So, I went to Turkey for Dental Work

So, I went to Turkey for Dental Work

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Armitage.Shanks

Original Poster:

2,289 posts

86 months

Tuesday 22nd February 2022
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3 Month Update

I'm now mid-way through following the first treatment with the fitting of the temporary Crowns. On the whole things are going well, the Crowns and gums have settled down and the site of the two implants looks good with all stitches falling out within the time expected. That said I did have a small bone spur at the extraction site working its way out through the gum as the body expels it so I thought I'd visit my UK dentist to see if he could help it along given some tenderness around the area.

So today my dentist saw the efforts of Turkish dentistry. He's seen other work but his initial response following a thorough inspection was "Wow, this is top quality work, and they're only the temporaries!" A rub with a cotton pad removed the spur without issue and he commented the gums were all pink and healthy, and despite the Crowns being temporary they were sealed perfectly against the gum line, the bite was spot on and the top/bottom lined up centrally and perfectly. He was impressed how they managed to sort out the overbite of the lower canine.

I've discussed the option of having the amagam fillings in the remaining teeth swapped out for composite and having looked at two teeth he suggests fitting Crowns may be their prefered solution given the size of the fillings. Either way the teeth are at the back and so far are in good health. I'll consider this when I'm having my final treatment.

VTC

2,014 posts

185 months

Tuesday 22nd February 2022
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Good to hear you are getting on well.
Good luck for the next stage.

Armitage.Shanks

Original Poster:

2,289 posts

86 months

Tuesday 27th December 2022
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The Shanks is back! Well I’ve been back from the second dental visit six months but as ever only just got time to sit down and write it up.

So, following my first visit in Nov 21 after everything seemed to go to plan, I was keen to set the next visit in the diary not least I didn’t just want to use one side of my mouth to eat for any longer than necessary. In Dec taking advantage of the ‘cheap’ flight offers and after liaising with the dental centre when and how long I needed to be there, I managed to bag return flights £128 out and £98 rtn for Jun 22. Needless to say, when you can get winter flights for less than £100 rtn (and looking the other day £40 rtn in Feb23) it’s a bit of an uplift but the weather is superb in Jun. The dental centre was most insistent they would not treat me until a full 6 months had passed from the fitting of the implants and ideally not more than 12 months later. How places offer ‘same day’ implants is somewhat questionable!

Initially I was told I would need to be back for at least 6 days but when I enquired it was pushed to 11 days as healing time is needed once the gums are opened up to fit the implant abutments. I had also visited my trusty NHS dentist who as I’ve previously mentioned was very impressed with the work to discuss whether my amalgam fillings could be changed to composite. In his view the two remaining lower and upper right molars were too deep. Along with booking the second visit I discussed these fillings and as predicted they came back with the same view suggesting that as the lower molar was root canal treated and the bulk of the ‘tooth’ was filling a crown would be preferable so this was included for treatment. The top right rear molar (next to the wisdom tooth) was not really visible but they would look at it during the visit. So flights booked I pushed the boat out and got a decent hotel with outdoor pool and sea view at £575 for b&b).

Armitage.Shanks

Original Poster:

2,289 posts

86 months

Tuesday 27th December 2022
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Jun 21 – Second Visit

Arriving in Jun the following day after settling in at the hotel I was collected by private car and in the chair. The customary X-rays were taken and a series of treatment visits were outlined, the first being to open up the gum and fit the abutments. As expected, the gum is opened to locate the implants with the abutment fitted and then the gum stitched up around them. There was then several days of recovery before I could go back along with various prescription treatments to take/use. This time round the recovery time after some of the invasive work was far less than my first visit! When I went back the healing was inspected and the lower right molar was prepared for a crown along with moulds to make and fit the bridge. I was then required to pay the additional costs for the abutment/bridge work and the new crown – looking back that was £940. The upper right molar was looked at and although some form of composite filling could be done, I was left with the impression that it was best to leave it alone (I’ll come on to this later as that was sound advice).

