Fixed teeth in just a few days — even if you've been told you "have no bone." No grafting, no year-long wait. See exactly how, step by step: the full story is right below.
First it was one tooth. Then another. At some point a denture entered your life — and with it the little tricks no one notices, but you feel: a hand in front of your smile, food cut into tiny pieces, the silent fear that it will slip at the wrong moment, in front of the wrong people.
When you finally decided to fix it for good, came the sentence that stops everything:
And the plan you were offered seemed endless: three surgeries — the bone graft, the implant placement, and the re-opening — with months of healing between each, and no guarantee the graft will take. Meanwhile, life keeps passing by: the dinners you avoid, the photos where you won't open your smile, the feeling that your face has aged before your eyes.
These answers rarely mean there's no solution. They mean the solution lies beyond the conventional implant — and that's exactly where we work, every single day.
Because there's one question that changes this whole story: what if your new teeth didn't need the bone you've lost?
The jawbones resorb over the years without teeth. But there's a bone in your face that stays dense and stable for life: the zygoma — the cheekbone.
The zygomatic implant anchors right there. Combined with the All-on-4 technique, it supports a full arch of fixed teeth in a single surgery, with no grafting — with the fixed teeth placed in just a few days.
The anchorage already exists in your face.
Fixed teeth in days, not years.
Planned millimeter by millimeter before the day.
Okay — but what exactly is a zygomatic implant?
It's a longer implant, designed to anchor in the zygomatic bone. It's not experimental: it's an established technique, used for decades in the world's major rehabilitation centers for cases of severe bone loss.
▶ The full explanation, by Dr. Fernando Giovanella himself. The page continues below — watch whenever you like. (in Portuguese)
At this point, every well-informed person asks the same question. And it's exactly the right one.
This doubt isn't silly fear — it's common sense. The path of a zygomatic implant runs close to structures that allow no improvisation. The safety of a surgery like this doesn't live in the surgeon's confidence: it lives in the method he uses to know, precisely, where each implant goes — before he begins.
First, a distinction that matters. In the traditional path, there are three real surgeries: the graft, the implant placement, and the re-opening. In our protocol, you go through a single surgery. What happens three times isn't the surgery — it's the precision. Your case is performed three times; only the last happens on you:
Your CT scan becomes a 3D model, and the entire surgery is simulated: the exact position of each implant, millimeter by millimeter — already thinking about the teeth that will sit on them.
The CT scan also becomes a physical replica of your bone, 3D-printed — which Dr. Fernando Giovanella literally holds in his hands: he physically checks everything defined on screen, before your day.
A custom guide printed in biocompatible resin fits into your mouth and transfers the simulated position exactly to the surgery. The drill doesn't improvise: it follows the planned path.
Only the last happens on you. By the time you walk into the room, your surgery has already been performed twice — on screen and on the replica of your bone. With no "let's see."
Method developed by Dr. Fernando Giovanella · taught to surgeons in Brazil and abroad
So far, we've solved the bone problem — and only talked about the wonders of the fixed prosthesis. Now I need to be honest with you about the side almost no one mentions.
Up to now you've only heard the wonders of the protocol — and they're real. But to decide clearly, you also need to know the blind spot. And it has to do with your face.
The denture (the removable full prosthesis) has a pink rim that hugs the gum — the flange. Besides holding the teeth, it's what pushes your lip and cheek back into place, compensating for the bone that was lost.
The fixed protocol is something else: it's fixed — it doesn't come out, it doesn't move, and it's only unscrewed by the dentist for an occasional cleaning. It's truly fixed teeth. That's why it has to be cleanable underneath.
Precisely because it stays fixed and must be cleaned underneath, the protocol cannot have the denture's flange — and its base must be convex, smooth, so the brush and the water flosser can pass beneath. A concave base, closed like a denture's, would be impossible to clean.
The side effect: removing the flange so it can be cleaned also removes what was supporting your lip.
This is the blind spot Dr. Fernando Giovanella faced head-on, creating the FaceFirst approach: planning starts with your face — how much support your lip needs — and only then designs the prosthesis (thin, convex, hygienic) and the implant positions. From the outside in: the best of both worlds — the hygiene of a fixed prosthesis and the support of your face.
We don't start with your bone. We start with your face.
This approach isn't opinion: it was documented in a real clinical case and published in the Journal of Prosthetic Dentistry — one of the most respected journals in dentistry worldwide, peer-reviewed by international specialists.
Giovanella F. Graftless complete arch rehabilitation using a facial approach for enhanced bone anchorage and prosthetic outcomes: A clinical report. The Journal of Prosthetic Dentistry. 2025;134(2):295.e1–295.e6.
DOI: 10.1016/j.prosdent.2025.03.046 · PMID 40221273 · view on PubMed →
Her face changed twice: when it lost support — and when it got it back.
This is the most important part of the whole page. If there's one video worth your attention, it's this one: the full story, told by Dr. Fernando Giovanella himself — from the problem no one saw to the scientific publication. (in Portuguese)
▶ The detailed explanation is in the video. Set aside 11 minutes and watch to the end — it's what separates "getting the gist" from truly understanding why your face matters as much as your teeth.
Beautiful theory is easy. See what happens when it meets real people.
Patients who arrived with a "no" — and left with fixed teeth.
