At International Plus in Istanbul, every clinical story carries meaning. This case study documents Klasia’s journey, a 38 year old patient from Poland who lived with the aesthetic and functional consequences of a congenital cleft lip and palate for decades. Her rehabilitation combined advanced surgical planning, 100 percent digital dentistry, and the artistic craftsmanship of our Dental Art laboratory to deliver a truly transformative outcome.
Restoring Smiles After Cleft Palate Complications
Klasia arrived at International Plus after years of searching for a lasting solution to problems that had shaped her daily life. Born with a cleft lip and palate, she had undergone corrective procedures during childhood, but the long term aesthetic and functional consequences continued to affect her well into adulthood.
Cleft palate dental problems extend far beyond the initial birth defect. The long term effects often include compromised bone development in the upper jaw, recurring issues with dental restorations that fail to hold, and significant soft tissue deficiency in the anterior region. For Klasia, her existing bridge between teeth 22 and 25 could no longer provide the aesthetic smile restoration she needed. Chewing had become unpredictable, and the visible compromises in her smile had affected her confidence deeply.
Her decision to travel from Poland to Turkey reflected a determination to find a team with genuine experience in complex cases. Istanbul has built a distinctive reputation in international dental rehabilitation, supported by accessibility to advanced healthcare and Turkey’s developed medical infrastructure. At International Plus, our clinical team has performed extensive aesthetic smile restoration work for patients from across Europe, and this accumulated expertise directly shaped Klasia’s treatment plan.
Clinical Evaluation of Severe Bone and Tissue Loss
The clinical dental assessment at International Plus begins with a comprehensive diagnostic workflow combining 2D and 3D imaging, intraoral scanning, and facial analysis. Three dimensional tomography examination revealed marked bone loss in the upper jaw, particularly in the anterior region where the cleft palate had historically influenced development. This was accompanied by significant soft tissue deficiency that would require careful management during the prosthetic phase.
Our multidisciplinary team reviewed Klasia’s complete case before any treatment decision was finalized. Surgical, prosthetic, and aesthetic perspectives converged in this clinical council, leading to a unified recommendation addressing both immediate functional problems and long term aesthetic goals. The 3D tomography technology proved especially valuable, allowing our surgical team to map available bone volume with precision and plan implant positions that would integrate optimally with her remaining bone structure, minimizing any risk of placement error.
Strategic Extraction and Implant Placement with Megagen and Implance
Klasia’s surgical phase was performed under local anesthesia, with general anesthesia available as an option. The first step involved atraumatic tooth extraction, a technique that preserves surrounding bone and soft tissue. This approach is particularly important when every millimeter of existing bone contributes to the stability of the planned reconstruction.
In the upper jaw, three Megagen implants were strategically placed in positions 22, 23, and 25. Megagen implants are known for their consistent performance in challenging anatomical conditions and represent one of several premium systems we regularly use alongside BEGO, Implant Swiss, Implance, Straumann, Nobel Biocare, and Nucleoss. In the lower jaw, two Implance implants were placed in positions 45 and 46 after extraction of the previously treated teeth. All five implants achieved appropriate primary stability with acceptable torque values, establishing a secure foundation for the six month osseointegration period.
Digital Workflow and 3D Printed Mock-Up Process
International Plus applies 100 percent digital dentistry to every full mouth rehabilitation. One of our most distinctive technologies is the 3D FaceScan system. We are among a very limited group of clinics in Turkey that offer facial scanning integrated with intraoral digital scanning for smile design. The 3D FaceScan captures the patient’s facial anatomy with high precision, and this data is matched with digital scans of the dentition and implant positions to create a comprehensive three dimensional model.
For Klasia, the ability to visualize the final outcome before committing to definitive restorations was invaluable. The design was presented to her on a tablet, where she could review and approve exactly how her new smile would look. This patient approved approach represents the heart of our 100 percent digital smile design philosophy at International Plus.
The temporary dental restorations were produced using the Asiga 3D printer together with Arma brand temporary resin material. These ‘preview prostheses’ allowed Klasia to experience her new occlusion and aesthetics in real life before the permanent restorations were fabricated. Small refinements were incorporated based on her feedback, ensuring the final restorations would deliver exactly the outcome she had approved.
