Stage 1: Records, examination and the 3D CBCT scan
Implant treatment relies on a team, surgeon, restorative dentist and technician, working from a shared plan (Hupp et al., 2014). The first appointment therefore collects more than an X-ray. We discuss what you want to achieve, review your medical history and medication, examine the gums, the thickness of the soft tissue, mouth opening and the remaining teeth, take photographs and digital impressions, and, where needed, mount models (Hupp et al., 2014). Gum disease is treated before any implant is planned, because a history of periodontitis is a recognised risk factor for peri-implant disease.
The cross-sectional shape of the bone, its angulation and the health of the sinuses are “best determined” with CBCT, which also feeds the virtual planning and, where used, a surgical guide (Hupp et al., 2014). Patients sometimes worry about the radiation. For orientation, the periodontology textbook lists effective doses of roughly 20 microsieverts for a panoramic X-ray, about 47 for a limited-field CBCT, about 98–117 for medium and large fields, and about 177 for a full-mouth series of conventional films (Newman et al., 2019). We choose the smallest field that answers the clinical question.
Stage 2: Surgery
Implants are placed under local anaesthesia. A single implant usually takes well under an hour; several implants or a full arch take longer, and extractions, bone shaping or grafting may be done in the same session. The surgeon measures how firmly each implant seats; an insertion torque of 35 Ncm or more allows one-stage healing with a healing cap visible through the gum, whereas a less stable implant is covered and uncovered later (Hupp et al., 2014). In suitable cases a provisional can be attached at once; the rules are described on our immediate loading criteria page. We see you the following day to check the wound, your sensation and the fit of any temporary before you travel.
Stage 3: Healing, and why it varies
Osseointegration cannot be hurried. Undisturbed healing is generally 2–4 months in dense bone with good initial stability, and 4–6 months or more in loose bone, grafted sites or when stability was lower; modern implant surfaces have shortened these periods somewhat (Newman et al., 2019). The back of the upper jaw, with the softest bone in the mouth, may need six months or more (Hupp et al., 2014). The complications literature gives similar figures: second-stage surgery after 3–4 months in the densest bone and an average of 4–6 months for a single-tooth implant depending on density and volume (Resnik & Misch, 2018).
When bone has to be built first, the calendar stretches. A sinus graft placed without simultaneous implants heals for 3–6 months before the implants go in, and 4–8 months is cited before loading (Hupp et al., 2014; Resnik & Misch, 2018); block grafts need about six months before implants (Newman et al., 2019). Smoking slows everything and roughly doubles failure; cessation ideally starts two weeks before surgery and continues eight weeks after (Resnik & Misch, 2018). Diabetes, grinding and poor hygiene also lengthen the safe interval.
Stage 4: Uncovering and soft-tissue healing
If the implant was buried, a small procedure exposes it and a healing cap shapes the gum. Two to four weeks of soft-tissue healing follow before impressions (Hupp et al., 2014). With one-stage healing this step is skipped.
Stage 5: The prosthesis
Digital impressions, a framework try-in for bridges, a tooth try-in for full arches and finally delivery with a baseline X-ray and gentle probing measurements. From then on, maintenance visits every three months in the first year and individually thereafter protect the result (Newman et al., 2019).
Typical visit plan by case type
| Case | Visit 1 (generally) | Interval | Visit 2 (generally) |
|---|---|---|---|
| Single implant, no graft | 2–4 days: exam, CBCT, surgery, check | 3–6 months | 4–6 days: impression, crown |
| Implant bridge, 2–3 implants | 3–5 days | 3–6 months | 5–7 days: impression, framework try-in, delivery |
| Full arch (All-on-4 / All-on-6) | 5–7 days: extractions, surgery, provisional | 4–6 months | 7–10 days: impressions, try-ins, delivery |
| Implant after sinus lift or block graft | 3–5 days: graft | 4–8 months, then implant visit (3–5 days) and further healing | 5–7 days: prosthesis |
| Extraction with socket preservation | 2–3 days: extraction and graft | 4–6 months, then implant visit | As for the implant type |
These ranges come from the healing intervals in the cited textbooks; the number of days abroad is our scheduling practice, not a figure from the literature, and it is adjusted to your case. A fixed delivery date is never promised at the first visit.
Between visits: check-ups from home
Post-operative visits exist to assess the incision line, nerve function, signs of infection and the fit of any temporary (Resnik & Misch, 2018). When you have flown home, we do this via WhatsApp photographs at agreed intervals and, if useful, a panoramic X-ray from a local dentist. After a sinus lift, no nose-blowing, no straws and sneezing with an open mouth are the rules for the first days (Resnik & Misch, 2018); we advise on flight timing individually.
What can change the plan
- The CBCT shows less bone than the panoramic X-ray suggested: a graft, a sinus lift or a different implant position is added.
