Case Study #1: Full mouth restoration for a patient from the United States (E-max & zirconia crowns in Istanbul)

Zachary’s Full Mouth Restoration — Dentakademi Istanbul Case Study

Full mouth restoration for a patient from the United States: E-max & zirconia crowns in Istanbul

Zachary flew in from the United States looking for a complete smile makeover — not just cosmetic improvements, but a structurally sound, long-lasting rehabilitation of both jaws. What he received was a two-stage treatment plan built around his specific clinical needs: extractions, crown lengthening, root canal therapy, and finally, full-arch E-max and zirconia crown restorations.

This case study walks through every stage of Zachary’s treatment at Dentakademi Istanbul — from the initial clinical assessment to the final natural-looking result.

2Treatment stages
USAPatient origin
FullBoth jaws restored
E-max+ Zirconia crowns

“We designed a 2-stage treatment plan tailored to his needs — giving Zachary a natural-looking result.”

Get free assessment ↗ View pricing

Before & after

Full mouth restoration — lower anterior extractions, crown lengthening, root canal treatment, and final E-max & zirconia crowns across both jaws.

Zachary before treatment Before
Zachary after treatment After

Zachary’s initial condition

When Zachary arrived at Dentakademi, a comprehensive clinical examination and radiographic assessment revealed several interconnected issues that needed to be addressed before any cosmetic work could begin. The lower anterior region showed significant crowding, and several teeth required structural intervention prior to crown placement.

01
Difficulty eating
Unstable oral structure no longer supported comfortable or healthy chewing.
02
Smile confidence
Crowded and damaged teeth affected daily social interactions and eroded self-confidence.
03
Permanent solution
Patient specifically requested a fixed, natural-looking result — not a temporary or removable fix.

The clinical team determined that a single-stage approach would not be sufficient. A staged protocol was necessary to ensure long-term stability and an aesthetically balanced final result across both jaws.


Treatment plan overview

A two-stage protocol designed around Zachary’s clinical needs — preparing the foundation before finalising aesthetics.

01
Extractions & preparation
Foundation stage

Lower anterior crooked teeth extracted. Crown lengthening performed where needed. Root canal treatment with post-core fiber restoration completed on selected teeth.

02
Final crowns
Aesthetic & restorative stage

Once gums and extraction sites fully healed, E-max and zirconia crowns were prepared and placed across both jaws for a natural, proportioned final result.


Detailed treatment protocol

Each stage was carefully sequenced to respect biology before aesthetics — the foundation of long-term restorative success.

Stage 1 · Extractions

Lower anterior tooth extractions

The crooked teeth in the lower jaw’s anterior region were identified as unsuitable for crown placement due to their positioning and structural condition. Extracting these teeth was the necessary first step to create a clean, properly aligned foundation for the final restoration.

Extraction sites were managed carefully to preserve gum architecture and allow healthy tissue healing before the prosthetic phase began.

Before Before
After After
Stage 1 · Crown lengthening

Crown lengthening where needed

In areas where the clinical crown height was insufficient for proper crown placement, crown lengthening procedures were performed. This minor periodontal procedure reshapes the gum line to expose more of the tooth structure, ensuring a secure and aesthetic crown margin.

Before Before
After After
Stage 1 · Endodontics

Root canal treatment with post-core fiber restoration

Certain teeth required root canal treatment before they could support a crown. After root canal therapy was completed, post-core fiber restorations were placed to reinforce the internal structure of the tooth — ensuring the crown would have a stable, long-lasting foundation to bond to.

Skipping this step in compromised teeth is one of the most common causes of early crown failure. At Dentakademi, every restorative case begins with a thorough structural assessment.

Healing period

Gum healing & tissue stabilisation

Once Stage 1 was complete, Zachary’s gums and extraction sites were given adequate time to fully heal. This healing period is essential — placing final crowns on inflamed or unstable soft tissue leads to poor margins, gum recession, and unpredictable aesthetics. The patience invested here directly determines the quality of the final result.

Stage 2 · Final restorations

E-max & zirconia crowns — both jaws

With the foundation fully healed and stable, the Dentakademi prosthetic team moved to the final stage: designing and placing E-max and zirconia crowns across both the upper and lower jaws.

E-max lithium disilicate crowns were selected for areas requiring the highest level of aesthetic translucency — particularly in the anterior smile zone. Zirconia crowns were used where additional strength was needed for posterior load-bearing teeth.

The combination of both materials allowed for a result that is simultaneously natural-looking and structurally durable.

Before Before
After After
Is a full mouth restoration right for you?
Send your dental photos or X-ray. Our doctors review your case — no obligation.
Free doctor review ↗

Crown materials used in this case

The choice of crown material was determined by location in the mouth, functional load, and aesthetic requirements.

E-max (lithium disilicate) Zirconia Post-core fiber restoration Full arch — upper & lower
MaterialBest suited for
E-maxAnterior teeth · High translucency · Natural look
ZirconiaPosterior teeth · Strength · Long-term durabilityUsed in this case

Before & after: what changed for Zachary

The transformation extended beyond aesthetics — restoring function, confidence, and long-term oral health.

Before treatment
  • Crowded lower anterior teeth
  • Structurally compromised teeth
  • Inconsistent smile aesthetics
  • Mismatched restorations
After treatment
  • Full arch E-max & zirconia crowns
  • Structurally reinforced foundation
  • Natural-looking smile proportions
  • Harmonised upper & lower jaws
  • Restored confidence & function

How much does a full mouth restoration cost in Turkey vs the USA?

For patients flying from the United States, the cost difference between US private clinics and Istanbul is one of the most significant factors driving the decision to travel.

CountryAverage full mouth crown restoration
United States$20,000 – $45,000+
United Kingdom£15,000 – £30,000
Turkey · Istanbul$5,000 – $12,000Save up to 80%

Prices are market averages. Your exact treatment cost depends on the number of crowns, materials selected, and any preparatory procedures required.


Why international patients choose Dentakademi

Every overseas restoration case is built around four principles we do not compromise on.

1
Staged biological protocol
We prepare the foundation properly before placing final restorations — no shortcuts.
2
Material selection per tooth
E-max where aesthetics demand it, zirconia where strength is needed. Never a one-size-fits-all approach.
3
Natural smile engineering
No oversized, artificial-looking results. Proportioned crowns designed for the patient’s face.
4
Overseas patient coordination
Clear treatment timelines, travel guidance, and dedicated international patient support throughout.

Get your free personal smile assessment online

If you are considering a full mouth restoration in Turkey, the first step is simple. Send our team your dental photographs, panoramic X-ray, or existing dental records. Our doctors will review your case and provide a candidacy analysis, approximate treatment cost, and recommended visit timeline — no commitment required.

  • ✓Doctor-reviewed — not automated
  • ✓No obligation, free of charge
  • ✓International patient support and travel guidance included
Spec. Dt. Ziya Seferli
Written by DentAkademi Editorial Team
Medically reviewed by Spec. Dt. Ziya Seferli
Last updated:

Bir yanıt yazın

Your email address will not be published. Gerekli alanlar * ile işaretlenmişlerdir