How a Treatment Plan Is Sequenced: What Comes First
The right order is the one thing that prevents doing the same work twice.
Stage one: stopping pain and infection
Whatever the plan, active pain and infection always come first: an abscess, advanced pulpitis, a fractured tooth or an active soft-tissue infection is dealt with before anything else. This is not only about comfort — impressions, root canals and surgery carried out while infection is active carry a higher failure risk, because inflamed tissue bleeds, swells and heals unpredictably.
Stage two: making the foundation sound
Once the emergency has passed, attention turns to the foundation: scaling and any periodontal treatment, removal of decay and replacement of leaking old fillings. Gums come before restorations for a concrete reason — inflamed tissue bleeds and swells, which spoils margins, distorts impressions and misleads shade selection. Only after healing is the final gum level, and therefore the crown margin, predictable.
Situations that can change the order
- Spreading facial swelling or fever overrides everything
- A fractured front tooth is addressed the same day, at least temporarily
- If orthodontics is planned, extraction decisions move earlier
- If implants are considered, healing time is written into the plan from the start
- Conditions such as valve disease bring infection sources forward
- Before cancer therapy, a dental screening takes priority
- In uncontrolled diabetes, gum treatment precedes other work
Getting Here, Booking and Emergencies from Mehmetcik
Route, booking and emergency arrangements for patients from Mehmetcik.
Getting here from Mehmetcik
Mehmetçik lies in the Muratpaşa district of Antalya; Muratpaşa is one of the central districts, about 2 kilometres from the clinic. We also see patients from neighbouring areas that share the route from Mehmetcik, such as Kışla, Meydankavağı, Tahılpazarı, Yenigün. You can ask for the location on WhatsApp when travelling from Mehmetcik.
Appointments for Mehmetcik
At this distance, splitting treatment into visits is no problem for patients from Mehmetçik, and attending reviews is easy too. As with patients from Muratpasa generally, appointments for families from Mehmetcik can be scheduled consecutively.
Emergencies from Mehmetcik
Setting out from Mehmetçik at night is quick; come without delay in an emergency, and calling as you leave means preparation is done in advance. For patients coming from Dental Clinic in Mehmetcik, 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.
Apical Surgery (Root-End Resection)
When inflammation at the root tip of a root-treated tooth does not resolve, it may be necessary to reach the problem from outside rather than through the canal. Apical surgery does that.
When it is preferred
Retreatment is usually the first choice; surgery comes to the fore in these situations:
- A post or bridge that cannot be removed, blocking access to the canal
- Retreatment done but the inflammation persisting
- A fractured instrument in the canal that cannot be retrieved
- A lesion at the root tip requiring a diagnosis
- A root tip that is anatomically complex and branched
How it is done
A small incision is made in the gum, the root tip reached, the inflamed tissue removed and the last few millimetres of the root cut away. The cut end is sealed from within with a special material and the site sutured. Using a microscope allows the fine canal branches in the root to be seen and markedly improves success. It is done under local anaesthesia.
Healing and follow-up
Swelling and bruising are expected in the first days, and sutures are removed after about a week. Bone healing takes months and is followed radiographically, with reviews at six and twelve months as standard. Shrinkage of the dark area on the radiograph indicates healing. Patience is needed; a film taken too early will not yet show it.
