Full arch fixed prosthesis with immediate loading: definitive fixed teeth within 12 hours
The Protocolo Fixo 12h is Odontoclinic Vila Mariana's full rehabilitation flow for patients who need to replace all or nearly all the teeth of an arch with a definitive fixed prosthesis on implants. Treatment is planned in advance with exams, digital planning and an in house laboratory, so that fixed teeth are installed on the same day as the surgery. Exceptional situations that require a change to the plan are assessed and documented individually.
For those who have lost all or nearly all their teeth, or who are considering a removable denture, the Protocolo Fixo 12h allows definitive fixed teeth, chewing function and confidence to be restored in treatment planned digitally and led by Dr. Hugo Robertson, with an in house laboratory at the clinic.
More than 300 full arch rehabilitations led by Dr. Hugo Robertson.
Important: the Protocolo Fixo 12h is not a removable denture.
It is a definitive fixed prosthesis screwed onto implants, indicated for people who have lost all or nearly all the teeth of an arch. It does not come out during use, does not use adhesive, is not held by suction and is not removed by the patient in daily life.
The clinic does not perform conventional or removable dentures. The focus of this page is fixed rehabilitation on implants.
What is a full arch fixed prosthesis with immediate loading?
The full arch fixed prosthesis, also known as a fixed denture or, at the clinic, as the Protocolo Fixo 12h, is a full rehabilitation of the arch in which definitive fixed teeth are supported by dental implants. The prosthesis is screwed in place and remains fixed during use, bringing more stability for chewing, speaking and smiling.
Immediate loading is the strategy in which this prosthesis can be installed shortly after implant surgery, instead of waiting months for healing. In the Protocolo Fixo 12h, this strategy is part of the standard treatment flow, since prior planning defines the conditions for the definitive fixed prosthesis to be installed on the same day.
At Odontoclinic Vila Mariana, the Protocolo Fixo 12h integrates diagnosis, surgery, prosthesis and an in house digital laboratory within the same clinical flow, under the direction of Dr. Hugo Robertson. Treatment is planned before surgery with imaging exams and digital planning, and the fixed prosthesis is installed the same day. When the loss involves a single tooth, the indication is usually a single dental implant.
Treatments are private and individually planned. After the assessment, the patient receives a personalised plan with stages and values for the recommended treatment.
Full arch fixed prosthesis, immediate loading and Protocolo Fixo 12h are not the same thing.
Full arch fixed prosthesis
A type of fixed rehabilitation of an arch on implants. The prosthesis is screwed in place and remains fixed during use.
Immediate loading
The strategy of installing the prosthesis within a short period after implant placement, instead of waiting months for healing.
Protocolo Fixo 12h
Odontoclinic Vila Mariana's treatment flow that integrates prior planning, surgery, prosthesis and installation of definitive fixed teeth on the same day.
The correct indication is what supports the safety of the treatment.
Clinical assessment, imaging exams and digital planning define whether the Protocolo Fixo 12h is indicated for your case.
Total or near total tooth loss
Patients who have lost all or nearly all their teeth can be assessed for full rehabilitation with a fixed prosthesis on implants within twelve hours, according to clinical planning and imaging exams.
Patients considering removable dentures
For those considering a removable denture and concerned about instability, insecurity while chewing or discomfort, the Protocolo Fixo 12h can offer a fixed alternative on implants, with no adhesive and no movement during use. The clinic does not work with removable dentures.
Advanced periodontitis
Cases where periodontal disease has compromised the teeth can be assessed for extraction of teeth without a favourable prognosis and full rehabilitation with a fixed prosthesis on implants. The indication depends on clinical assessment and exams.
Patients seeking fixed teeth in 12 hours
Patients who want to resolve total tooth loss with a fixed solution, planned before surgery and installed the same day under the Protocolo 12h.
The definitive indication is made during the consultation with Dr. Hugo Robertson, based on the clinical assessment and imaging exams of your specific case.
What if there is significant bone loss?
Bone loss does not automatically rule out fixed rehabilitation. Depending on the case, planning may involve bone grafting, tilted implants or zygomatic implants. The goal remains building a fixed solution suited to the patient's anatomy and prosthetic plan. Learn more about complex cases.
What happens on the day of the Protocolo Fixo 12h.
Nothing starts on the day of the surgery. Immediate loading within 12 hours is only possible because the planning has already been carried out beforehand.
Planning completed before the day
Dr. Hugo Robertson has already defined the complete protocol in previous appointments. Imaging exams have been analysed, implants have been positioned virtually and the surgical guide has already been produced in the in house laboratory. You arrive with the plan ready.
Anaesthesia and extraction of compromised teeth
The procedure begins with local anaesthesia. Teeth that need to be extracted are removed with a minimally invasive technique to preserve as much bone volume as possible for the implants.
Implant placement with surgical guide
Implants are placed with the support of the surgical guide, which orients execution according to the digital plan and supports greater precision during the procedure.
Prosthesis production in the in house laboratory
While the patient is in initial recovery, the in house laboratory team finishes the prosthesis based on the digital plan, supporting integration between surgery, prosthesis and clinical adjustments.