I should mention here that following my first visit I had somehow chipped one of my new front teeth (one of the ‘front five’), presumably as I was getting used to the bite. As this was the upper front where the five are connected this was potentially a problem I thought. The only option was to remove all five and fit a complete new set. The dental centre honoured their guarantee and replaced them without charge otherwise that would have been a £1,000 bill. In fact, I got a bill but it showed a ‘discount’ for the same amount so nil payable. How I managed to chip it is beyond me as removing the zirconium ‘bridge’ was a challenge and from memory the dentist went through half a dozen drill bits! Remember I wrote in my first visit update I believed all my crowns were temporary – they weren’t, they were permanent! It’s no wonder my dentist thought the work was so good! That also meant the colour choice of A1 I’d selected I was stuck with, going A2 would require all their removal at my cost.

A few days later I’m back in the chair, the bridge is fitted along with the new lower right crown and some bite adjustment undertaken along with more X-rays. Two more visits were pencilled in to replace the ‘front five’, check all was good and for any further bite adjustments necessary as I got used to everything. Those being done I was on my way with everything being completed as planned.

As I write I am now 12 months in from when I first started this journey and on the whole things have gone well and to my expectations. I have had some ‘problems’ but somewhat ironically this has been with teeth that I have had UK treatment on only and untouched by the Turkish dentist! I’ll cover these off now for completeness.

So, in July this year I’m on holiday on Spain and get a pain in a lower left molar that has all the hallmarks of requiring RCT. It had previously been crowned by my NHS dentist. As I’m a regular to the area I speak with an expat neighbour who fixes it to see his dentist and I get an appointment that very evening! An X-ray suggests RCT is needed, likely going through the crown, along with antibiotics and I’m booked in 5-days later. When I attend the orthodontist has another good look at the X-ray and opines it’s not that tooth that’s the problem, it’s the wisdom tooth that is rotting and is pressing on the nerve travelling along the jaw. By coincidence a corner of the wisdom tooth had broken off during some flossing a week or so earlier and it was on my ‘to do’ list. The recommendation was the wisdom tooth is removed and so it was which came out very easily. I enquired about options given I was losing a tooth and told that wisdom teeth are not replaced by implants, as a ‘functional’ tooth they are generally unnecessary. I have to say his assessment was correct as post recovery no issues at all with what I thought was the offending tooth.

A few months later I then start to get some hot/cold sensation in the upper right rear molar suspecting a leaking filling which the dental centre had previously advised to leave alone if it wasn’t a problem. The original X-Ray a few pages back I posted shows how deep that filling is effectively going very close or below the gum line and very near the root nerves. So, I book myself into my NHS practice where a new dentist has taken over. They decide to refill the tooth but advise if it becomes a problem then either a RCT will be needed (by a specialist to also refine the gum line all at my cost) or extracted under NHS. Well they ‘fixed’ the problem but left me with a dilemma so I decided to book an annual review with the dental centre and discuss options.

Armitage.Shanks

Original Poster:

2,289 posts

86 months

Tuesday 27th December 2022
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Dec 22 – Third Visit

This month saw me back in Turkey for 6 days to have an annual review and what I thought might be a RCT on the offending right upper molar. A £90rtn flight and hotel for £200 got me there. On my visit after X-rays were taken the dentist and orthodontist discussed my options. A RCT was not advised, rather an extraction and implant is preferred at the point the tooth becomes a problem. However, the wisdom tooth next to it was deteriorating and is was advised this should be removed. I decided to leave the filled tooth as is and have the wisdom tooth out which came out easily. Other than a general inspection and good clean the rest of my teeth and the work so far was showing no issues.

