Dental Implant Treatment in Turkey

The dental implant system consists of the dental implant body, abutment, abutment fixing screw and crown.

Dental implant body:

The body of the dental implant, which is an artificial tooth root, is surgically inserted into the jawbone. The body of the dental implant achieves structural stability through osseointegration with the jawbone and serves as the primary support for subsequent components.

Abutment:

After the implant body has been placed in the jawbone, a support, i.e. an interconnection, is needed to accommodate the artificial tooth. The abutment is the connecting piece that connects the artificial tooth to the implant body.

Abutment fixing screw:

The abutment fixing screw is used to fix the abutment firmly and securely to the implant body. It prevents the abutment from loosening on the implant or detaching from the implant and keeps it stable.

Crown:

They are the topmost filling crowns in the dental implant system and give the appearance of real teeth.

Dental implants are often required in cases of tooth loss, aesthetic concerns, functional problems, and when other prosthetic treatment options are unsuitable or inadequate. Situations where dental implants are needed:

Need to replace a lost tooth or teeth:

Loss of a single tooth:

A dental implant can be placed to replace a single missing tooth. This prevents damage to neighboring healthy teeth.

Multiple missing teeth:

In cases of multiple missing teeth, implants can provide support for fixed dental bridges or removable dentures. Implants allow for fixed prostheses, especially when the back teeth are missing.

Missing all teeth (total edentulism):

In completely edentulous people, implants provide a reliable basis for dentures. Implant-supported prostheses provide much better retention and stability than conventional dentures. Especially in the lower jaw, upper dentures supported by two implants significantly reduce movement problems. In the upper jaw, at least four implants are usually recommended. Implant-supported fixed dentures are also an option in complete edentulism.

Distal tooth deficiencies:

In cases where posterior teeth are lost (gaps with distal extension), implants make it possible to make fixed dentures. Such gaps are more difficult to restore with conventional methods, and removable dentures or bridges with long support arms are usually preferred.

Prevention of bone loss (resorption):

After tooth extraction, the jawbone gradually begins to deteriorate. The dental implant transfers the load to the bone, reducing bone loss and helping to prevent facial collapse. Implants stimulate the bone just like natural tooth roots.

Denture stability and retention problems:

Some patients with traditional removable dentures experience problems such as slippage or poor fit. Implants provide additional support, significantly improving stability and retention.

To eliminate dysfunctions of the teeth:

To improve chewing function:

Implants provide a chewing function similar to natural teeth. The chewing function of implant-supported prostheses is higher than other prosthetic solutions.

Correction of speech problems:

Missing teeth or removable dentures can negatively affect speech. Implant-supported fixed dentures contribute to a more natural speech function.

To fulfill aesthetic needs:

To provide a natural appearance:

Implants provide an aesthetic appearance with crowns placed on them. Especially for missing teeth in the anterior region, aesthetic results are of great importance, and implants can fulfill this expectation.

Improving smile aesthetics:

Implants positively affect the overall quality of life by increasing self-confidence.

When conventional prosthetic treatments are not suitable:

Implants are an effective alternative solution when anatomical or structural limitations make it difficult or impossible to use traditional bridges or dentures.

The following types of implants are produced based on the aforementioned factors:

Types of dental implants according to their placement site:

Endosteal implants:

Endosteal implants are implants placed in the jawbone and are the most commonly used implant type today.

Transosteal implants:

This type of implant consists of a metal plate and retaining pins that pass through the entire thickness of the lower jaw and extend into the mouth.

Transdental implants (endodontic implants):

These are pin implants that extend from the root canal of a tooth into the periapical bone and are used to stabilize a mobile tooth. They are used to stabilize and protect the remaining natural tooth instead of replacing the lost tooth.

Types of dental implants according to design:

Root-shaped implants:

They can be cylindrical or screw-shaped and have grooved surfaces. Most modern dental implants are of this type.

Blade-shaped implants:

They are preferred when the width of the bone is not sufficient for root-shaped implants. They can be prefabricated or custom-made.

Types of dental implants according to the material they are made of:

Titanium implants:

Almost all dental implants are made of titanium. Titanium is a biocompatible material that the body readily accepts.

Zirconium implants:

Zirconium implants are also available as a metal-free alternative.

