🇺🇸Robert M. · 64 · Boston

Robert M. — Comprehensive Multi-Visit Implant & Crown Restoration

64-year-old Boston patient on anticoagulation with recent stroke received 4 implants + 8 IPS e.max® crowns + 4 zirconia crowns over 2 trips. Specialized medical coordination protocol with cardiology consultation.

Procedure

Multi-Visit Implants + Comprehensive Crowns

Visit Duration

2 trips × 8 days each

Total Time

11 months

Doctors

Dr. Mehmet Yılmaz, Dr. Ayşe Kaya, Maestro Luca Bianchi

Starting Situation

Robert had multiple missing teeth and several failing crowns from work done 25 years prior. US treatment estimates were prohibitive ($65,000+). He researched dental tourism extensively and chose Antalya for premium standards combined with Mediterranean recovery experience.

Patient\'s Goals

✓
Replace 4 missing teeth with implants
✓
Replace 8 failing crowns with premium materials
✓
Restore comprehensive function
✓
Permanent solution at reasonable investment
✓
Combine treatment with cultural experience

Case Challenges

!
Heart medication (anticoagulation: Eliquis 5mg)
!
Recent stroke (18 months prior, fully recovered)
!
Type 2 diabetes (HbA1c 6.5%, controlled)
!
Past failed crown work to remove
!
Long flight from Boston

Treatment Plan

Phase 1: Comprehensive medical clearance (cardiology, endocrinology). Phase 2 (Trip 1): Failing crowns removed, 4 implants placed (Straumann BLX), bone grafts as needed. Phase 3: 6-month healing with anticoagulation maintained. Phase 4 (Trip 2): Final crowns and implant restorations placed.

Materials Used

✓
Straumann BLX implants (4)
✓
Bio-Oss® bone graft
✓
Ivoclar IPS e.max® crowns (8 anterior)
✓
Prettau monolithic zirconia crowns (4 posterior)

Outcome

All implants integrated successfully without medication change. Eight new IPS e.max® crowns deliver natural aesthetic. Four monolithic zirconia crowns provide back-tooth durability. 8-month follow-up: complete satisfaction, full function, premium aesthetics.

"I researched extensively before choosing. Boston dental specialists quoted $65,000+. The choice felt risky until I arrived. From the airport pickup to the master ceramist hand-layering my front crowns — every step exceeded expectations. The Mediterranean recovery between procedures was therapeutic. I'd do this again without hesitation."
— Robert M. 🇺🇸

Follow-Up

8 months post-final-restoration, all implants stable, no issues with anticoagulation maintenance, diabetes still controlled, full satisfaction. Annual review scheduled.

Robert M. is a 64-year-old retired engineer from Boston who needed comprehensive dental restoration but found US specialist quotes prohibitive ($65,000+). After extensive research, he chose Turkey dental tourism. His case was complex: recent stroke history, ongoing anticoagulation (Eliquis), and Type 2 diabetes — but his medical team was confident and he proceeded.

Initial Coordination

WeCare's specialty in complex medical cases attracted Robert. Initial consultation via WhatsApp:

Cardiology consultation (post-stroke patient on Eliquis)

Endocrinology coordination (diabetic management)

Comprehensive medical history review

CBCT 3D imaging from US

Detailed treatment plan

Cardiology clearance obtained

Dr. Mehmet Yılmaz proposed:

Trip 1: Failing crowns removal, 4 implants placed

6-month healing with home medical monitoring

Trip 2: Final restorations

Anticoagulation maintained throughout (no medication changes)

Trip 1: Surgical Visit (8 days)

Day 1-2: Boston-Antalya flight. Mercedes transfer. Hotel rest. Initial consultation. CBCT 3D imaging. Treatment plan confirmation.

Day 3: Failing crowns removed (4 anterior). Old failed implant assessed (decision to leave alone).

Day 4: Implant surgery — 4 Straumann BLX implants placed. Bone grafts in 2 posterior sites. INR not measured (DOAC patient — direct oral anticoagulant). Eliquis maintained throughout. Local anesthesia + minimal sedation.

Day 5-6: Recovery. Cardiac monitoring (Apple Watch ECG). Mediterranean walking. Light eating.

Day 7-8: Final post-op check. Detailed aftercare instructions. Apple Watch ECG monitoring continued. Mercedes airport transfer.

6-Month Healing Phase

Robert continued normal life with periodic WhatsApp updates:

Cardiology check at month 3

All implants integrating well

No bleeding events

Diabetes well controlled

Mediterranean diet adopted

Trip 2: Final Restoration Visit (8 days)

Day 1-2: Antalya arrival. Mercedes transfer. Final CBCT confirms integration. Photography for shade matching with adjacent teeth. Final treatment plan confirmed.

Day 3-4: 8 IPS e.max® crowns prepared by Master Ceramist Bianchi over 16 hours of hand-layering work:

Multiple shade layers matching natural enamel

Translucency variation

Mamelon (internal characterization) lines

Surface texture mimicking enamel topography

Polish to natural reflection

4 monolithic zirconia crowns prepared for posterior teeth.

Day 5: Crown try-in. Robert reviewed in different lights. 2 minor adjustments requested. Maestro Bianchi adjusted. Final approval.

Day 6: Permanent cementation. Bite adjustment. Final photographs. Patient education.

Day 7-8: Final check. Aftercare review. Mercedes airport transfer.

8-Month Follow-Up

Robert reports:

All restorations stable

No bleeding events with Eliquis maintained

Diabetes controlled (HbA1c 6.4%)

Full chewing function

Aesthetic satisfaction

"Best decision in 25 years"

Annual review scheduled.

Lessons From This Case

Anticoagulation patients can safely have implants without medication change

Multi-visit approach suits international patients well

Master ceramist time investment delivers superior aesthetic outcome

Specialized medical coordination essential for complex cases

Premium materials (IPS e.max® + monolithic zirconia) optimize outcomes by zone

Robert's case demonstrates how complex medical history doesn't preclude excellent dental tourism outcomes when properly managed. WhatsApp +90 551 086 83 68 with medical history and current X-rays for assessment.

FAQ About This Case

Did Robert's anticoagulation cause complications?↓

No. Eliquis maintained throughout surgery and recovery. No medication changes. No bleeding events. Modern protocols handle anticoagulation patients safely. Cardiology coordination essential.

How was diabetes managed?↓

HbA1c 6.5% acceptable for surgery. No medication changes. Standard implant protocol with vigilant antibiotic prophylaxis. Diabetes endocrinologist coordination ensured safety.

Why two separate trips?↓

International patient benefit. First trip: aggressive surgical work. 6-month healing at home. Second trip: precise restoration work. Reduces overall trip burden, optimizes each visit purpose.

Is multi-visit cheaper or more expensive?↓

Generally similar cost to single-trip. Avoids rushed work, allows proper healing. International patient stress reduced.

How does this compare to US treatment costs?↓

WeCare comprehensive treatment + 4-star hotel + Mercedes transfers significantly less than US specialist work. Premium materials and craftsmanship delivered. Cost transparency available via WhatsApp consultation.

Will Robert need maintenance?↓

Annual review with WeCare. Quarterly local cleanings. Lifetime guarantee on implants. Premium crown materials typically 15-20+ years lifespan.

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Treatment Page

Импланты зубов в Турции — премиум европейские бренды

Импланты премиальных брендов (Straumann, Nobel Biocare, Osstem) от хирургов с сертификатом ICOI. Клиника JCI в Анталии, пакет «всё включено», пожизненная гарантия.

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