Planning and remote pre-assessment
The questions asked most often before the trip: how to decide, what to write in the first message and what a remotely given plan actually means.
1. How should I decide whether to travel to Istanbul for dental treatment?
Decide on the basis of the treatment timetable rather than a price list. Clarify in advance how many trips each procedure needs, how many days you must stay for healing and who will follow you up after you return. The dental tourism literature sees continuity of care as the biggest problem; when these questions have written answers, the decision becomes easier.
2. What should I write in my first message for a pre-assessment?
Describe your complaint briefly, which teeth are involved, what result you hope for, your chronic conditions and the medicines you take. Attach a recent panoramic X-ray. Saying when you could be in Istanbul and how many days you could stay helps the clinic build a visit plan that is realistic for you.
3. How reliable is a plan given over WhatsApp?
An assessment based on photographs and X-rays is a screening step. Many findings that affect the decision, such as bone volume, the state of the sinus and gum health, are only seen at an in-person examination and, where needed, on a three-dimensional CBCT scan. Treat the remote plan as a likely framework; the final plan is settled on your first day in Istanbul. See how the online pre-assessment works.
4. Is it sensible to combine treatment with a holiday?
It can be, as long as the treatment sets the calendar. Keep the day of surgery clear of long excursions and late evenings; the first 2–3 days are quiet days while swelling peaks. The two pieces of advice most often neglected in a holiday setting are staying away from smoking and alcohol.
5. Can I have several treatments on the same trip?
Often yes, but the dentist decides which procedures can safely be combined in one session. Gum treatment, fillings and extractions can be grouped in one visit; the final crown of an implant, however, waits for the bone to integrate and needs a separate trip. The aim of ‘finishing everything in a week’ puts the trip first, not the treatment.
6. Can the plan change during surgery?
Yes. For example, if the sinus membrane tears during a sinus lift, postponing implant placement by at least 2 months is considered appropriate. Treat your calendar as provisional until surgery is complete, prefer a flexible ticket and do not book the return flight for the day after surgery.
How many trips, how many days: length of stay by treatment
What determines your stay is the biology of healing and the laboratory process. The table gives the general framework by treatment type; the questions give the detail.
| Treatment | Trips | Decisive period |
|---|---|---|
| Conventional implant | 2 | Bone integration 4–6 months; 2–4 days after surgery, crown trip 4–7 days |
| Staged sinus lift | 3 | Graft healing 3–6 months, then implant integration |
| Immediate loading | 1 longer + 1 | Temporary tooth the same day; final tooth months later |
| Crown / veneer | 1–2 | Laboratory days |
| Extraction / gum treatment | 1 | 3–7 days for a check-up |
7. How many days should I stay in Istanbul for an implant?
For a conventional implant, the surgical trip reasonably covers the day of surgery plus 2–4 days for early healing and a check-up. The final crown needs a second trip of about 4–7 days, 3–6 months later, for the impression, laboratory work and try-in. Exact days depend on your individual plan; the details are in the guide on how many days and trips.
8. Why can an implant not be finished in one go?
The implant typically needs 4–6 months to fuse with the bone (osseointegration). Bone density, grafting, general health and the number of implants can lengthen this period. If the final crown is fitted before integration is complete, the bond is at risk; two separate trips are therefore a biological necessity, not a clinic preference.
9. Would a same-day tooth be suitable for me?
Immediate loading means fitting a temporary tooth onto the implant on the day of surgery, and it depends on conditions such as adequate initial stability (an insertion torque of roughly 35 Ncm or more). Reviews report similar survival in suitable cases, but the evidence is limited. The bone–implant bond is weakest in weeks 3–6, when you will usually be back home; discuss this risk with your dentist.
10. If I need a sinus lift, how many trips are added?
Where bone is insufficient, the graft is placed first, heals for 3–6 months, the implant follows, and a third trip is needed for the crown. With roughly 4–5 mm of bone, graft and implant may be combined in one session, reducing the number of trips to two. The CBCT scan shows which applies to you.
11. How many days do zirconia crowns or veneers need?
For prosthetic work the laboratory sets the stay: days pass between impression, try-in and cementation. One trip is enough in most cases, but the stay lengthens if gum reshaping or root canal treatment is added. Discuss how much tooth will be removed, and the options that remove less, before you travel.
