplicated cases; longer if extractions or grafting were done at the same time or the job is physically demanding."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Limited model estimate, not a cohort result. Endpoint: any biological or prosthetic complication needing extra care (e.g., infection, mucositis, attachment or denture adjustment, transient numbness) within the first year after surgery, adults with a two-implant mandibular overdenture. Minor prosthetic maintenance may push the figure higher."},"contraindications":["Uncontrolled diabetes or other uncontrolled systemic disease","Active oral infection or untreated periodontal disease (until treated)","Insufficient anterior mandibular bone volume without grafting or a changed plan (relative)","Current or recent IV bisphosphonate or denosumab therapy, or prior head and neck radiotherapy to the jaw (relative or absolute depending on risk assessment)","Heavy smoking or poor oral hygiene (relative)","Severe bruxism (relative)","Pregnancy (elective surgery usually deferred)","Anticoagulant therapy or bleeding disorder not managed with the prescribing physician (relative)","Inability to maintain hygiene or attend maintenance visits (relative)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Primary protocol: adult, two-implant mandibular overdenture under local anesthesia as an outpatient. No overnight stay in uncomplicated cases. Hospital stay is not part of this protocol."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":1,"max":2,"unit":"weeks","qualifier":"Reference event: surgery day. Applies to strenuous exercise or sport, once swelling and bleeding have settled and the dentist agrees. Early walking and light daily activity are usually allowed from the first days. Contact sports may need longer or a protective guard."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Reference event: implant surgery day. Time to osseointegration and definitive attachments or prosthesis in uncomplicated cases; may be longer if grafting is needed. Delayed-loading protocols are outside this numerical profile."},"fly_home_after_days":{"min":2,"max":7,"unit":"days","qualifier":"Reference event: surgery day. Planning range for an uncomplicated outpatient two-implant case, once bleeding and swelling are controlled and the dentist has cleared the patient. Flights can be later if grafting, extractions or complications occurred. A wound check is usually done before long-distance travel if the visit schedule allows."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Reference event: surgery day. Check of healing and suture removal if non-resorbable sutures were used."}},{"purpose":"assessment","requirement":"routine","after":{"min":14,"max":30,"unit":"days","qualifier":"Reference event: surgery day. Denture fit and bite check, with relining or adjustment as needed."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"Reference event: surgery day. Planned review of osseointegration before the definitive prosthesis or attachments are fitted."}}],"indications":["Edentulous arch, most often the mandible, with a loose or poorly retained complete denture","Resorbed mandibular ridge where conventional denture stability is poor","Reduced chewing efficiency, diet limitation or social embarrassment from an unstable denture","Preference for a removable implant-retained prosthesis with fewer implants and less surgery than higher-implant-count options","Adequate anterior bone to hold two implants, or a plan that allows for limited grafting"],"main_risks":["Infection or peri-implantitis","Implant failure or lack of osseointegration","Bleeding, swelling and bruising","Temporary or, rarely, persistent nerve injury with lip or chin numbness (mandible)","Prosthesis fracture or loosening","Wear of attachments, needing periodic replacement","Continued bone resorption under the denture","Marginal bone loss around implants","Sinus involvement if the maxilla is treated (outside the primary protocol)"],"pain":"Under local anesthesia the procedure is usually painless apart from pressure. Mild to moderate soreness and swelling for several days is typical and usually managed with ordinary analgesics as advised by the dentist.","preparation":["Clinical examination with panoramic X-ray or CBCT","Impressions and treatment planning, including implant positions and attachment type","Treatment of infection, decayed teeth or periodontal disease before surgery","Medical history and medication review, with physician coordination for systemic illness, anticoagulants or antiresorptive drugs","Assessment of ridge height, width and need for grafting or pre-prosthetic surgery","Discussion of loading protocol (immediate or delayed) and the denture's temporary adjustment","Fasting is usually not needed under local anesthesia; follow clinic instructions","Stop smoking before and after surgery where possible"],"recovery_timeline":[{"phase":"First days (days 0-3)","description":"Outpatient recovery at home with no hospital nights. Swelling, mild to moderate soreness, bruising and minor oozing that settle gradually. Easy walking and light daily activity are usually fine from the first days.","restrictions":["Soft or liquid diet","Gentle