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Dental Implants (one-stage method) (615946) | Dentram Dental Clinics Istanbul - BookingHealth
{"translation_price":"50","translation_doc_price":"40","child_coefficient":"1.1","transfer_price":"2.00","transfer_price_vip":"5.00","constant_transfer_price_vip":350,"constant_transfer_price":150,"constant_transfer_distanse":60,"type":"treatment","program_full_story":"<p style=\"text-align:justify\">The first stage (duration is 1-3 days):<\/p>\n\n<ul>\n\t<li style=\"text-align:justify\">Consultation of dentist \/ implant surgeon&nbsp;<\/li>\n\t<li style=\"text-align:justify\">Oral cavity examination<\/li>\n\t<li style=\"text-align:justify\">CT (computed tomography) \/ panoramic radiography (orthopantomogram)<\/li>\n\t<li style=\"text-align:justify\">Elaboration of a treatment \/ prosthetics plan<\/li>\n\t<li style=\"text-align:justify\">Implant selection (depends on the bone mineral density)<\/li>\n\t<li style=\"text-align:justify\">Local anesthesia \/ sedation<\/li>\n\t<li style=\"text-align:justify\">Teeth extraction (if necessary, if one-step implantation is performed)<\/li>\n\t<li style=\"text-align:justify\">Placement of an abutment with a temporary crown<\/li>\n<\/ul>\n\n<p style=\"text-align:justify\">The second stage, in 1- 3 days (duration is 1 day):<\/p>\n\n<ul>\n\t<li style=\"text-align:justify\">Control examination<\/li>\n\t<li style=\"text-align:justify\">Recommendation on rehabilitation<\/li>\n<\/ul>\n\n<p style=\"text-align:justify\"><strong>Program description<\/strong>:<\/p>\n\n<p style=\"text-align:justify\">Our service starts at the airport. Our employee meets you at the airport and holds a sign with your name. In the individual folder you will find detailed information about the medical program and the upcoming operation.<\/p>\n\n<p style=\"text-align:justify\"><strong>Day 1<\/strong>.<\/p>\n\n<p style=\"text-align:justify\"><strong>Consultation <\/strong>with a leading surgeon. The aim of implantation is not only to restore the natural function of the teeth, but also to achieve an excellent aesthetic result.<\/p>\n\n<p style=\"text-align:justify\">During the consultation, the doctor will examine you, clarify your wishes and tell you how the implantation will be performed. You will choose the type of implant, select the manufacturer and treatment tactics.<\/p>\n\n<p style=\"text-align:justify\"><strong>Examination<\/strong>. Before the implantation, the patient undergoes the necessary examinations, including laboratory tests, and visits an anesthesiologist. All examinations are carried out in our hospital. This stage will not take much time. The examination usually takes 1-3 hours.<\/p>\n\n<p style=\"text-align:justify\">We must be 100% sure that the procedure will go well and that you will achieve the desired result.<\/p>\n\n<p style=\"text-align:justify\">After the first appointment you can go to the hotel and relax. All hotels that we offer to our patients are within walking distance of the hospital.<\/p>\n\n<p style=\"text-align:justify\"><strong>3D model creation<\/strong>. The doctor plans the upcoming procedure carefully. We make a replica of the patient&#39;s jaw. The model allows the doctor to simulate the process of installing implants.<\/p>\n\n<p style=\"text-align:justify\">This allows for more careful planning of the implant installation, eliminating inaccuracies and possible errors.<\/p>\n\n<p style=\"text-align:justify\"><strong>Day 2<\/strong>.<\/p>\n\n<p style=\"text-align:justify\"><strong>Implantation<\/strong>.<\/p>\n\n<p style=\"text-align:justify\">On the second day, you arrive at the hospital for implantation. Depending on the chosen tactics, the intervention is performed.<\/p>\n\n<p style=\"text-align:justify\"><strong>The one-step implantation<\/strong> allows forming a tiny round hole in the jaw and performing implantation. The procedure takes no more than half an hour and is performed under the local anesthesia.<\/p>\n\n<p style=\"text-align:justify\">If you have indications for this type of implantation, then an abutment and a temporary crown will be installed initially. You can stay with a temporary crown for up to 3 years. Further, you can install a permanent crown at the convenient time.<\/p>\n\n<p style=\"text-align:justify\">The rate of successful osseointegration of the implants we use is over 99%. Each implant has an individual warranty.