Installation of the fixed prosthesis
In the Protocolo Fixo 12h flow, the definitive fixed prosthesis is installed on the same day as the surgery, according to the plan previously defined. Before discharge, fit, bite, aesthetics and guidance for adaptation and initial care are reviewed. If an exceptional clinical condition requires a change in strategy, this is explained and documented with the patient.
Why does the in house laboratory make a difference in the Protocolo 12h?
The in house digital laboratory allows planning, surgery and prosthesis to be carried out in an integrated way within the clinic. This supports faster communication between the clinical team and the laboratory, adjustments during the stages and greater control over the manufacturing of the prosthesis.
At Odontoclinic Vila Mariana, the Protocolo Fixo 12h integrates diagnosis, surgery, prosthesis and an in house digital laboratory within the same clinical flow, under the direction of Dr. Hugo Robertson.
While surgery takes place, the prosthesis is finished based on the digital plan already carried out.
More than 300 full arch rehabilitations led by Dr. Hugo Robertson.
Dr. Hugo Robertson, dental surgeon specialised in Implantology with experience in Prosthodontics and Oral Rehabilitation, takes part in defining the plan for full arch fixed prosthesis cases with immediate loading and follows the clinical stages under his responsibility.
Full arch rehabilitations.
Clinical coordination by Dr. Hugo Robertson
Digital planning and in house laboratory integrated
Documented guarantee and periodic maintenance
Documented guarantee and periodic follow up.
Implant fixtures carry a lifetime guarantee and prostheses carry a 2 year guarantee, according to the conditions set out in the clinic's Guarantee Certificate and subject to the recommended periodic maintenance.
Implant fixtures with lifetime guarantee*
Full arch fixed prosthesis with 2 year guarantee*
*According to the Guarantee Certificate, clinical conditions, usage guidance and periodic maintenance recommended by the team.
More than 300 protocols performed by Dr. Hugo Robertson.
Real cases treated at the clinic, shown with authorisation. Results vary according to diagnosis, clinical condition, planning and maintenance for each patient.
Complete upper arch. All teeth extracted and definitive fixed prosthesis installed the same day. Patient had been without teeth for three years.
Lower arch compromised by severe decay. Extraction and protocol the same day. The patient received specific guidance for recovery and post operative follow up.
Meet the real cases of Ivanildo, Maria and Celso, with video testimonials and before and after X-rays.
What patients ask most before deciding.
No. A conventional denture is removable. The Protocolo Fixo 12h is a definitive fixed prosthesis screwed onto implants, indicated for full rehabilitation of the arch.
We do not perform conventional dentures or removable prostheses. The clinic's focus is fixed rehabilitation, such as the full arch fixed prosthesis, fixed teeth on implants and individually planned fixed prostheses.
The Protocolo Fixo 12h is planned so the patient receives definitive fixed teeth on the same day as the surgery. If an exceptional clinical condition requires a change to this flow, the change is explained and documented.
Yes. In the Protocolo Fixo 12h, the fixed prosthesis installed on the day of surgery is definitive. The team explains the full plan during the assessment, including the stages involved.
The procedure is performed under local anaesthesia with proper planning. Afterwards, there may be discomfort and swelling in the first days, controlled with medication and guidance from the team.
The assessment with imaging exams defines bone condition. In some cases, specific techniques, bone grafting or zygomatic implants may be indicated.
Planning and exams are carried out before the surgery. On the day of the Protocolo 12h, implants and fixed teeth are installed according to the defined plan. Afterwards, the patient continues with periodic follow up and maintenance.
Age alone does not define the indication. The decision considers general health, bone condition, medication in use, imaging exams and the ability to maintain recommended care.
Immediate loading is the approach in which the prosthesis can be installed on the implants within a short period after surgery, rather than weeks or months later. In the Protocolo Fixo 12h, this strategy is part of the standard flow, since prior planning defines the conditions for installing the definitive fixed prosthesis on the same day.
Yes. That is precisely the clinic's Protocolo Fixo 12h flow: prior planning, implant placement and installation of definitive fixed teeth on the same day. Assessment and exams are used to define the strategy and identify any exceptional situations that require adapting the plan.
Odontoclinic Vila Mariana: fácil acesso pelo metrô Ana Rosa.
R. Domingos de Morais, 725
Vila Mariana, São Paulo - SP
CEP 04009-001
Telefone: (11) 3456-2500
WhatsApp: (11) 99945-9908
Próximo ao metrô Ana Rosa. Fácil acesso por ônibus e com opções de estacionamento nas proximidades.
Atendemos pacientes da Vila Mariana, Ana Rosa, Paraíso, Paulista, Vila Clementino, Chácara Klabin e de todo o centro expandido de São Paulo.
Como chegar no Google MapsFind out if the Protocolo Fixo 12h is indicated for your case.
Schedule an assessment with Dr. Hugo Robertson and find out, with exams and planning, whether your case has an indication for a full arch fixed prosthesis with immediate loading within 12 hours.
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