Mastering Aesthetics with Pink Porcelain and Zirconium
The final restoration phase showcased the mastery of our Dental Art laboratory. The key aesthetic challenge for Klasia’s case was to compensate for the gum recession and tissue loss that surgery alone could not restore. The solution was pink porcelain, a specialized ceramic application that mimics natural gum tissue with remarkable realism. Our Dental Art technicians applied pink porcelain to the zirconium restorations in the anterior maxilla, recreating healthy gum tissue appearance where Klasia had experienced the most significant loss.
The full reconstruction comprised 28 units of zirconium crowns fabricated from Ivoclar zirconium blocks using the Redon milling system. The Redon milling system produces restorations with micron level precision, ensuring each crown fits exactly as designed. The shade selection of 0M2 provided a bright, natural appearance, while the final characterization was performed by our master ceramists who bring the artistic sensibility that defines the Dental Art approach at International Plus.
Full Mouth Reconstruction Results: From Poland to Turkey
The final outcome of Klasia’s full mouth restoration in Turkey represents one of the most meaningful smile makeover results our team has delivered. When she saw her completed rehabilitation for the first time, years of quiet frustration gave way to relief and renewed confidence. The aesthetic transformation was immediately visible, and the functional improvements became apparent over the following weeks as Klasia rediscovered eating, speaking, and smiling without hesitation.
For international patients like Klasia considering complex full mouth restoration in Turkey, International Plus in Istanbul offers an environment where clinical expertise, premium materials, and advanced digital technologies converge to address even the most demanding cases with European standard care.
Frequently Asked Questions
Can dental implants be placed in a cleft palate area?
Yes. With advanced surgical planning and 3D tomography analysis, dental implants such as Megagen can be successfully integrated into areas affected by cleft palate history. At International Plus, our multidisciplinary team evaluates each case individually, with bone augmentation planned when necessary.
How is soft tissue loss managed in complex dental cases?
Our Dental Art laboratory applies specialized pink porcelain techniques on zirconium restorations to mimic natural gum tissue appearance. This compensates for significant tissue loss when surgical reconstruction alone cannot achieve the desired aesthetic outcome.
What is the benefit of a digital workflow in full-mouth restoration?
Digital tools such as our Asiga 3D printer and 3D FaceScan system allow us to create precise mock ups before fabricating final restorations. This ensures the patient can review and approve the occlusion and aesthetics before committing to the permanent outcome.
How long does a full dental rehabilitation take?
A complete timeline is generally six months, including the osseointegration period, with patients traveling to Istanbul for two separate visits: one for surgery and temporary restorations, another for final digital smile design and zirconium delivery.
Which brand of implants and crowns were used in this case?
Klasia’s case used Megagen implants in the upper jaw and Implance implants in the lower jaw. The final restorations consisted of 28 units of zirconium crowns produced from Ivoclar zirconium blocks through the Redon milling system. International Plus works with premium brands including Megagen, BEGO, Implant Swiss, Implance, Straumann, Nobel Biocare, and Nucleoss.
Are you facing complex aesthetic challenges like Klasia? Contact International Plus today for a digital smile design consultation.
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This content is written, reviewed, and approved by the International Plus Medical Review Board to ensure clinical accuracy and adherence to strict editorial standards. All medical information is regularly monitored, audited and updated in light of the latest scientific advancements.
However the information provided here is for general informational purposes only and cannot be used for self diagnosis or making individual health interpretations. Results of medical treatments depend on individual anatomy and the unique healing process of each patient. This information should not replace a personal consultation with a qualified healthcare professional. To understand the best options for your specific needs and to receive a personalized treatment plan, we invite you to book a free consultation with the expert medical team at International Plus.
I am a healthcare professional with over 4 years of experience in dentistry, specializing in prosthetic dental treatment and implant-based applications. Since 2024, I have been serving as chief physician, leading clinical management, team coordination, and international patient processes. With my B2-level English proficiency, I am able to communicate effectively with international patients. I am a patient-centered, innovative, and solution-oriented dentist who prioritizes patient satisfaction.