12. How long should I stay after an extraction or gum treatment?
After a routine extraction the check-up is usually in the first week; delayed healing known as dry socket can appear on day 3–4. Staying in Istanbul for at least 3–7 days after the procedure makes a check-up possible. For gum treatment the number of sessions depends on how widespread the disease is.
X-rays, CBCT scans and medical information
The more complete the information you send, the lower the chance of surprises in Istanbul.
13. Which X-ray is the minimum requirement?
A recent panoramic X-ray (OPG). It shows in advance conditions that change the surgical plan, such as an enlarged sinus or widely spread roots. Ideally it should have been taken within the last 6–12 months; an old film may not reflect the current situation. The full list is on the what to send before your trip page.
14. I have a CBCT scan; is a screenshot enough?
No. The dentist must be able to examine the slices personally, which requires the complete data set in DICOM format. A screenshot gives only an impression. The field of view must also match the planned work; a narrow scan that does not fully show the sinus region may need to be repeated.
15. Which medical information should I report?
All your medical conditions, all medicines with doses, allergies, prolonged bleeding after past operations or extractions, any family history of bleeding and your smoking status. Every positive answer can change the plan, so write it all down. This is the basic information every dentist needs, in whichever country you are treated.
16. I take a blood thinner; should I stop it?
Not on your own initiative, under any circumstances. Any adjustment to blood pressure, diabetes or blood-thinning medication is coordinated in advance between the dentist and the doctor who looks after you. Mention it in your first message so the clinic can ask the right questions in time and, if necessary, there is time to correspond with your doctor at home.
17. Can I ask for the written treatment plan and consent form in advance?
Yes, and you should. Informed consent is an educational process: the problem, the consequences of not treating it, the proposed plan, realistic expectations, the alternatives including no treatment and the risks should be explained in a language you understand. Consent signed in the chair on the morning of surgery is a weakness known in the literature; ask for time to read the document beforehand.
Transport, accommodation and your days in Istanbul
Transport information is general and can change; confirm current routes with Metro İstanbul and İETT. Confirm clinic-specific services in writing beforehand.
18. How do I get from Istanbul Airport to the clinic?
Istanbul Airport (IST) is on the European side; metro and airport buses connect it to the city, and rail connections with changes reach the Bakırköy–Bahçelievler area. The clinic is about 600 metres from İlkyuva station on the M3 line. Lines and connections change, so check the current route with Metro İstanbul and İETT, or see the airport to clinic guide.
19. What changes if I land at Sabiha Gökçen?
Sabiha Gökçen (SAW) is on the Asian side; you cross to the European side by metro and Marmaray, and the journey is generally longer than from Istanbul Airport. Take this difference into account when booking. Check current services and connections on the official Metro İstanbul and Marmaray pages.
20. Does the clinic provide airport pick-up or a transfer?
This guide does not assume such a service. Confirm every question about pick-up, transfers or transport support with the clinic in writing before you travel. In any case, a door-to-door option rather than public transport is advisable on the day of surgery, and carrying heavy luggage should be avoided in the first 12–24 hours.
21. Where should I stay?
Staying within walking distance of the clinic, or one or two metro stops away, makes the day of surgery and the next day’s check-up easier. Choose a room where you can raise your head on pillows; sleeping with the head elevated reduces facial swelling. Confirm any hotel arrangements with the clinic in writing. The where to stay near the clinic page describes the area.
22. Can I go sightseeing after surgery?
Strenuous effort is avoided in the first 12–24 hours because a rising blood pressure can restart bleeding. Days 2–3 are when swelling peaks and should be quiet. From day 5 onwards light sightseeing without heavy effort is usually fine. The rules on soft food, plenty of fluids and no straws continue until your dentist says otherwise.
The first days after surgery and flying
The most critical days are the first three after surgery. The answers below are based on textbook healing times; if your personal instructions differ, follow those.
23. What is normal after surgery?
Slight oozing for up to 24 hours, pain peaking at around 12 hours and rarely significant beyond 2 days. Swelling peaks at 36–72 hours, subsides from day 3–4 and usually resolves within a week. Bruising may appear on days 2–4, sometimes spreading to the neck, and fades over 7–14 days; it is harmless, but knowing in advance is reassuring.