<\/p>\n\n<p style=\"text-align:justify\"><strong>Days 3-6<\/strong>.<\/p>\n\n<p style=\"text-align:justify\"><strong>Recovery period<\/strong>.<\/p>\n\n<p style=\"text-align:justify\">After the surgery, soft tissue edema is observed. This is a normal body reaction. The swelling can spread to the tongue, chin, and cheeks. Normally, the swelling goes away in 2-3 days.<\/p>\n\n<p style=\"text-align:justify\">Your doctor may recommend medications to reduce inflammation, as well as pain killers and wound healing medications.<\/p>\n\n<p style=\"text-align:justify\">There is no need to remove the stitches, since the operation is performed through small punctures. Recovery in such case is much faster and easier than after the classical implantation.<\/p>\n\n<p style=\"text-align:justify\">The doctor conducts a final examination, gives recommendations and detailed instructions on further treatment.<\/p>\n\n<p style=\"text-align:justify\"><strong>Service support:<\/strong><\/p>\n\n<p style=\"text-align:justify\">We fully support your trip.<\/p>\n\n<p style=\"text-align:justify\">We help with choosing and booking a hotel, booking tickets, preparing medical documentation.<\/p>\n\n<p style=\"text-align:justify\">We provide an individual medical coordinator-interpreter.<\/p>\n\n<p style=\"text-align:justify\">We arrange transfer airport - clinic - airport.<\/p>\n\n<p style=\"text-align:justify\">A medical advisor controls and coordinates the entire program, starting from your first visit and for 3 months after the program completion.<\/p>\n\n<p style=\"text-align:justify\">We also provide information support within six months after the operation.<\/p>\n<div class=\"program_required_documents mt-4\"><h4>Required documents<\/h4><ul>\n\t<li style=\"text-align: justify;\">Medical records<\/li>\n\t<li style=\"text-align: justify;\">Orthopantomogram (OPG)<\/li>\n<\/ul>\n<\/div>","program_full_story_crm":"<p style=\"text-align:justify\">The first stage (duration is 1-3 days):<\/p>\n\n<ul>\n\t<li style=\"text-align:justify\">Consultation of dentist \/ implant surgeon&nbsp;<\/li>\n\t<li style=\"text-align:justify\">Oral cavity examination<\/li>\n\t<li style=\"text-align:justify\">CT (computed tomography) \/ panoramic radiography (orthopantomogram)<\/li>\n\t<li style=\"text-align:justify\">Elaboration of a treatment \/ prosthetics plan<\/li>\n\t<li style=\"text-align:justify\">Implant selection (depends on the bone mineral density)<\/li>\n\t<li style=\"text-align:justify\">Local anesthesia \/ sedation<\/li>\n\t<li style=\"text-align:justify\">Teeth extraction (if necessary, if one-step implantation is performed)<\/li>\n\t<li style=\"text-align:justify\">Placement of an abutment with a temporary crown<\/li>\n<\/ul>\n\n<p style=\"text-align:justify\">The second stage, in 1- 3 days (duration is 1 day):<\/p>\n\n<ul>\n\t<li style=\"text-align:justify\">Control examination<\/li>\n\t<li style=\"text-align:justify\">Recommendation on rehabilitation<\/li>\n<\/ul>\n\n<p style=\"text-align:justify\"><strong>Program description<\/strong>:<\/p>\n\n<p style=\"text-align:justify\">Our service starts at the airport. Our employee meets you at the airport and holds a sign with your name. In the individual folder you will find detailed information about the medical program and the upcoming operation.<\/p>\n\n<p style=\"text-align:justify\"><strong>Day 1<\/strong>.<\/p>\n\n<p style=\"text-align:justify\"><strong>Consultation <\/strong>with a leading surgeon. The aim of implantation is not only to restore the natural function of the teeth, but also to achieve an excellent aesthetic result.<\/p>\n\n<p style=\"text-align:justify\">During the consultation, the doctor will examine you, clarify your wishes and tell you how the implantation will be performed. You will choose the type of implant, select the manufacturer and treatment tactics.<\/p>\n\n<p style=\"text-align:justify\"><strong>Examination<\/strong>. Before the implantation, the patient undergoes the necessary examinations, including laboratory tests, and visits an anesthesiologist. All examinations are carried out in our hospital. This stage will not take much time. The examination usually takes 1-3 hours.<\/p>\n\n<p style=\"text-align:justify\">We must be 100% sure that the procedure will go well and that you will achieve the desired result.