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.
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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.
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اليوم الثاني: ما قبل العملية
اليوم الثالث: إجراء طقم الأسنان الهجين All-on-2
اليوم 4-7: ما بعد العملية
الأسبوع 1-2: إعادة التأهيل
الأسبوع 3-6: إعادة التأهيل
الأسبوع 7-12: النتيجة النهائية
يرجى ملاحظة أن هذا الجدول الزمني هو دليل عام. قد تختلف الحالات الفردية اعتمادًا على الصحة الشخصية وحالة الأسنان وسرعة الشفاء.
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Minor prosthetic maintenance may push the figure higher."},"model":"claude-sonnet-5-5","checked_at":"2026-10-28T22:23:41.289874+00:00"},"contraindications":{"value":["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)"],"model":"claude-sonnet-5-5","checked_at":"2026-10-28T22:23:41.289874+00:00"},"days_in_clinic":{"value":{"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."},"model":"claude-sonnet-5-5","checked_at":"2026-10-28T22:23:41.289874+00:00"},"diagnostic_duration_minutes":{"reason":"procedure_type","model":"claude-sonnet-5-5","checked_at":"2026-10-28T22:23:41.289874+00:00"},"diagnostic_preparation":{"reason":"procedure_type","model":"claude-sonnet-5-5","checked_at":"2026-10-28T22:23:41.289874+00:00"},"diagnostic_referral_needed":{"reason":"procedure_type","model":"claude-sonnet-5-5","checked_at":"2026-10-28T22:23:41.289874+00:00"},"diagnostic_result_time_hours":{"reason":"procedure_type","model":"claude-sonnet-5-5","checked_at":"2026-10-28T22:23:41.289874+00:00"},"exercise_resume_weeks":{"value":{"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."},"model":"claude-sonnet-5-5","checked_at":"2026-10-28T22:23:41.289874+00:00"},"final_result_months":{"value":{"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."},"model":"claude-sonnet-5-5","checked_at":"2026-10-28T22:23:41.289874+00:00"},"fly_home_after_days":{"value":{"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."},"model":"claude-sonnet-5-5","checked_at":"2026-10-28T22:23:41.289874+00:00"},"follow_up_visits":{"value":[{"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."}}],"model":"claude-sonnet-5-5","checked_at":"2026-10-28T22:23:41.289874+00:00"},"indications":{"value":["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"],"model":"claude-sonnet-5-5","checked_at":"2026-10-28T22:23:41.289874+00:00"},"main_risks":{"value":["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)"],"model":"claude-sonnet-5-5","checked_at":"2026-10-28T22:23:41.289874+00:00"},"pain":{"value":"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.","model":"claude-sonnet-5-5","checked_at":"2026-10-28T22:23:41.289874+00:00"},"preparation":{"value":["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"],"model":"claude-sonnet-5-5","checked_at":"2026-10-28T22:23:41.289874+00:00"},"recovery_timeline":{"value":[{"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)"]}],"model":"claude-sonnet-5-5","checked_at":"2026-10-28T22:23:41.289874+00:00"},"rehabilitation_days":{"value":{"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."},"model":"claude-sonnet-5-5","checked_at":"2026-10-28T22:23:41.289874+00:00"},"result_longevity":{"value":"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.","model":"claude-sonnet-5-5","checked_at":"2026-10-28T22:23:41.289874+00:00"},"revision_rate_pct":{"value":{"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."},"model":"claude-sonnet-5-5","checked_at":"2026-10-28T22:23:41.289874+00:00"},"scars":{"value":"No visible external scars. Small intraoral gum healing marks at the implant sites are possible.","model":"claude-sonnet-5-5","checked_at":"2026-10-28T22:23:41.289874+00:00"},"sessions_or_stages":{"value":{"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."},"model":"claude-sonnet-5-5","checked_at":"2026-10-28T22:23:41.289874+00:00"},"success":{"value":{"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"},"model":"claude-sonnet-5-5","checked_at":"2026-10-28T22:23:41.289874+00:00"},"techniques":{"value":[{"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."}],"model":"claude-sonnet-5-5","checked_at":"2026-10-28T22:23:41.289874+00:00"},"treatment_conditions":{"value":["outpatient"],"model":"claude-sonnet-5-5","checked_at":"2026-10-28T22:23:41.289874+00:00"},"treatment_duration_hours":{"value":{"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."},"model":"claude-sonnet-5-5","checked_at":"2026-10-28T22:23:41.289874+00:00"},"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}