Polymer Implants:

Although polymers such as polymethylmethacrylate and polyethylene are biologically tolerable materials, they have low mechanical properties and poor adhesion to living tissues.

Types of dental implants according to their diameter:

• Normal platform implants: Usually 3.5-4.5 mm in diameter.
• Large-diameter implants: Usually wider than 4.5 mm.
• Narrow diameter implants (reduced diameter): Usually narrower than 3.5 mm.
• Mini implants: Usually smaller than 3 mm.

Types of dental implants according to application time (loading timing)

Immediate loading implants:

Implants in which the prosthesis is placed immediately or shortly after implant placement.

Early loading implants:

Implants in which the prosthesis is placed several weeks after implant placement.

Delayed loading implants:

The traditional method in which the implant is waited for several months for osseointegration and then the prosthesis is placed.

Preparation:

When you come to our clinic, our dentist will determine whether you are suitable for an implant after thoroughly examining your teeth and jaw structure using various imaging methods. If your bone structure is not suitable for an implant, it will be determined whether additional procedures such as bone grafting or a sinus lift are necessary. Once our dentist has determined that you are suitable for a dental implant, he or she will advise you on the benefits and possible risks and complications of a dental implant.

Determining the treatment plan:

Once you and your dentist have chosen the brand and type of implants, a comprehensive strategy will be created, and the treatment will be carried out according to this plan.

Placement of the implant body:

Dental implant placement is started under local anesthesia. Incision are made in the gum to open the place where the implant will be placed. After reaching the jawbone, special surgical instruments are used to create a slot in the jawbone with the appropriate diameter and depth for the placement of the implant body. The implant body is placed in the socket. The gums are then closed, and the healing process is awaited. The healing process varies between 3 and 6 months depending on your bone structure and health status. During this time, the implant body integrates with the jawbone.

Placement of the abutment:

After making sure that the body of the dental implant is fused with the jawbone, the gum is reopened and the abutment is placed on the implant body. After the abutment is placed, the gum around the abutment is allowed to heal. During this time, the gum around the abutment starts to heal and gains a natural appearance. This healing process usually takes 1-2 weeks.

Placement of the Placement of the artificial tooth:

After making sure that the gingiva has healed after the abutment is placed, a prosthetic tooth (fixed or removable) is placed on the abutment.

Proofing:

To ensure the fit and aesthetics of your prosthesis, you may need a few fittings after placement. After the fittings, your dental implant will be adjusted to you.

Check-ups and Care:

After the implant treatment is completed, you should go for regular check-ups according to the plan your doctor will give you. During these check-ups, the condition of the implant and the fit of the prosthesis are evaluated. You should follow your doctor's recommendations to make your dental implant last longer.

People who are not suitable for dental implants are determined depending on various factors. The factors that determine whether you are suitable for dental implants are as follows:

Systemic health conditions:

Patients with systemic health issues that may interfere with oral surgical procedures might not be suitable candidates for dental implants. Such conditions include uncontrolled diabetes, coagulation (blood clotting) disorders, and regular steroid use.

Oral hygiene:

Patients with poor oral hygiene are not ideal candidates for dental implants. Maintaining good oral hygiene is essential for implant longevity. Failure to brush and floss regularly, or neglecting routine dental visits, can negatively impact implant success.

Radiation therapy:

Dental implants may not be suitable for patients who have received high doses of radiation therapy.

Psychological Status:

Patients with a history of psychotic disorders may not be suitable for implant treatment.

Oral and maxillofacial pathologies:

Patients with hard or soft tissue pathologies may require resolution of these problems prior to implant treatment.

Age:

Young patients under the age of 18 are generally not suitable for dental implants as bone development is incomplete, and it is recommended to wait until growth is complete before implant placement.

Pregnancy:

Generally not recommended, but in exceptional cases a physician's assessment is required.

Alcohol or tobacco addiction:

Implant success may be adversely affected in individuals with alcohol or tobacco dependence.

Osteoporosis and low bone mineral density:

Bone quality is important for implant success. Patients with osteoporosis or low bone mineral content (decreased alveolar bone density and mass) may pose a risk to implants.