<\/p>\n\n<p style=\"text-align:justify\">After the first appointment you can go to the hotel and relax. All hotels that we offer to our patients are within walking distance of the hospital.<\/p>\n\n<p style=\"text-align:justify\"><strong>3D model creation<\/strong>. The doctor plans the upcoming procedure carefully. We make a replica of the patient&#39;s jaw. The model allows the doctor to simulate the process of installing implants.<\/p>\n\n<p style=\"text-align:justify\">This allows for more careful planning of the implant installation, eliminating inaccuracies and possible errors.<\/p>\n\n<p style=\"text-align:justify\"><strong>Day 2<\/strong>.<\/p>\n\n<p style=\"text-align:justify\"><strong>Implantation<\/strong>.<\/p>\n\n<p style=\"text-align:justify\">On the second day, you arrive at the hospital for implantation. Depending on the chosen tactics, the intervention is performed.<\/p>\n\n<p style=\"text-align:justify\"><strong>The one-step implantation<\/strong> allows forming a tiny round hole in the jaw and performing implantation. The procedure takes no more than half an hour and is performed under the local anesthesia.<\/p>\n\n<p style=\"text-align:justify\">If you have indications for this type of implantation, then an abutment and a temporary crown will be installed initially. You can stay with a temporary crown for up to 3 years. Further, you can install a permanent crown at the convenient time.<\/p>\n\n<p style=\"text-align:justify\">The rate of successful osseointegration of the implants we use is over 99%. Each implant has an individual warranty.<\/p>\n\n<p style=\"text-align:justify\"><strong>Days 3-6<\/strong>.<\/p>\n\n<p style=\"text-align:justify\"><strong>Recovery period<\/strong>.<\/p>\n\n<p style=\"text-align:justify\">After the surgery, soft tissue edema is observed. This is a normal body reaction. The swelling can spread to the tongue, chin, and cheeks. Normally, the swelling goes away in 2-3 days.<\/p>\n\n<p style=\"text-align:justify\">Your doctor may recommend medications to reduce inflammation, as well as pain killers and wound healing medications.<\/p>\n\n<p style=\"text-align:justify\">There is no need to remove the stitches, since the operation is performed through small punctures. Recovery in such case is much faster and easier than after the classical implantation.<\/p>\n\n<p style=\"text-align:justify\">The doctor conducts a final examination, gives recommendations and detailed instructions on further treatment.<\/p>\n\n<p style=\"text-align:justify\"><strong>Service support:<\/strong><\/p>\n\n<p style=\"text-align:justify\">We fully support your trip.<\/p>\n\n<p style=\"text-align:justify\">We help with choosing and booking a hotel, booking tickets, preparing medical documentation.<\/p>\n\n<p style=\"text-align:justify\">We provide an individual medical coordinator-interpreter.<\/p>\n\n<p style=\"text-align:justify\">We arrange transfer airport - clinic - airport.<\/p>\n\n<p style=\"text-align:justify\">A medical advisor controls and coordinates the entire program, starting from your first visit and for 3 months after the program completion.<\/p>\n\n<p style=\"text-align:justify\">We also provide information support within six months after the operation.<\/p>\n","is_ambulant":"1","bh_fee":0,"only_for_children":"0","no_service":"0","with_prepayment":"1","show_calculator":"1","paket_type":"1","btn_type":"2","clinic_icon":"5ff6eb8ef2414.jpg","city":"Istanbul","clinic_site":"https:\/\/www.dentram.com\/en\/","department_recommend":"0","country":"Turkey","country_id":"10","clinic_name":"Dentram Dental Clinics Istanbul","cinic_name":"Dentram Dental Clinics Istanbul","department_id":"4199","duration":"6","direction":"Dentistry","min_duration":0,"clinic_id":"2810","paketPrice":0,"paket":"<ul>\n <li>Interpreter up to 10 hours\n <\/li>\n <li>Translation up to 5 pages<\/li>\n <li>Visa support\n <\/li>\n \n<\/ul>","title":"Dental Implants (one-stage method)","price":{"val":"0.00","type":"val"},"price_surcharge":0,"price_surcharge_clear":0,"extra_service_clinic":[],"extra_service":[],"translation_hours":"0","translation_doc_count":null,"roads":[{"id":"31","distance":"52","airport_title":"Istanbul"},{"id":"32","distance":"148","airport_title":"Bursa"},{"id":"33","distance":"458","airport_title":"Ankara"}],"pakets":[],"lang":{"day":"Day","days":"days","ambulatory":"Outpatient","stationaryProgram":"Inpatient"}}