24. Which signs need urgent contact?
Bright red bleeding or large clots, swelling that increases after day 3, fever, a bad taste, worsening pain, numbness or tingling lasting more than 24 hours, one-sided discharge from the sinus area, fluid passing from mouth to nose, a loosening healing cap or temporary tooth. If you have difficulty swallowing or breathing, go to an emergency department first and inform the clinic afterwards.
25. When can I fly after a routine implant?
There is no published fixed period. Because bleeding stops within 24 hours and swelling peaks at 36–72 hours, common practice is to stay at least 24–72 hours and attend the first check-up. The UK Civil Aviation Authority gives no specific rule for dental procedures and states that the final decision rests with the airline.
26. Why is flying after a sinus lift different?
After the sinus floor is raised, pressure differences between nose and mouth are avoided for about 2 weeks: no nose blowing, sneezing with the mouth open, no straws. Cabin pressure changes are a known trigger of sinus and dental barotrauma, which is why many clinicians advise similar caution about flying. Do not fly with a blocked nose, and make the decision together with your surgeon.
27. When and how does a sinus graft infection show itself?
Most often after the first week, although it can appear as early as day 3. Signs are swelling, pain, wound opening, discharge, a bad taste and graft particles in the mouth; if it progresses it can turn into sinusitis. With aseptic technique the risk is generally reported below 5 per cent. If your return flight is before this period, the signs may begin at home, so you need to recognise them.
28. Do I need to tell the airline anything?
The aviation authority advises passengers who have recently had surgery to contact the airline; in some cases a medical fitness form may be requested. There is no standard rule for dental surgery, but if you have had extensive grafting or full-arch surgery it is sensible to check your airline’s policy. Carrying a written treatment summary makes things easier.
29. What should I do if I feel pain or pressure on the plane?
Swallowing during take-off and landing opens the Eustachian tube and equalises pressure; nasal congestion blocks this mechanism. If you are congested, consider postponing the flight. A mild feeling of pressure can occur; if pain, discharge or swelling persists afterwards, inform the clinic and, if needed, your dentist at home. Do not increase over-the-counter medicines without speaking to a clinician.
Follow-up and maintenance after you return home
Treatment does not end when the crown is fitted. Follow-up after returning home is the step international patients neglect most often. The aftercare after you fly home page covers it in detail.
30. Who will remove my stitches?
Resorbable sutures are commonly used in implant surgery; non-resorbable ones are usually removed after 1–2 weeks. If your return flight is before then, discuss the two options with your dentist: resorbable sutures, or a check-up and suture removal with your dentist at home. A written treatment summary makes that appointment easier.
31. How do I reach the clinic after I return, and is remote follow-up possible?
Your written aftercare instructions should include an emergency contact; ask for it before you leave. A remote assessment with photographs and a description can resolve many questions, but bleeding, infection or loosening require an in-person examination. Involving your dentist at home from the start is therefore the safest route.
32. Which documents should I take to my dentist at home?
The implant brand and component details, the post-operative X-ray, the dated baseline X-ray taken when the crown was fitted, the materials used, a written treatment summary and the aftercare instructions. An Australian case series specifically highlighted how difficult it is to manage problems with implants placed abroad when these documents are missing.
33. How often and where is implant maintenance done?
Roughly every three months in the first year, then at intervals adjusted to your hygiene and risk. For patients living abroad it is realistic for this maintenance to be done by your local dentist or hygienist. A meta-analysis has shown lower rates of peri-implant disease in patients who attend regular maintenance; do not postpone it until your next trip to Istanbul.
34. What happens if a problem appears years later?
In a ten-year study, mechanical problems (mostly ceramic chipping and screw loosening) were reported in about a quarter of fixed implant restorations; gum inflammation and peri-implantitis also occur. Problems noticed early are easier to solve. Asking at the outset about the international availability of your implant system’s components makes repair at home possible. See what to do if something goes wrong after you return.
Choosing a clinic, aesthetic treatment and safety
The final section is devoted to the questions to ask when choosing a clinic and planning aesthetic treatment.