Dental implants have many benefits. Some important benefits are as follows:

• It is usually a long-lasting and reliable treatment option and it has a much higher success rate.
• They play an indispensable role in achieving the goal of modern dentistry to rehabilitate functional, anatomical, or aesthetic problems caused by tooth loss.
• Provides a foundation for replacement teeth that look, feel, and function like natural teeth.
• It provides bone preservation after tooth loss and prevents utilization atrophy.
• It can replace all teeth as well as a single tooth.
• It can significantly improve the stability and retention of prostheses in people who use prostheses. This helps to improve the quality of life.
• Restores dental aesthetics.
• Restores lost dental functions (such as chewing and speaking).
• Provides maintenance of cavities and maintains occlusal stability.
• Can be used as orthodontic anchorage.
• Provides comfort and convenience.
• It can be a viable alternative to conventional treatment options, and in some cases, especially in severely atrophic mandible, it can be the first-choice treatment for rehabilitation of serious problems caused by tooth loss.

Dental implants are a very effective and permanent solution to replace lost teeth, but they also have some disadvantages. Disadvantages of dental implants:

• Dental implants are more expensive than traditional dentures and bridges. If additional surgical procedures (bone grafting, sinus lifting) are required during the treatment process, the cost may increase even more.
• Implant placement requires surgery, which carries certain risks (infection, bleeding, nerve damage).
• It may be necessary to wait 3-6 months for the implant to fuse with the jawbone (osseointegration). In some cases, treatment may take longer than one year (if there is bone insufficiency).
• In patients with insufficient bone density, procedures such as additional bone grafting or sinus lifting may be required, which prolongs the treatment time and increases the cost.
• Infection (peri-implantitis) may occur around the implant. There is a risk of rejection of the implant or incomplete union with the bone.
• Implants require regular brushing, flossing, and professional cleaning like natural teeth. Poor oral hygiene can shorten the life of the implant.
• Implant success may be reduced in patients with uncontrolled diabetes, osteoporosis, or immune system problems.
• Although titanium allergy is very rare, it can cause implant rejection in some patients.

Here are some important points that you should pay attention to after the implant treatment:

• After the implant procedure is completed, you can go home as soon as you feel well. Some swelling and slight bleeding are normal, so follow your dentist's instructions to speed up healing.
• Avoiding overly strenuous activities for the first 3 days helps prevent bleeding and discomfort after surgery.
• Regular dental checkups (at least twice a year) are necessary to maintain the health of the implants and surrounding tissues.
• It is very important to maintain excellent oral hygiene. This helps to minimize the risk of peri-implantitis (inflammation of the tissues around the implant):
• Regular brushing and flossing are essential.
• Remember that your implants are made of titanium, zirconium, and/or porcelain. Although these materials do not decay, implants are susceptible to gum disease and periodontal problems. It is very important to be aware of the risk factors that contribute to gum disease.
• Bruxism (teeth grinding/clenching) can increase stress on implants and increase the risk of complications. In such cases, your dentist may recommend preventive measures such as overnight dental plaque.

All-on-4 and All-on-6 are innovative implant treatments developed for patients experiencing toothlessness or significant tooth loss.

• In the All-on-4 technique, a fixed prosthesis is created with four implants, and thanks to the implants placed at special angles, bone grafting may not be necessary. This method provides a rapid solution by allowing patients to receive temporary teeth on the same day.
• All-on-6 uses six implants to provide greater support, making it an ideal option particularly for patients with high chewing forces or borderline bone density. Both techniques offer more stable, comfortable, and natural-looking results compared to conventional dentures.
• Turkey has become an attractive center for All-on-4 and All-on-6 treatments for international patients.

Why is dental implant treatment in Turkey more advantageous?

Turkey has become one of the most preferred destinations for dental implant treatment in recent years. Here are the main factors that make Turkey attractive for implants:

Affordable pricing:

Dental implant treatment in Turkey is significantly more affordable compared to the US, UK, or other European countries. The primary reason is favorable exchange rates. Despite using high-quality materials and working with specialized dentists, the lower costs result in significant savings for patients.

Country	Average Price (Euro)
Turkey	€300 – €1,500
United Kingdom	€1,200 – €3,600
Germany	€1,400 – €2,200
USA	€2,800 – €5,300

High-quality treatment and technology:

Dental clinics in Turkey provide services with digital tomography, 3D planning, CAD/CAM technology, and state-of-the-art equipment.