Dental Implants (one-stage method) in Dentram Dental Clinics Istanbul

Dentram Dental Clinics Istanbul

Istanbul, Turkey
Program id # 615946
Doctor photo
Prof. Dr. med. Dr. dent. Serhat Yalcin
Department of Adult and Pediatric Dentistry
Specialized in: adult and pediatric dentistry

The program includes:

The first stage (duration is 1-3 days):

  • Consultation of dentist / implant surgeon 
  • Oral cavity examination
  • CT (computed tomography) / panoramic radiography (orthopantomogram)
  • Elaboration of a treatment / prosthetics plan
  • Implant selection (depends on the bone mineral density)
  • Local anesthesia / sedation
  • Teeth extraction (if necessary, if one-step implantation is performed)
  • Placement of an abutment with a temporary crown

The second stage, in 1- 3 days (duration is 1 day):

  • Control examination
  • Recommendation on rehabilitation

Program description:

Our service starts at the airport. Our employee meets you at the airport and holds a sign with your name. In the individual folder you will find detailed information about the medical program and the upcoming operation.

Day 1.

Consultation with a leading surgeon. The aim of implantation is not only to restore the natural function of the teeth, but also to achieve an excellent aesthetic result.

During the consultation, the doctor will examine you, clarify your wishes and tell you how the implantation will be performed. You will choose the type of implant, select the manufacturer and treatment tactics.

Examination. Before the implantation, the patient undergoes the necessary examinations, including laboratory tests, and visits an anesthesiologist. All examinations are carried out in our hospital. This stage will not take much time. The examination usually takes 1-3 hours.

We must be 100% sure that the procedure will go well and that you will achieve the desired result.

After the first appointment you can go to the hotel and relax. All hotels that we offer to our patients are within walking distance of the hospital.

3D model creation. The doctor plans the upcoming procedure carefully. We make a replica of the patient's jaw. The model allows the doctor to simulate the process of installing implants.

This allows for more careful planning of the implant installation, eliminating inaccuracies and possible errors.

Day 2.

Implantation.

On the second day, you arrive at the hospital for implantation. Depending on the chosen tactics, the intervention is performed.

The one-step implantation allows forming a tiny round hole in the jaw and performing implantation. The procedure takes no more than half an hour and is performed under the local anesthesia.

If you have indications for this type of implantation, then an abutment and a temporary crown will be installed initially. You can stay with a temporary crown for up to 3 years. Further, you can install a permanent crown at the convenient time.

The rate of successful osseointegration of the implants we use is over 99%. Each implant has an individual warranty.

Days 3-6.

Recovery period.

After the surgery, soft tissue edema is observed. This is a normal body reaction. The swelling can spread to the tongue, chin, and cheeks. Normally, the swelling goes away in 2-3 days.

Your doctor may recommend medications to reduce inflammation, as well as pain killers and wound healing medications.

There is no need to remove the stitches, since the operation is performed through small punctures. Recovery in such case is much faster and easier than after the classical implantation.

The doctor conducts a final examination, gives recommendations and detailed instructions on further treatment.

Service support:

We fully support your trip.

We help with choosing and booking a hotel, booking tickets, preparing medical documentation.

We provide an individual medical coordinator-interpreter.

We arrange transfer airport - clinic - airport.

A medical advisor controls and coordinates the entire program, starting from your first visit and for 3 months after the program completion.

We also provide information support within six months after the operation.

