You have been choosing what you eat by what you can chew.

Losing most of your teeth is not really a dental problem. It is a list of small decisions you now make every day, and a shorter list of things you have quietly stopped doing.

The questions below are the ones we ask on the first call. Not because your answers are a diagnosis — they are not — but because they tell a dentist something a CT scan cannot: what this has actually cost you.

• Do you decide what to order by what you can manage, rather than what you want?
• Have you started eating on one side only, and stopped noticing that you do it?
• Do you take your denture out to eat the thing it was supposed to let you eat?
• Do you hear yourself around certain words on the phone?
• In photographs, do you smile with your top lip down?
• Have you stopped going to some of the occasions where photographs get taken?

If you recognised more than one of those, the honest read is that this stopped being about teeth a while ago.

Here is what we do with those answers. If you tell us you have already tried a denture and it never held, that changes the plan we write — not the price we quote. If you tell us the thing you want back is being able to eat at a table without thinking about it, that is a different treatment target from wanting a whiter smile, and it belongs in writing.

So when you send your case, tell us two things: what you have stopped doing, and what would have to be true for you to call this worth it. Then the plan we send back is built around your answer rather than our price list.

Not sure which treatment your case even needs? See what each one actually involves — including who it is not right for.

We can show filmed patient stories and the treatment-planning process; we do not use a smile photograph as a promise about your mouth.

Before-and-after photographs are useful only when the record behind them is complete: treatment date, photo date, written consent and the same photo conditions. Until those records are ready for every case we publish, the safer evidence is the part you can check now — named dentists, written plans, patient videos and warranty terms.

Watch patient stories

You are going to research this — you should. The problem with researching dental clinics is not that there is too little information, it is that every clinic answers a different question, so nothing lines up.

These are the three that actually separate one quote from another. Our answers are below. Take the same three to whoever else you are talking to, and ask for the answers in writing.

1. What is in the price — and what is not?

Our full-arch prices are quoted per arch: the implants and the fixed prosthesis for that arch. Upper and lower are two separate treatments, quoted separately.

• Local anaesthetic
• The temporary prosthesis, where the treatment plan calls for one
• Sedation, which is arranged with a partner hospital and quoted individually after your consultation — we do not have a price for it on this page; ask your coordinator.

Not included: extractions if teeth still have to come out, any grafting the site needs, the opposing arch, your flights and accommodation for the treatment trip, and long-term maintenance — a fixed arch needs professional cleaning and periodic review for the rest of its life. The final figure is confirmed after a CT scan and an examination, not from the photos you email us.

The single most common misunderstanding in full-arch quotes is "full mouth". Ask, in writing, whether the number in front of you covers one arch or two.

Lifetime on the implant fixture — the titanium screw itself — for osseointegration failure and fracture. Five years on crowns, veneers and implant-supported prosthetics, for manufacturing or material defect, counted from the completion of your treatment.

Cover can be lost through smoking, untreated bruxism, and trauma or accident. That is the complete list and it is published on the same page as the cover itself, at the same size. Read the full terms.

A "lifetime guarantee" that does not name the component it applies to is worth a follow-up question, wherever you read it.

Contact the clinic by any route you already have and your patient coordinator takes it from there — there is no separate department to find. If it falls under the warranty, the revision can be carried out at any of our three clinics.

Who pays what:

That third row is in the same table as the first two on purpose. And the limits, stated here rather than at the moment you need them: our terms cover revision work carried out by us, so an invoice from a dentist where you live is not reimbursed, and routine cleanings and check-ups at home are yours. If something hurts, see a dentist where you live first — do not wait for a trip. What happens after you fly home.

If a clinic cannot answer all three in writing before you pay, you have learned something useful for the price of one email.

There are two questions almost every patient flying in has and almost nobody asks out loud. Unasked questions do not go away, they just decide quietly. So here they are, with our answers.

"Is it normal for this to cost so much less? What is being left out?"

It is a fair question and it deserves a straight answer: the difference is in what it costs to run a clinic here — wages, rent, laboratory work, and the absence of a US-style insurance billing layer — not in what goes into your mouth. The implant systems we place are the same ones your dentist at home would order: Straumann, and Astra Tech by Dentsply Sirona.

The way to check that claim rather than take it on trust is the warranty. A clinic cutting corners on components does not publish a lifetime fixture warranty next to a written exclusion list, because it would be paying for it later. Why treatment costs less here.

We should also say the unflattering half: we are not the cheapest quote in Istanbul, and we say so on our own pricing pages. There are lower numbers in this city than ours.

"And if something goes wrong when I am nine hours away?"

We are not going to tell you nothing will go wrong. Nobody can tell you that about surgery, and a clinic that does is telling you something about itself rather than about your case.

What we can tell you is exactly what happens if it does. You leave here with your implant record — system, reference and lot number, tooth positions, dates — which is the document that lets a dentist in Denver or Calgary identify what is in your mouth and order the matching part. Straumann and Astra Tech both have a substantial North American presence, so that part is orderable near you. If it falls under our warranty, the revision treatment and your accommodation are ours and the flight is yours, as set out above. And if something is painful or swollen, you see a dentist where you live first and tell us second.

Two names before the rest. Dr. Nurettin Tekeşin is the responsible manager of our Istanbul clinic — the legally accountable dentist for the facility, not a title on a website. Dt. Sevil Pekmezci founded the clinic; she was born with a cleft lip and palate and had eleven surgeries as a child, which is the reason she does this work and the reason she funds treatment for children whose families cannot pay for it.

Founder

Dt. Sevil Pekmezci

Aesthetic dentistry · Implantology · Digital smile design

Responsible Manager · Istanbul Clinic

Dr. Nurettin Tekeşin

Prosthodontics · Aesthetic dentistry

Nine hours is a long way to travel to a building you have only seen from the outside.

If you want the waiting area, the desk and a treatment room in the order you would actually walk through them, that is a page of its own — a photo tour of the Istanbul clinic, with nothing else on it.

The prosthesis leaves the laboratory with a card that names the material and the shade. Ask for that card, wherever you are treated.

It is the difference between a colour you chose and a colour that was chosen for you — and it is the same reason we name the implant system before you fly rather than after.

We publish every price, per arch and per unit, on their own pages — nothing is behind a form. But a number on its own tells you almost nothing, because two clinics quoting the same figure can be quoting different work. Full-arch treatment is priced per arch, not per mouth: upper and lower are two separate treatments.

• Local anaesthetic — included in what we quote
• The temporary prosthesis, where the treatment plan calls for one — included in what we quote
• Sedation, which is arranged with a partner hospital and quoted individually after your consultation
• Extractions, grafting, the opposing arch, flights and accommodation are not included, and we say so on every pricing page.

Your own figure comes out of a CT scan and an examination, not out of a table. Send your case and we will write it down. If you want the published per-arch numbers first: All-on-6 cost · All-on-4 cost · the full US comparison. Not sure which treatment your case needs? See what each one actually involves — including who it is not right for.

Tell us the situation and what matters most to you — never dealing with this again, or getting it done fastest, or being able to eat normally at a table. The plan we write back is built around that answer.

1. 01Send a few photos or a recent dental X-ray, and tell us what is bothering you and what you have stopped doing because of it.
2. 02Start with our clinic-trained 24/7 AI assistant to prepare your case; then our team reviews the details and sends a written, itemised plan in English within one business day.
3. 03Your first reply is a plan to review. You decide how to continue after you have it in front of you; if treatment at home is the better route, we will say that clearly. The price is confirmed after a CT scan and an examination once you arrive.