Experienced and specialized dentists:

• Dentists in Turkey are recognized worldwide, especially in the field of implantology and aesthetic dentistry.
• Many dentists have been trained in Europe and the USA and hold international certificates.

Combining tourism with treatment :

Cities like Istanbul, Antalya, and Izmir offer patients the opportunity to combine their treatment with a vacation, thanks to their tourist appeal. Many clinics enhance patient comfort by providing transfer services, accommodation, and interpreter assistance.

If you wish to enjoy a holiday in Turkey during your dental implant treatment, you can contact Dena Dental Clinic to learn about the services we offer.

Visa ease and transport:

It is easy to obtain a visa to Turkey for many citizens of many countries, and some countries can even enter without a visa. Cities such as Istanbul are connected by direct flights to many parts of the world.

Tooth sensitivity can be caused by worn enamel, receding gums, cavities, or cracked teeth. While not always serious, it’s important to have your dentist check the cause to prevent further damage.

Is there any pain during dental implant surgery?

The patient does not feel pain during the procedure because they are under local anesthesia, but they may feel some slight pressure or vibration.

Is there pain after dental implant surgery?

After the anaesthesia wears off, mild pain and tenderness may be felt, and the pain may last for a few days. In this case, your doctor will give you pain medication.

Recommendations to reduce pain:

• Ice compress (for swelling)
• Regular use of prescribed medication
• Eating soft foods (first few days)
• Avoid smoking and alcohol (slows healing)

What is the duration required to create the slot in the jawbone and position the implant body?

The duration for each implant may range from 30 to 60 minutes. The placement of many implants may prolong the duration of the process.

How long does it take to attach the abutment to the implant body?

This procedure usually takes less than 1 hour.

What is the maximum duration after initiating the dental implant procedure before it is completely functional?

The duration from the initiation of dental implant application to the conclusion of rehearsals is contingent upon the patient's condition. This duration is a maximum of 6 to 7 months.

How long does a dental implant last?

The average lifespan of a dental implant is 15-20 years, but this period can be extended with careful use and maintenance.

If there is not enough thickness or density in the mandible, how is the implant done?

In this case, a bone graft is applied. To fill in the missing bone, either add bone powder to the jawbone or transplant bone from another area.

What is the procedure for implant placement when there is insufficient height or density in the upper jawbone?

In this instance, sinus lifting is executed. The inferior segment of the sinus membrane is elevated, and a bone transplant is introduced into the resultant cavity. This increases bone height in the maxilla and readies the site for implant insertion.

How long does the implant process take for someone who has lost all their teeth?

The general timeline for implant treatment for someone who has lost all their teeth varies depending on each individual's condition and the procedures to be performed. However, considering the traditional delayed loading protocol, the period from implant placement to the attachment of permanent prostheses can typically take longer than 6 months, and may extend up to a year if additional procedures like bone grafting are required. This duration can be shortened with immediate or early loading protocols, but the suitability of these options is evaluated by the dentist. You can obtain the most accurate information about treatment duration from your dentist after a detailed examination and treatment planning.

What is the minimum number of implants required for dentures?

The minimum number of implants required for dentures depends on the type of denture and your jaw structure. Here are the details:

For Lower jaw (Mandible):

• A minimum of 2 implants is sufficient for an ‘overdenture’ (removable prosthesis). The retention of the removable prosthesis increases, and bone resorption slows down. With 4 implants, it becomes more stable.
• A fixed denture (All-on-4) requires at least 4 implants.

For upper jaw (Maxilla):

• Minimum 4 implants: The upper jaw has a softer bone structure, so it needs more support.
• For overdenture: 4 implants recommended.
• For fixed prosthesis (All-on-4/6): 4-6 implants are ideal.

Can daily activities continue after dental implant surgery?

After the surgery, you should rest as much as possible for the first 24 hours. The next day, non-heavy daily activities can be carried out carefully. Avoid heavy exercises and intense physical activities for the first few days. Sleeping on your back with your head elevated for the first few nights will help reduce swelling.

Are there any alternatives to dental implants?

Dental bridges and partial or full dentures can be preferred.