Required documents

  • Medical records
  • Orthopantomogram (OPG)

Service

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About the department

The Department of Adult and Pediatric Dentistry at the Dentram Dental Clinics Istanbul offers the full range of services for the treatment of diseases of the teeth, gums and temporomandibular joint. Of particular interest to the department are implantology, placement of veneers and occlusion correction using the innovative Invisalign system. The department also admits children between the ages of 0 and 13 years old for treatment. The department has an excellent medical and technical base, sanitary and hygienic standards are strictly met here, as well as an individual approach is provided to each patient. The clinic is one of the best in Istanbul and Turkey, and also regularly admits patients from foreign countries for treatment. The Chief Physician of the department is Prof. Dr. med. Dr. dent. Serhat Yalcin.

The dental team is famous for exceptional qualifications in the field of dental implantology. Dental implants are an excellent treatment for patients who have lost one or more teeth. In addition, this is the only method of restoration not only the aesthetic appearance of the tooth, but also its functions – a dental implant is placed into the jawbone, carries a full load, participates in the chewing process, prevents facial deformation, etc. The implants are placed under local anesthesia, while the procedure itself takes no more than 10 minutes. However, after the procedure, it takes 1.5 to 2 months for the implant to fully osseointegrate with jaw tissue. After implantation, a crown imitating a natural tooth is placed on the implant.

The department's specialists prefer to use ceramic and zirconia dental implants, which are of the highest quality and longest service life. The department practices all types of implantation, including two-stage implantation, single-stage implantation with immediate loading, and single-stage dental implantation. Medical specialists also carry out the placement of zygomatic implants. Zygomatic implants can be used when the amount of bone tissue in the upper jaw is insufficient for the placement of the implant. The main advantage of this method is that there is no need for sinus lift (bone augmentation).

The department also uses the all-on-4 prosthetic technique. This technique is the optimal solution in cases when the teeth are absolutely absent on the lower jaw. If there are diseased or pathologically movable teeth on the jaw, they must be removed. The advantage of this treatment option is the single-stage implantation. The prosthesis is attached immediately, which allows the patient to avoid wearing removable structures, to start smiling almost instantly and to eat normally, without feeling pain and discomfort. The significant advantages of the method include the absence of the need to preliminarily perform a sinus lift, as well as the maximum accuracy of positioning of implants due to 3D therapy planning.

Such dental services as the placement of ceramic veneers and the correction of malocclusion using the innovative Invisalign system are especially popular in the clinical practice of the department as well. Veneers are thin onlays on the teeth that closely follow the outer surface of the tooth. They help to hide small and large defects (for example, chips, cracks, dental discoloration, etc.) of the surface of the teeth, thereby creating a healthy and beautiful smile. The Invisalign system provides correction of malocclusion using special transparent aligners. The Invisalign set consists of individual removable airliners, which are almost invisible on the teeth. The mouthguards need to be changed once every 2 weeks. During this period, the aligners move the teeth to the intended position, after which the patient switches to the next pair of aligners. The aligners are made individually, according to the developed treatment plan. The Invisalign technology is a comfortable and complete alternative to braces.

The department's range of dental services includes:

  • Dental implantology
    • Placement of ceramic and zirconia dental implants
    • Placement of zygoma implants
    • All-on-4 dental implantation
  • Dental prosthetics
    • Computer-assisted smile modeling using Digital Smile Design 
    • Placement of ceramic and zirconia veneers
    • Placement of laminate veneers
    • Placement of inlays and onlays
    • Bonding
  • Teeth whitening, including using laser systems
  • Tooth filling
  • Treatment of gingival disease, including treatment of halitosis
  • Root canal treatment
  • Organic dentistry (accelerating wound healing through the use of platelet-rich fibrin, PRF)
  • Bruxism treatment
  • Malocclusion correction using ceramic and metal braces, as well as innovative transparent Invisalign braces
  • Oral and maxillofacial surgery
    • Wisdom tooth extraction
    • Treatment of temporomandibular joint diseases
    • Treatment of jaw fractures and cysts
    • Sinus lift
  •  Pediatric dentistry
    • Extraction of milk teeth
    • Caries treatment
    • Teeth coating with special materials to prevent cracks and caries
  • Other services

Curriculum vitae

Prof. Serhat Yalcin is the Head of the Department of Adult and Pediatric Dentistry at the Dentram Dental Clinics Istanbul. He received his Doctoral Degree at the Faculty of Dentistry of the Istanbul University in 1984. From 1989 to 1990 he worked in the Department of Oral and Maxillofacial Surgery at the Queen Mary's Hospital, London, England. In 1990, Prof. Serhat Yalcin received the title of Dentist. Then he received his Assistant Professorship in 1993, and in 1999 – Professorship.