- Stability during surgery is below threshold: an immediate protocol becomes a delayed one.
- Healing is slower in a smoker, a grafted site or soft bone: the second visit is moved later.
- Gum disease around remaining teeth needs treatment first.
What determines the cost of implant treatment?
- Number of implants and the implant system.
- Type of restoration: crown, bridge or full-arch hybrid and its material.
- Additional surgery: extractions, socket preservation, grafting, sinus lift.
- Provisional teeth during healing.
- Periodontal treatment before implants.
A written fee follows the examination and CBCT. The prices and campaigns page explains our fee structure and instalment options.
Searching for the “best dental implant clinic in Istanbul”: what to check about the process
- Is a CBCT part of the plan, and is the plan explained to you before surgery?
- Are healing intervals given as ranges with reasons, rather than a fixed date?
- Is a day-after check built into the first visit?
- Is there a named contact and a protocol for photo check-ups once you are home?
- Does the clinic say what happens if the CBCT or the surgery changes the plan?
- Is maintenance after delivery part of the offer?
Frequently asked questions
How many trips to Istanbul does implant treatment take?
Generally two: one for examination, CBCT and surgery, and one several months later for the crown or bridge. A sinus lift or a large bone graft done before the implants can add an earlier stage. Immediate-loading cases still need a second trip for the definitive teeth.
How many days should I plan for each visit?
For a single implant, generally 2 to 4 days for the first visit and 4 to 6 for the second. For several implants or a full arch, generally 5 to 7 days for the first visit and 7 to 10 for the second, because framework and tooth try-ins are needed. These are typical ranges, not promises.
Why does healing take months?
Bone must grow onto the implant surface. Undisturbed healing is generally 2 to 4 months in dense bone with good initial stability and 4 to 6 months or more in soft bone, grafted sites or when stability was lower. The back of the upper jaw often needs 6 months.
Is a CBCT scan necessary, and is the radiation significant?
Cross-sectional bone shape, angulation and sinus health are best determined with CBCT, which also drives digital planning. Effective dose for a limited-field CBCT is around 47 microsieverts, compared with about 20 for a panoramic X-ray and about 177 for a full-mouth series of conventional films.
Can I fly home soon after surgery?
Usually a day or two after implant placement, after a check-up. After a sinus lift we ask you to avoid nose-blowing, sneezing with a closed mouth and drinking through straws, and we advise on timing individually.
Can the plan change after I arrive?
Yes. The CBCT may show less bone than expected, and during surgery an immediate protocol may be changed to a delayed one if stability is insufficient. We explain the alternatives before surgery so no change comes as a surprise.
Related guides
Contact: Yayla Dental Akademi, Ferit Selimpaşa Cad. No:44A, Bahçelievler, Istanbul (Basın Sitesi, opposite Migros; about 600 m from İlkyuva metro station). Monday–Saturday 10:00–21:00, Sunday closed. WhatsApp and phone: +90 544 289 66 33 · Online booking: DoktorTakvimi.
Sources
- Hupp, J. R., Ellis, E., & Tucker, M. R. (2014). Contemporary oral and maxillofacial surgery (6th ed.). Elsevier Mosby. WorldCat
- Newman, M. G., Takei, H. H., Klokkevold, P. R., & Carranza, F. A. (Eds.). (2019). Newman and Carranza’s clinical periodontology (13th ed.). Elsevier. WorldCat
- Resnik, R. R., & Misch, C. E. (2018). Misch’s avoiding complications in oral implantology. Elsevier. WorldCat
- Adell, R., Lekholm, U., Rockler, B., & Brånemark, P.-I. (1981). A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. International Journal of Oral Surgery, 10(6), 387–416. PubMed
- Albrektsson, T., Zarb, G., Worthington, P., & Eriksson, A. R. (1986). The long-term efficacy of currently used dental implants: A review and proposed criteria of success. International Journal of Oral & Maxillofacial Implants, 1(1), 11–25. PubMed
- Pjetursson, B. E., Thoma, D., Jung, R., Zwahlen, M., & Zembic, A. (2012). A systematic review of the survival and complication rates of implant-supported fixed dental prostheses (FDPs) after a mean observation period of at least 5 years. Clinical Oral Implants Research, 23(Suppl. 6), 22–38. PubMed
- Monje, A., Aranda, L., Diaz, K. T., et al. (2016). Impact of maintenance therapy for the prevention of peri-implant diseases: A systematic review and meta-analysis. Journal of Dental Research, 95(4), 372–379. PubMed
Search the databases: PubMed · Google Scholar · NIH PMC · Scopus · Web of Science · Embase (institutional access may be required).
This page is for information only; diagnosis and treatment plans are determined by a dentist after an examination. Healing intervals are typical ranges from the cited sources and do not describe an individual outcome.
