Patients spend their arrival day getting familiar with the hotel mostly. On the second day we deliver you to the Dentares Smile Clinic with our VIP transfer service for a 30 minute appointment. You’ll complete a patient history and consent forms. Then our patient relations consultant will assist you with having an x-ray and bring you to the Head Physician, Dr. Öyküm for a live consultation.
During the consultation, Dr. Öyküm will be accompanied by our Maxillofacial surgeon, Dr. Dincer. They will discuss your x-ray results, 3D tomography, have an intraoral examination and then provide you with the healthiest treatment plan. If you have any special requests, questions or expectations, we will discuss this here. If the doctors agree that the all on 4 is the healthiest treatment plan for you, a pre-arranged surgery appointment is available if the patient is ready to move forward with their treatment.
The doctor uses computer software of the patients x-ray and tomography to find the best placement of implants. The patient relaxes in the dental chair and within sterile conditions. The surgeon and assistants sterilise their hands, wear gloves, masks, surgical gowns, hair nets and sterilise the patients mouths, inside and out. The treatment may begin. The maxillofacial surgeon applies local anaesthesia for a pain free operation. The gingiva (gum) is opened and bone exposed. The surgeon prepares the implant socket with the help of dental drills to the appropriate size and diameter. The implant is placed in the prepared socket with a little bit of bone graft. The gingiva is then closed with dissolvable stitches. The stitches disappear in 7 to 10 days.
Temporary dentures are then provided exact to the patients measurements by taking impressions on dental putty. Patients will ask, “will I have fıxed dentures?”. The answer to that question depends on the decision of the doctor. If the doctor finds that the bone structure during surgery is healthy enough to support the osseointegration of implants and the strain of daily bite pressures from a fixed denture. Then the doctor may assign the patient a fixed denture. Whether the denture is fixed or non-fixed, the patient is always advised to keep to soft foods for 3 months while the implants heal. If the patient is given non-fixed dentures, the doctor advises not to use them except for social aesthetic reasons for the first month. The bone structure is greatly reduced compared to healthy patients, so our first duty is to preserve what bone the patient has left.
All on 4 patients require 2 visits to Turkey. The first visit will be to extract remaining teeth, treat abscesses or other conditions and place implants. Patients can think of their 1st visit as the medical stage of treatments. 5 days in Turkey is enough to complete the extractions, implant surgery and provide a temporary denture. Patients will need to adhere to the doctors after care advice and take the prescribed medications: Painkiller, mouthwash, and a course of antibiotics. The patient is able to return home to heal for 3 months at a minimum. After 3 to 6 months, the patient has fully healed and can come back to Dentares for their second visit.
To create the most functional and aesthetic prosthesis, Dentures require 10 days total for their second visit. Patients will have a check up appointment where the doctor assesses a new panoramic x-ray and opens the implants to check up on the healing. Provided that all implants have successfully integrated with the bone structure, the patient can see the prosthodontist.
One of Dentares’ prosthodontists will take impressions of your jaws with dental putty. From these impressions, the doctor and lab technicians are able to build the prosthesis. Zirconia is the most preferred material for prosthesis due to the durability and strength to last over a decade with the correct oral hygiene habits.
The prosthesis is first created by building a basement material that connects all 4 implants together, perfectly distributing the compressive forces of biting. This is achieved through state of the art CAD/CAM computer technologies. A full arch prosthesis will contain 12 ‘crowns’ or prosthetic teeth. After the basement material is constructed, it’s a matter of building the zirconia crowns on top. By using the rehearsal method, we can make tiny adjustments to the full arches so that the bite comes together as smoothly as a puzzle would. Each tooth from the upper and lower jaw sits together in unison creating the most functional and most comfortable prosthesis. After that is achieved, the prosthodontist refines the front teeth to smile design parameters for the most beautiful smile.