The natural question now is: "will this work for my case?"
Too little bone is our specialty.
From a removable prosthesis to a fixed arch.
Revisions and complex rehabilitations.
Zygomatic anchorage doesn't depend on the bone you've lost.
A protocol of days, not years.
If you recognized yourself in any of these, the path from here is simpler than it seems.
STEP 1CT scan + 3D reconstruction of your case. You understand the whole plan before deciding anything.
STEP 2In most cases, in our own surgical suite, with intravenous sedation supervised by a physician anesthesiologist or oral sedation — no hospital stay. Selected cases go to a hospital setting.
STEP 3Fixed prosthesis placed in a few days; the definitive one comes after healing.
And if, even understanding all this, your thought is still "I just wish I could fall asleep and wake up with it done" — the next block is for you.
Some of our patients put this treatment off for years — not because of the cost, but because of fear. If that's you, read slowly: this section exists for you.
We work with a partner medical anesthesiology team and offer intravenous sedation in our own outpatient surgical center: a physician anesthesiologist dedicated exclusively to you, from start to finish, with continuous monitoring and all legal and sanitary requirements met.
In practice: you receive the medication through a vein and fall peacefully asleep while the team works — many patients say they don't even remember the procedure. Sedation with an anesthesiologist is also indicated for patients with health conditions that call for medical monitoring. And for those who prefer — or, in some cases, need more intensive monitoring for full safety — there's the option of general anesthesia in a hospital setting.
And it's optional. Many surgeries are done comfortably with local anesthesia alone — sedation with an anesthesiologist comes in when you want it, or when your case calls for it. It's not mandatory for everyone, and we decide together at the assessment.
I'm afraid of the dentist — I'd like to talk about sedationOutpatient anesthesia — video from our partner medical anesthesiology team. (in Portuguese)
Before we talk about who will do this for you, it's worth putting together the pieces of what you've just read.
Precision, exclusivity and comfort brought together in one place — a method whose approach is published in the Journal of Prosthetic Dentistry, led by a surgeon who is an Oral & Maxillofacial specialist and Master in Implant Dentistry, with over 20 years of experience — author, professor and speaker on advanced full-arch techniques.
You may know the high-volume model: assessment with one professional, surgery with another, the prosthesis with a third — and, at every visit, a new face asking your name. For simple cases, it can even work. For complex rehabilitations, every handoff is a chance for something to be lost.
Here, the model is the opposite. Whoever assesses your case is who plans it. Whoever plans is who operates. Whoever operates is who places your prosthesis and follows every review: Dr. Fernando Giovanella himself. From the first exam to the definitive smile, your commitment is with one person — and so is the responsibility for your result.
And why open the entire method on one page? Because everything you've read here — the SkinGuide®, FaceFirst, the surgery simulated and rehearsed before the day, sedation with a medical team — was built by Dr. Fernando Giovanella to answer the questions real patients ask. A real method isn't afraid of the light. A well-informed patient chooses better — and that's the patient we want to care for.
And all of this carries one person's signature. It's time you met him.
Oral & Maxillofacial Surgeon (UFPel) and Master in Implant Dentistry (USC Bauru), with over 20 years of experience. Author of the book Zygoma 2.0 — The New Era of Zygomatic Implants, the reference on the technique.
Creator of the SkinGuide® method and the FaceFirst approach — published in the Journal of Prosthetic Dentistry. Speaker at the INN Congress and professor of advanced full-arch techniques in Brazil and abroad — with a practice dedicated precisely to the cases many consider impossible.
Coordinator of the Implant Dentistry specialization program at IOA Blumenau · Professor of zygomatic implants at Expert Dental Solutions — Universidade Federal Fluminense (UFF), Niterói, Brazil.
Zygoma 2.0 — The New Era of Zygomatic Implants (Napoleão / Quintessence Publishing): the reference work on the technique that gives fixed teeth back to those who have no bone — written by the surgeon who will care for your case.
Dr. Fernando Giovanella teaches dentists from Brazil and abroad on advanced zygomatic implant techniques. Watch the video below to hear what dentists from the United States say about him.
Are you a dentist? See the course schedule
What the colleagues who know the subject best say about him.
Dentists from the United States who studied the technique with Dr. Fernando Giovanella talk about the method and the results. (video in English)
▶ What U.S. dentists say — watch whenever you like.
You already know the method and the surgeon. Now meet the place.
The clinic has its own surgical suite, specific to advanced dental surgery — where most cases are handled with intravenous sedation assisted by a physician anesthesiologist, with no hospital stay. Selected cases are performed at Hospital Unimed Blumenau (ISO 9001/14001): more complex and longer surgeries, patients with relevant systemic conditions, or those who prefer general anesthesia.
Now hear from those who've already been through it.
Those who've been through it tell it better than any text. Tap to watch the testimonials:
She lived both paths — the iliac bone graft and the zygomatic. And she tells the difference. (in Portuguese)
Why a patient from the United States chose Blumenau. (Instagram · English)
The story of someone who came from Canada to be treated in Brazil. (Instagram · English)
Still have questions? They're probably already answered here.
You've made it this far. All that's left is a conversation.
No obligation and no pressure: it starts with a message and ends with a clear plan for your case.
Talk to the team on WhatsAppWhatsApp +55 47 99782-2642 · Blumenau, Brazil