35. What should I look at first when choosing a clinic?
Who will perform the surgery, and whether this is stated in the written plan. Textbooks report that surgical experience influences implant outcomes. Then come a written diagnosis with options, planning on a CBCT scan with an adequate field of view, written aftercare instructions and clarity about responsibility after you return.
36. What does ‘Turkey teeth’ mean, and could it happen to me?
It is a social media label for full crowns placed on all healthy front teeth, not a clinical diagnosis. A full-crown preparation removes roughly 63–72 per cent of the visible structure of a front tooth; for a veneer the figure is roughly 3–30 per cent. A proportion of crowned vital teeth lose their vitality over the years. Ask for a written justification whenever crowns are proposed on healthy teeth.
37. What alternatives to crowns are there for aesthetics?
Whitening for colour, orthodontics for alignment, bonding or veneers for small defects; none removes as much tooth structure as a full crown. On healthy teeth a full crown is considered only for reasons such as heavy existing restorations, fractures or root canal treatment. Ask your dentist in writing why a crown rather than a veneer or orthodontics. The veneers versus zirconia crowns page compares the options.
38. Is the promise of a full-mouth makeover in one trip realistic?
Prosthetic work such as crowns and veneers can be grouped into one trip, but the final teeth on implants wait for bone integration. Promises such as ‘a brand-new smile in a week’ may involve either immediately loaded temporary teeth or excessive tooth reduction. Ask for the timetable and the justification for each step in writing; a plan that hurries you should be questioned.
39. What are my rights if the result is poor?
A poor result by itself does not mean negligence; the test is what a reasonable dentist would have done in similar circumstances. That is why planning documents, the CBCT scan, consent and records matter to both sides. Keep the written plan, a copy of the consent form and all images. Complaint and legal routes in your home country vary from country to country; there is no general rule.
40. Finally: when should I get in touch?
Before you fix your travel dates. A pre-assessment based on your recent panoramic X-ray, a short health note and your expectations gives you an approximate framework; you then book flights and accommodation around it. Which treatment can be done in how many trips is decided at the examination in Istanbul. Do not hesitate to write; asking questions is part of the plan.
If your question is not on this list, simply ask. The pre-assessment offers a general framework; the treatment and timetable suited to you are decided at the examination in Istanbul.
Frequently asked questions
How many trips does an implant need for a patient from abroad?
With the conventional method, two trips: the surgical trip and, 3–6 months later, the trip for the final crown. Because bone integration takes 4–6 months, this separation is a biological necessity. If a sinus graft is needed and is placed first, a third trip is added. With immediate loading a temporary tooth can be fitted on the same day, but a second trip is still needed for the final tooth.
Which X-ray should I send for the pre-assessment?
A panoramic X-ray taken within the last 6–12 months is the minimum requirement. If you have a three-dimensional CBCT scan, send the complete data set in DICOM format; a screenshot is not enough. If the field of view does not cover the planned work, a new scan may be needed. Alongside the X-ray, your medication list with doses and your medical history are part of the pre-assessment.
How many hours should I wait before flying after a routine implant?
There is no fixed rule, but since bleeding largely stops within 24 hours and swelling peaks at 36–72 hours, common practice is to stay at least 24–72 hours and attend the first check-up. The aviation authority gives no specific period for dental procedures and leaves the final decision to the airline. If you have had a sinus lift, roughly two weeks of pressure precautions also affect the decision to fly.
What should I avoid after a sinus lift?
For about two weeks avoid blowing your nose, sneezing forcefully (open your mouth when you sneeze), drinking through a straw and smoking. Slight bleeding from the nostril or a few graft particles are possible in the first 24 hours. Swelling, discharge, a bad taste or graft particles in the mouth beginning after the first week can indicate infection and should be reported.
What should I take to my dentist at home after I return?
The implant brand and component details, dated X-rays taken after surgery and when the crown was fitted, the materials used, a written treatment summary, aftercare instructions and the clinic’s emergency contact. Your dentist at home needs these for maintenance and any repair; the literature reports that their absence creates serious difficulty for patients who had implants abroad.
Where do I find out about the clinic’s transfer, hotel or payment options?
This page makes no assumptions about clinic-specific services. Confirm airport pick-up, accommodation arrangements, accepted payment methods and the documents issued for insurers with the clinic in writing before you travel. Written confirmation prevents you from building your travel plan on a mistaken expectation.