oral hygiene and any rinses as advised","Avoid pressure on the surgical site","Follow the dentist's instructions on wearing the denture","Avoid smoking","Avoid strenuous exercise"]},{"phase":"Weeks 1-2","description":"Soft tissue healing and adaptation to the denture. Light work is usually resumed earlier. Strenuous exercise may resume toward the end of this period if the dentist agrees.","restrictions":["Avoid hard or sticky foods","Avoid heavy lifting and intense exercise until cleared","Keep the implant area clean"]},{"phase":"Weeks 2-12","description":"Gradual progression of diet while the implants integrate, with denture adjustments or relining as needed.","restrictions":["Stay on a softer diet as advised","Avoid biting hard foods on the implant-supported denture"]},{"phase":"Months 3-6","description":"Osseointegration is confirmed, then definitive attachments or prosthesis are fitted. Timing is longer if grafting was needed or if delayed loading is chosen.","restrictions":["Gradual return to a normal diet as advised","Keep up hygiene and maintenance visits"]},{"phase":"At any time","description":"Seek prompt dental or medical assessment whenever warning symptoms appear, without waiting for a scheduled visit.","restrictions":["Heavy or persistent bleeding","Increasing swelling, fever, pus or bad taste","Severe pain not eased by the advised analgesics","Numbness of the lip or chin that persists or worsens","Loose implant, loose attachment or broken denture","Difficulty breathing or swallowing, or rapidly spreading facial swelling (emergency care)"]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Reference event: surgery day. Ordinary functional recovery on a soft diet with adaptation to the denture in uncomplicated cases; full osseointegration takes months."},"result_longevity":"Model estimate: implants in a two-implant mandibular overdenture often function for 10 years or more with good hygiene, non-smoking and regular maintenance, but no lifespan is guaranteed. Attachments and denture parts commonly need periodic replacement, adjustment or relining, and the denture may be replaced over time.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Limited model estimate, not a cohort result. Endpoint: unplanned reoperation, implant removal or replacement, or prosthesis remake within about 5 years in adults with a two-implant mandibular overdenture. Routine attachment replacement is excluded."},"scars":"No visible external scars. Small intraoral gum healing marks at the implant sites are possible.","sessions_or_stages":{"sessions":{"min":3,"max":5,"unit":"visits","qualifier":"Treatment appointments for one arch (planning, surgery, prosthetic stages), excluding routine follow-up checks."},"stages":[{"code":"planning","label":"Examination, imaging and planning","after":{"min":0,"max":0,"unit":"days","qualifier":"Reference event: initial visit."}},{"code":"implant_placement","label":"Placement of two implants with denture connection or temporary loading","after":{"min":7,"max":30,"unit":"days","qualifier":"After planning and any preparatory treatment, such as treating infection."}},{"code":"definitive_prosthesis","label":"Impressions and fitting of definitive attachments or prosthesis","after":{"min":90,"max":180,"unit":"days","qualifier":"After implant placement, once osseointegration is adequate; counted from the surgery day."}}],"qualifier":"Primary protocol: adult, one mandibular arch, two implants with overdenture attachments, under local anesthesia, outpatient. Sequence varies with immediate or delayed loading; grafting would extend the timeline."},"success":{"metric":"Implant survival","value":92,"unit":"percent","horizon":"5 years after implant placement","population":"Adults with a two-implant mandibular overdenture, adequate bone and good oral hygiene. Limited model estimate, not a cohort result; lower in smokers, uncontrolled diabetes or poor bone.","evidence_status":"limited"},"techniques":[{"name":"Primary protocol: two-implant mandibular overdenture with attachments (immediate or early loading)","suits_whom":"Edentulous adults with enough anterior mandibular bone and adequate primary implant stability.","recovery":"Soft diet for several weeks, then gradual return to normal diet after osseointegration. Denture relines or adjustments may be needed."},{"name":"Two-implant placement with delayed loading (outside the primary numerical profile)","suits_whom":"Patients with lower primary stability or who need grafting or a longer healing period.","recovery":"Longer healing period of about 3-6 months before functional loading; timelines in this entry are not covered by the primary numerical ranges."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":1,"max":2.5,"unit":"hours","qualifier":"Surgical visit for two implants in one mandibular arch with denture connection or adjustment under local anesthesia; excludes planning, impressions and later prosthetic visits."},"initial_assessment_documents":null,"travel_trips":null}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=brazil/city=san-paulu/procedure=kombinirovannoe-protezirovanie-na-implantah-all-on-2/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false}