How Sessions Are Combined for Patients Travelling a Long Way
Re-sequencing a plan around travel distance does not mean compromising the treatment.
Why a plan is split into sessions
There are two separate reasons for splitting. The first is biological: healing of an extraction site, integration of an implant, settling after root canal treatment or resolution of gum inflammation all take time, and that time cannot be shortened. The second is practical: chair time, the amount of local anaesthetic in one session, how long a patient can keep the mouth open, and laboratory turnaround. The second group is flexible and can be rearranged.
How much can be combined in one visit
In practice several areas can be treated the same day; the limit is the amount of anaesthetic and the patient's tolerance. Usually one side of the mouth is numbed and completed before moving to the other, since numbing both lower halves at once makes swallowing difficult. Scaling, fillings, starting a root canal and an extraction can often be sequenced in one day; prosthetic work adds laboratory time, so visits are grouped into impression and fitting.
What to do before setting off
- Describe the complaint and how long it has lasted when booking
- Send any radiographs and treatment records in advance
- Bring a written list of the medicines you take
- If you use blood thinners, say so before the appointment
- Do not travel on an empty stomach if a long day is planned
- If sedation is planned, arrange for someone else to drive back
Getting Here, Booking and Emergencies from Mahmutlar
Route, booking and emergency arrangements for patients from Mahmutlar.
Getting here from Mahmutlar
Mahmutlar lies in the Alanya district of Antalya; Alanya is a coastal tourism district, about 132 kilometres from the clinic. We also see patients from neighbouring areas that share the route from Mahmutlar, such as Elikesik, Gümüşgöze, Hisariçi, Karakocalı. You can ask for the location on WhatsApp when travelling from Mahmutlar.
Appointments for Mahmutlar
Over the distance between Mahmutlar and the clinic each visit means a day, so a long slot is set aside and the number of visits needed is stated at the outset. As with patients from Alanya generally, appointments for families from Mahmutlar can be scheduled consecutively.
Emergencies from Mahmutlar
Always call before setting out from Mahmutlar at night; over this distance the guidance you receive on the phone matters in keeping the situation from worsening. For patients coming from Dental Clinic in Mahmutlar, the clinic is open 24/7 and in an emergency the order is set by severity rather than arrival time. For spreading facial swelling, difficulty swallowing or breathing, or toothache with fever, go to the nearest emergency department.
Tongue-Tie and Lip-Tie: When They Are Released
The thin bands under the tongue and inside the lip are present in everyone. The problem is not their existence but their being short or thick enough to restrict movement or tissue.
When a tongue-tie is a problem
The decision rests on function, not appearance:
- In an infant: difficulty feeding, poor weight gain, nipple pain for the mother
- The tongue not reaching the palate and notching when protruded
- Difficulty producing particular sounds
- Plaque and calculus accumulating behind the lower front teeth
- A band that looks short but functions normally is not released
Lip-tie and the midline gap
Where the band attaching the upper lip to the gum is thick and extends low, a persistent gap can remain between the two front teeth. But in the primary and mixed dentition a gap between the front teeth is usually normal and closes as the canines erupt. The decision to release is therefore usually deferred until the permanent canines are through; earlier release may be unnecessary.
The procedure and afterwards
It is a small procedure taking a few minutes under local anaesthesia; done with a laser there is little bleeding and sutures are usually unnecessary. What really determines the outcome is the exercises afterwards and, where needed, speech therapy. Once released, the tongue must learn to use its new range; without exercises the tissue can reattach and the gain is lost.