Now I’m back and with hindsight I should have had the filled tooth taken out and an implant fitted, which I’ll probably look to do next year. Somewhat ironically, I’ve just got my notes out and looked over my initial treatment plan given to me ahead of my first visit, this deep filled tooth was highlighted for implant along with extraction of the wisdom tooth and I can’t think why I didn’t get it done. Most likely because I was having so much work done on the left side?



Armitage.Shanks

Original Poster:

2,289 posts

86 months

Tuesday 27th December 2022
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Costs & Reflections

So, after three visits, some invasive dental work in a foreign country I’ve spent at the dentist £6,654. Travel and accommodation for three visits is c£1,500 the most expensive being in Jun but was more of a holiday given the work was less invasive and I could enjoy the 30Deg heat and hotel pool. I accept there is going to be further costs, not least where old NHS RCT treatments may fail or the site of a previous apicectomy (above UL1) causes issues to the post site but I’ll cross that ‘bridge’ when I come to it. These would still be issues had I had work done in the UK. But for me I’ve grown to like the Turkish coast, the dental centre seems to know its business, it’s very professional, organised, spotless with the latest equipment (I amaze at the x-ray/CT 3D scanner that enables you to see right through a tooth/bone) and I’m happy to continue.

I’ll leave the reader with some thoughts:

1. If you are considering dental work abroad do your due diligence. All dental centres overseas are not the same. Mine is licensed by the Turkish Govt but I believe many are not. Whether that means much I don’t know but there’s clearly a lot of investment in the place and high patient numbers for several years. There are places closer to home within the EU that get good reports and are cheaper than UK. Was I apprehensive about going abroad for dental work? Yes I was, but I’d spent months researching the subject, obtained a couple of private UK consultations (including a panoramic X-Ray) to get a steer and cost for what they advised and I had a trusted NHS dentist who was willing to offer advice. I’d also emailed a few overseas dentists (different countries) to see how their treatment plans compared.

2. If you insist on work being undertaken in the UK then shop around as prices vary massively and I still believe are made up then suddenly discounted to give the impression you’re getting a good deal. My UK ‘estimate’ was over £20k and less than the work I’ve had done! In their defence the suggestion of bracing the lower front teeth to preserve them is logical and had I not already got a mouthful of crowns this would be sensible advice to follow albeit perhaps 2yrs to see the results.

3. The overall cost in my case was not a driving factor to be seen to get a ‘good deal’ but seeing where those costs land. Investment in high tech equipment, training, surgery overheads and tax all against patient throughput will lay at the heart of what you’re paying. There’s no denying it will be more in the UK. It a business after all.

4. Get a recommendation from someone who has had similar work done and some time has passed since their treatment is preferable to assess longevity/issues etc.

5. I don’t subscribe to cosmetic work where someone just wants their teeth ultra-white, veneers or crowns to ‘perfect’ a smile. If there’s nothing fundamentally wrong with your teeth leave well alone. Any irregularity is part of your character (caveat unless you look like Plug from the Bash St Kids) so don’t going changing it unless you have problems.

6. If you do go for a smile ‘makeover’ or need work on visible teeth don’t decide to go to the whitest setting BL1-4 as they will look completely out of place on an older person unless you’re in the media spotlight, and still the Rylan Clark (v1 teeth) look is not good! I went A1 in hindsight A2-3 was probably a better choice.

7. Any work you do have done beyond normal maintenance will come with continuing costs, it is not a one stop shop irrespective of where you decide to have treatment. Factor that in, such costs are not easy to predict.

8. Oral health is important to look after your teeth, start now if it’s not too late. That was lost on me being over 50 with parents who from when I was born both had false teeth. Dental care and hygiene were not high on the menu nor was it advertised as much as it is today.

9. Dental practices in the UK are now better than they were in the 70s/80s when my teeth were ‘butchered’ for what was purely financial gain abusing the NHS payment system. That said finding an NHS dental practice, let alone a good one will be a challenge, so expect to pay private with the associated charges.