Which signs mean I should get in touch immediately?
Bright red bleeding or large clots, swelling that increases after day 3, fever, a bad taste, worsening pain, numbness lasting more than 24 hours, one-sided discharge from the sinus area or fluid passing from mouth to nose, a loosening healing cap or temporary tooth. If you have difficulty swallowing or breathing, go to an emergency department first, then inform the clinic.
How do I protect myself from the ‘Turkey teeth’ risk?
When full crowns are proposed on healthy front teeth, ask for a written justification and ask about options that remove less tooth: whitening, orthodontics, bonding, veneers. A full crown removes roughly 63–72 per cent of the visible structure of a front tooth, and a proportion of crowned vital teeth lose their vitality over the years. Question plans that hurry you or promise to finish everything in one trip.
What should I do if the plan in Istanbul differs from the remote plan?
This is to be expected; remote assessment is a screening step. Ask for the reason for the difference, the options in the new plan and the timetable in writing, and take time to decide. You are not obliged to decide under pressure on the morning of surgery. Travelling on a flexible ticket and treating the calendar as provisional until surgery is over is a safeguard for exactly these situations.
Related guides
Contact: Yayla Dental Akademi, Ferit Selimpaşa Cad. No:44A, Bahçelievler, Istanbul (Basın Sitesi, opposite Migros; about 600 m from İlkyuva metro station, line M3). Monday–Saturday 10:00–21:00, Sunday closed. WhatsApp and phone: +90 544 289 66 33 · Online booking: DoktorTakvimi.
Sources
- Turner, L. (2008). Cross-border dental care: ‘dental tourism’ and patient mobility. British Dental Journal, 204(10), 553–554. PubMed ↗
- Barrowman, R. A., Grubor, D., & Chandu, A. (2010). Dental implant tourism. Australian Dental Journal, 55(4), 441–445. PubMed ↗
- Esposito, M., Grusovin, M. G., Maghaireh, H., & Worthington, H. V. (2013). Interventions for replacing missing teeth: Different times for loading dental implants. Cochrane Database of Systematic Reviews, 2013(3), CD003878. PubMed ↗
- Gallucci, G. O., Hamilton, A., Zhou, W., Buser, D., & Chen, S. (2018). Implant placement and loading protocols in partially edentulous patients: A systematic review. Clinical Oral Implants Research, 29(Suppl. 16), 106–134. PubMed ↗
- Monje, A., Aranda, L., Diaz, K. T., Alarcón, M. A., Bagramian, R. A., Wang, H. L., & Catena, A. (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 ↗
- Berglundh, T., Armitage, G., Araujo, M. G., et al. (2018). Peri-implant diseases and conditions: Consensus report of workgroup 4 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. Journal of Clinical Periodontology, 45(Suppl. 20), S286–S291. PubMed ↗
- Edelhoff, D., & Sorensen, J. A. (2002). Tooth structure removal associated with various preparation designs for anterior teeth. Journal of Prosthetic Dentistry, 87(5), 503–509. PubMed ↗
- Cheung, G. S. P., Lai, S. C. N., & Ng, R. P. Y. (2005). Fate of vital pulps beneath a metal-ceramic crown or a bridge retainer. International Endodontic Journal, 38(8), 521–530. PubMed ↗
- Zadik, Y. (2009). Aviation dentistry: Current concepts and practice. British Dental Journal, 206(1), 11–16. PubMed ↗
- UK Civil Aviation Authority. (n.d.). Assessing fitness to fly: Surgical conditions. Civil Aviation Authority. CAA ↗
- Hupp, J. R., Ellis, E., & Tucker, M. R. (2014). Contemporary oral and maxillofacial surgery (6th ed.). Elsevier Mosby. WorldCat ↗
- Resnik, R. R., & Misch, C. E. (2018). Misch’s avoiding complications in oral implantology. Elsevier. 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 ↗
Search the databases: PubMed · Google Scholar · NIH PMC · Cochrane (institutional access may be required).
This page is for information only; diagnosis and treatment plans are determined by a dentist after an examination. Figures are population averages from the cited sources and do not describe an individual outcome.