The clinical interests of the specialist include dental implantology, distraction, treatment of temporomandibular joint pathologies, and orthognathic surgery.

In addition, the doctor is an academician of the Department of Dental and Maxillofacial Surgery of the Faculty of Dentistry at the Istanbul University, as well as the editor of numerous local and foreign scientific journals.

Photo of the doctor: (c) Dentram Dental Clinics


About hospital

The Dentram Dental Clinics Istanbul is a progressive dental center with excellent infrastructure, state-of-the-art medical equipment and brilliant specialists. The patients of the clinic are guaranteed a professional solution to dental problems of any complexity. The clinic was founded in 1994 by orthodontist Aylin Yalçın and Prof. Serhat Yalçın. Over the years, the clinic has managed to accumulate invaluable clinical experience, which brought it wide recognition not only in Turkey, but also in the international medical arena. The impeccable quality of dental services is confirmed by the prestigious ISO 9001:2008 certificate.

As of today, the therapeutic options of the medical center cover all fields of modern dentistry, including oral and maxillofacial surgery, implantology, orthodontics, pedodontics, endodontics, treatment of gingival disease and aesthetic dentistry. Each field is represented by highly-specialized experts with all the necessary qualifications for provision of high-quality dental care.

The particular areas of the specialization of the dental center include dental implantology, including all-on-4 technique for restoration of the entire dentition, as well as the placement of veneers for correction of color and shape of the teeth. Dental implants are an innovative and most effective method for the restoration of lost teeth. They completely imitate a natural tooth and consist of a root and a crown, which is made individually for each patient, according to a dental impression. The root part of the implant is made of titanium, which has excellent biocompatibility with the jaw bones. The implantation of a titanium tooth root takes from 5 to 10 minutes. It is followed by a period of osseointegration (implant engraftment), which lasts about 2 months. After the final engraftment of the titanium screw, the implant is covered with a crown. The implant not only helps to restore the appearance of the tooth, but also performs a full-fledged chewing function, as well as prevents speech and articulation disorders.

The clinic also performs all-on-4 dental implantation. This technique is designed for particularly complex clinical cases and allows the doctor to restore the entire dentition. The all-on-4 technique includes the placement of only four implants, on which the fixed prosthesis of the entire dentition is attached reliably. The advantage of this method is that it is carried out within a single stage – the fixed prosthesis is attached immediately after the placement of implants or after 1-3 days. In some cases, an additional sinus lift may be required for bone tissue augmentation in the case of its deficiency. The placement of the implant is carried out under local anesthesia, so the patient does not feel any pain.

The dentists of the clinic are distinguished by their successful experience in the field of veneer placement. The clinical practice involves the use of porcelain laminate veneers and zirconia-based porcelain veneers. Veneers are thin plates, which are attached to the outside of the tooth to create a beautiful smile and even teeth. Veneers are placed in three stages. At the first visit to the dentist, the doctor assesses the condition of the teeth and makes an initial impression. The first stage of the procedure is of key importance, since the doctor develops a treatment plan for creation of the smile of the patient's dreams. During the second visit to the dentist, the teeth are grinded and the doctor makes another impression. The procedure takes about one and a half hours and is performed under local anesthesia. The individual veneers are made in the laboratory within a week. The final stage of the treatment is bonding – gluing veneers to the patient's teeth using a special adhesive. The procedure takes about two hours, after which the patient leaves the clinic with a beautiful smile.

The treatment takes place in progressive dental offices, in compliance with all hygiene standards and safety requirements. The clinical practice involves the use of only high-quality materials from the world's leading manufacturers, which differ in their long-term service life. For the comfort of patients, the clinic has cozy waiting areas with upholstered furniture.

It should be noted that the clinic deals with the treatment of patients of different age groups, including children from 0 to 13 years old. Children undergo treatment in the specially equipped dental offices, which are made in special style for children. If necessary, the treatment of young patients can be carried out under safe anesthesia. The dentists do their best to make sure that the child has only positive impressions about the treatment and that the child does not have any fear of dentists in the future.

Photo & Video: © Dentram Dental Clinics

Accommodation in hospital

Hotel

During an outpatient program, the patient can stay at the hotel of his choice. Our managers will help you choose the most suitable option.