10. See a dental hygienist once/twice a year to maintain oral health.

Finally a quick and dirty shot to give you a general idea.



alfabeat

1,131 posts

113 months

Wednesday 28th December 2022
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Thanks for taking the time to make such a detailed account of your experiences.

End result looks fantastic (I'm no dentist) and must be a huge confidence boost for you.


swanseaboydan

1,738 posts

164 months

Wednesday 28th December 2022
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Wow, that looks fantastic and natural too. Well done on keeping this thread going. Do you feel any better in yourself now ? More confident ? That type of thing?

Armitage.Shanks

Original Poster:

2,289 posts

86 months

Wednesday 28th December 2022
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swanseaboydan said:
Wow, that looks fantastic and natural too. Well done on keeping this thread going. Do you feel any better in yourself now ? More confident ? That type of thing?
It wasn't really about boosting confidence or appearance, given I have a face for radio, it was more to do with fixing stuff that I knew was already and would be a problem down the line as some of the crowns were beyond their normal lifespan and my NHS dentist who did the work many years ago wouldn't get funding to replace so it meant going private. Then when you go 'lifting stones' I'd either end up doing things piecemeal, probably in the UK fixing, but then bite etc. comes into play and the long game; or at my age I thought get everything done that needs it.

Matt Harper

6,636 posts

202 months

Wednesday 28th December 2022
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Armitage.Shanks said:
The dental centre was most insistent they would not treat me until a full 6 months had passed from the fitting of the implants and ideally not more than 12 months later. How places offer ‘same day’ implants is somewhat questionable!
Interesting question - I had same day implant surgery, just over a year ago. I have full-arch, upper and lower on 9 implants (5 upper and 4 lower). The post surgery instructions were very specific and covered in another thread, but the essence of it was - do not eat anything that you cannot crush with the back of a dinner fork for six months. Also do not eat anything that you have to tear with your teeth (hard breads, pizza, hard fruits and tough meats) for 6 months. The 6 month break-point is when the temporary arches are removed and the permanents installed. I had my annual examination and sonic clean 10 days ago. Everything is rock-solid and squeaky-clean (WaterPik). I could chew gravel with these gnashers!

One question I have of you - I'm not clear on what surgery you have illustrated here. Did you have individual tooth implants, bridges or full mouth arches?
How many implants in total and over what period?

Your results look super-natural - you must be very happy with the result. Your investment represents staggeringly good value, compared to what I paid here in USA. Thanks for sharing your story.

Armitage.Shanks

Original Poster:

2,289 posts

86 months

Friday 30th December 2022
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Matt Harper said:
One question I have of you - I'm not clear on what surgery you have illustrated here. Did you have individual tooth implants, bridges or full mouth arches?
How many implants in total and over what period?

Your results look super-natural - you must be very happy with the result. Your investment represents staggeringly good value, compared to what I paid here in USA. Thanks for sharing your story.
Matt, thanks for clearing up the 'same day' implant issue as that sounds logical. In terms of my work I'd lost a tooth many years ago so was coping with a bridge (upper left). This bridge I think must have been 15+yrs old and began to fail so it was 'extended' onto the rear wisdom tooth for 'support'. When I began looking at options and having seen a UK dentists about sorting my teeth out (not the one who put his finger in the air to give me a £20k+ price and then knocked £4k off for payment up front) he advised the bridge had failed (albeit I never noticed anything) and likely to become an imminent issue. Because the extraction was too long ago the bone had receeded so a single implant could not be sited in that area. A bridge was therefore inevitable.

The Turkish dentist came to the same view and looked at the condition of the teeth that had supported the bridge. Their advice was to remove these teeth (3 including the wisdom tooth) and insert two implants which would then support a new bridge spanning the lost teeth. So in terms of implants I've now got two. The rest of my teeth (a few at the back are either natural/old crown or newly crowned to either replace existing crowns or to remove the overbite in the front lower area. From the picture all the front upper teeth you can see were old existing crowns that were replaced. In the lower jaw they are new crowns on the top of existing teeth that were actually 'good' albeit worn/stained but the balance was keeping them as is and then 'trying' to deal with the overbite by straightening/braces etc or rectifying it cosmetically.

