How long is the total combined treatment?

6-12 months total: Phase 1 periodontal stabilisation visit (3-5 days) + 3-6 months home healing + Phase 2 implant placement (4-7 days) + 3 months integration + final crown visit (2-3 days). Hotel and transfer arranged for each visit.

Can periodontal treatment and implants be done in one visit?

No. Active periodontal disease must heal completely before implant placement — typically 3-6 months. Forcing the timeline shorter compromises long-term outcomes. The biological healing requirement cannot be rushed.

Will my gum disease come back after treatment?

Periodontal disease is a chronic condition requiring lifelong management. With disciplined home care (Waterpik, soft brushing, regular professional cleaning every 4 months), gum stability is achievable indefinitely. Without compliance, recurrence is likely.

What if some of my teeth cannot be saved?

Severely compromised teeth (mobility, advanced bone loss, recurrent infection) sometimes need extraction during Phase 1. We extract only what is necessary, often at the same time as implant placement in Phase 2 — combining surgical events for efficiency.

Can I have All-on-4® instead of individual implants?

Often yes, and sometimes better. For patients with widespread periodontal compromise of multiple teeth, All-on-4® per arch removes diseased teeth, places 4 implants in healthy bone, and supports complete fixed bridge — eliminating the periodontal substrate. Discuss during planning.

Are budget Turkish clinics safe for periodontal patients?

No. Periodontally-prone patients especially need premium materials, careful surgical technique, and disciplined long-term protocols. Budget operators that cut corners are particularly risky for periodontal patients. Choose JCI-accredited clinics with ICOI surgeons exclusively.

Periodontal Treatment + Implants Combined Plan

Periodontal disease (gum disease) is the leading cause of adult tooth loss and a significant complication for implant treatment. Patients with active periodontitis cannot safely proceed to implants — bacteria in inflamed gum tissue compromise implant integration and increase peri-implantitis risk over the long term. WeCare's two-phase protocol stabilises periodontal disease first, then proceeds to implant placement once the gums are healthy.

When This Combined Plan Applies

Combined periodontal + implant treatment is needed when:

You have visible bleeding gums or active gingivitis

Periodontal pockets >5 mm on probing

Bone loss documented on X-ray (horizontal or vertical defects)

Tooth mobility from periodontal support loss

Recent or recurring tooth loss to gum disease

History of periodontal disease with current borderline status

Patients with controlled periodontal disease (under maintenance for years) can proceed directly to standard implant protocol. Patients with active disease need stabilisation first.

Phase 1: Periodontal Stabilisation (Visit 1, 3-5 days)

Day 1 (Arrival + Assessment):

Mercedes transfer to hotel

Comprehensive periodontal examination: probing depths, bleeding indices, tooth mobility, X-ray analysis

Bacterial sample collection in cases with severe inflammation

Day 2 (Deep Cleaning - Quadrant 1+2):

Local anaesthesia

Scaling and root planing of upper teeth

Removal of subgingival calculus and bacterial biofilm

Sometimes supplemented with laser decontamination

Antibiotic prescription (amoxicillin + metronidazole standard)

Day 3 (Deep Cleaning - Quadrant 3+4):

Same protocol applied to lower teeth

Education on home hygiene tools (Waterpik, interdental brushes, soft electric toothbrush)

Photographic documentation of starting state

Day 4 (Final Check + Recommendations):

Re-evaluation of gum status

Additional scaling if needed

Take-home periodontal kit with chlorhexidine mouthwash, special toothpaste, hygiene tools

Day 5 (Departure):

Final review

Fly home with detailed home care plan and return-visit timeline

Healing Window (3-6 months at home):

Daily disciplined hygiene with Waterpik + soft brush + interdental cleaning

Monthly photo updates to WeCare for monitoring

Periodontal stabilisation confirmed via re-examination

Phase 2: Implant Placement (Visit 2, 4-7 days)

Re-evaluation criteria before proceeding:

Periodontal pockets reduced to under 4 mm

No bleeding on probing

Stable bone level on X-ray

Patient compliance with home hygiene confirmed

If periodontal status not adequately stabilised, additional Phase 1 treatment is required. We do not proceed to implants in patients with active disease — outcome would be compromised.

Standard implant protocol: Once stabilised, implant placement follows our standard 4-7 day visit protocol depending on case complexity.

Healing window (3 months) + Final crown visit (2-3 days) as per standard implant treatment.

Why Sequence Matters

Implants placed in active periodontitis have:

2-3× higher early failure rate

Significantly higher peri-implantitis risk over 10+ years

Reduced long-term success

Higher rate of bone loss around implant collar

Implants placed in stabilised periodontal patients have:

Success rates approaching general population (95% over 5 years)

Long-term peri-implantitis risk slightly elevated but manageable

Lifelong implant survival possible with maintenance

The 3-6 month delay for stabilisation is non-negotiable for long-term success.

Materials and Brands

Phase 1 Periodontal:

Hand instruments + ultrasonic scalers (Cavitron / EMS)

Optional laser decontamination (PerioLase MVP-7)

Chlorhexidine 0.12% mouthwash (Peridex / Curasept)

Local antibiotic delivery (Arestin) for resistant pockets

Bio-Oss® bone graft for severe defects requiring regeneration

Phase 2 Implants:

Straumann SLActive® preferred for periodontal patients (faster integration)

Nobel Biocare TiUltra® for multi-zone soft-tissue health at collar

Tissue-level implants for thin biotype patients

Materials Used

Periodontal phase: Bio-Oss® for regenerative defects, Bio-Gide® collagen membranes when guided tissue regeneration applies, Arestin local antibiotics for non-responsive pockets.

Implant phase: Same premium European brands with surface technology optimised for periodontally-prone patients (Straumann SLActive®, Nobel Biocare TiUltra®).

Long-term Maintenance

After both phases complete, periodontally-prone patients require ongoing vigilance:

Every 3-4 months for first year: Professional cleaning + periodontal screening at WeCare or your home dentist. Critical for first-year peri-implantitis prevention.

Every 4 months thereafter: Lifelong professional cleanings (vs 6 months for non-periodontitis patients). Annual peri-implantitis screening.

Daily home care:

Soft-bristle electric toothbrush (Sonicare)

Daily Waterpik / oral irrigator (non-negotiable)

Interdental brushes for tight spaces

Antibacterial mouthwash for first 6 months post-implant

Annual: Panoramic X-ray + clinical exam. Optional 3D CBCT every 5 years for comprehensive assessment.

Risks and Honest Discussion

Periodontal phase risks:

Insufficient response — some patients have aggressive forms of periodontitis requiring specialist (periodontist) referral

Tooth loss during stabilisation — severely compromised teeth may need extraction

Cost of regenerative procedures if bone defects exist

Implant phase risks (in periodontally-prone patients):

Higher long-term peri-implantitis risk vs general population

Need for more frequent maintenance

Potential late implant failure 10-15+ years out

WeCare's combined protocol mitigates these through careful sequencing, premium materials, and disciplined long-term maintenance support. Patients understand the elevated long-term commitment.

What to Send Us

WhatsApp +90 551 086 83 68 with:

Recent panoramic X-ray (OPG)

Recent periodontal charting from your home dentist if available

Photographs of your gums (close-up smile)

List of teeth lost to gum disease (when, how)

Antibiotic history

Current oral hygiene routine

Within 24 hours we send a written assessment of whether you are an implant candidate, what periodontal stabilisation is needed first, total timeline across both phases, and individual quotation.

Periodontal Treatment + Implants — Two-Phase Plan