Matt Harper

6,636 posts

202 months

Friday 30th December 2022
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Armitage.Shanks said:
Matt, thanks for clearing up the 'same day' implant issue as that sounds logical. In terms of my work I'd lost a tooth many years ago so was coping with a bridge (upper left). This bridge I think must have been 15+yrs old and began to fail so it was 'extended' onto the rear wisdom tooth for 'support'. When I began looking at options and having seen a UK dentists about sorting my teeth out (not the one who put his finger in the air to give me a £20k+ price and then knocked £4k off for payment up front) he advised the bridge had failed (albeit I never noticed anything) and likely to become an imminent issue. Because the extraction was too long ago the bone had receeded so a single implant could not be sited in that area. A bridge was therefore inevitable.

The Turkish dentist came to the same view and looked at the condition of the teeth that had supported the bridge. Their advice was to remove these teeth (3 including the wisdom tooth) and insert two implants which would then support a new bridge spanning the lost teeth. So in terms of implants I've now got two. The rest of my teeth (a few at the back are either natural/old crown or newly crowned to either replace existing crowns or to remove the overbite in the front lower area. From the picture all the front upper teeth you can see were old existing crowns that were replaced. In the lower jaw they are new crowns on the top of existing teeth that were actually 'good' albeit worn/stained but the balance was keeping them as is and then 'trying' to deal with the overbite by straightening/braces etc or rectifying it cosmetically.
Got it - all makes sense now, thank you - and Happy New Year with your restoration.

kitz

328 posts

178 months

Friday 13th January 2023
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Thanks for the thread and good luck with the teeth .

Blackpuddin

16,632 posts

206 months

Friday 13th January 2023
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Very interesting, thanks and good luck.
Sunday 12th May
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Armitage.Shanks said:
It wasn't really about boosting confidence or appearance, given I have a face for radio, it was more to do with fixing stuff that I knew was already and would be a problem down the line as some of the crowns were beyond their normal lifespan and my NHS dentist who did the work many years ago wouldn't get funding to replace so it meant going private. Then when you go 'lifting stones' I'd either end up doing things piecemeal, probably in the UK fixing, but then bite etc. comes into play and the long game; or at my age I thought get everything done that needs it.
I known it's an old thread, but I am planning go to Turkey for some dental work. A total of 6 implants and 24 Zirconium crowns. I'd appreciate it if you can share the name of the dental clinic you went to, and the brand name of the implants they used.
Thank you

Sunday 12th May
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Hello everyone, can someone post the name of the dental clinic in Antalya where Mr, Armatage Shanks went to?
Thank you

tight fart

2,939 posts

274 months

Monday 13th May
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I believe it was DCT.
Monday 13th May
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Thanks Tight Fart.
I extensively researched 3 dental clinics at Antalya. DCT, Dentafly and DentaTur. DCT was the most expensive of all. It was one of the best till their main dentist left and replaced by another one who is giving everyone horseteeth like. All patients have the same set up with giant teeth that modified the way they talk and smile There's a lot of complaints about this DCT Dentist in a lot of forums.
I settled on DentaFly for now

cringle

398 posts

187 months

Friday 17th May
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Literally just seen a walk in emergency patient back who's just come back from Turkey. He's had FOURTEEN root canals in a week and literally all of his teeth crowned. Was having pain and now needs a fifteenth root canal for which hes going to fly back. Awful treatment. All of his healthy natural teeth have been butchered and are now unlikely to last a lifetime. Be warned.

the tribester

2,429 posts

87 months

Friday 17th May
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There's no way you'd get this amount of work done in such a short period of time in the UK. It's too much too quickly, which can lead to problems.