For United States Dental Practices | International Dental Implant Center

The Opportunity

A Referral Pathway Built for Clinical Realism

A number of the complex full-arch and revision implant cases coordinated through our network arrive via United States dental practices that have identified the clinical need — but prefer not to expand their own surgical capacity to meet it. For these practices, the choice is often between declining cases that fall outside the scope of their offering, referring patients to domestic specialists whose pricing places treatment out of reach, or accepting a model where the patient's care leaves their practice entirely.

Our co-management framework offers a different option: a structured relationship in which the referring practice remains involved in the patient's care pathway, the surgical phase is delivered through our Istanbul partner network under Dr. Sayıner's clinical oversight, and the post-operative phase returns to the referring practice for continuity. The framework is designed to reflect both the clinical realities of international treatment and the regulatory requirements of the jurisdictions in which referring practices operate.

This page describes the framework at a high level. A detailed framework document covering case acceptance criteria, clinical coordination workflow, complication management, continuity of care structure, and the professional relationship between the referring practice and our coordination service is in preparation and is available on request to practices engaging with us directly.

Framework Elements

What the Co-Management Relationship Includes

I · CASE REVIEW

Joint Clinical Case Review

Each referred case is reviewed jointly by the referring practice and Dr. Sayıner before a treatment plan is finalized. The review covers diagnostic imaging, clinical candidacy, proposed surgical approach, and prosthetic planning. The referring practice retains clinical input throughout the planning phase.

II · ASSIGNMENT

Matched Specialist Assignment

Case-to-clinician matching within our multidisciplinary network — across prosthodontics, oral and maxillofacial surgery, periodontics, endodontics, and orthodontics — is directed by Dr. Sayıner. Assignment reflects the specific clinical requirement of each case, not a standardized clinic list.

III · PLANNING

Documented Treatment Planning

A written treatment plan is issued to the referring practice and the patient before any travel commitment. The plan identifies the recommended protocol, materials, timeline, risks, and staging decisions. Plans are produced through fully digital workflows from CBCT-based planning.

IV · CONTINUITY

Structured Post-Operative Continuity

Routine follow-up, periodontal maintenance, and long-term clinical review are handled by the referring practice upon the patient's return. Digital records — CBCT, surgical plan, CAD files, milling specifications — are transferred at treatment completion in formats compatible with United States dental practices.

V · COMPLICATION

Defined Complication Pathway

Written terms govern the handling of post-operative complications — including the circumstances under which return travel to Istanbul is appropriate, the circumstances under which local intervention is indicated, and the financial and clinical responsibilities of each party. Terms are included in the patient's treatment agreement.

VI · PROFESSIONAL

Compliant Professional Structure

The relationship is structured as a co-management framework rather than a fee-splitting arrangement. Services are defined, documented, and compensated on a basis consistent with the regulatory requirements of the referring practice's jurisdiction. Legal structure is reviewed in the framework document.

For the Referring Practice

What Participation Offers

Extended Scope of Offering. The ability to present complex full-arch and revision implant cases to patients who would otherwise leave the practice for domestic specialists or decline treatment altogether. The practice retains the patient relationship across the arc of care.
Surgical Oversight Without Expansion. Access to oral and maxillofacial surgical capability under Dr. Sayıner's clinical oversight without the practice needing to build or acquire an in-house surgical program, take on the associated capital expenditure, or recruit specialist staff.
Documented Clinical Planning. Written treatment plans, CBCT-based digital planning, and full clinical documentation delivered in formats suitable for practice records, insurance communication where applicable, and patient reference.
Patient Continuity. The referring practice remains the patient's home for routine dental care throughout and after the international treatment phase. Long-term follow-up, periodontal maintenance, and ongoing restorative work return to the practice as the natural clinical flow.
Structured Communication. A defined point of clinical coordination during the active treatment phase, including pre-operative briefing, surgical report, and post-operative handover — so the practice is not operating on partial information when the patient returns.

Where We Are

The Framework Document

Current Status

The complete framework document is in preparation.

A detailed document covering case acceptance criteria, clinical coordination workflow, professional relationship structure, financial terms, and complication management is being finalized for practices engaging with us directly. The document reflects both our clinical standards and the regulatory framework appropriate to referring practices in the Northeastern United States.

Practices interested in reviewing the framework, discussing a specific case, or initiating an introductory conversation are invited to submit an inquiry below. A member of our coordination team will respond within two business days with next steps.

Practice Inquiry

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Inquiries from United States dental practices are reviewed by our coordination team and, where clinically relevant, by Dr. Sayıner directly. Confidentiality is maintained throughout.

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Your inquiry has been received. A member of our coordination team will respond within two business days.

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Practice inquiries are handled confidentially. We do not share practice or patient information with third parties.

Professional Framework

Legal and Regulatory Notes

Any professional relationship between International Dental Implant Center and a United States dental practice is structured as a co-management arrangement, not a fee-splitting relationship. Services rendered by the referring practice — clinical case review, post-operative follow-up, continuity of care — are defined and documented, and compensation reflects services delivered rather than revenue share.

The specific structure and financial terms of each practice relationship are reviewed to reflect the regulatory requirements of the referring practice's state jurisdiction. Variations in state-level rules governing dental practice, referral relationships, and professional compensation are addressed explicitly in the framework document. Practices are encouraged to review the framework with their own legal and compliance advisors before engaging.

Dr. Hanzade Hazal Sayıner's clinical role in this framework is limited to case review and network oversight within our coordination service. She does not offer individualized diagnostic or treatment recommendations to patients in jurisdictions where she is not licensed to practice. Clinical treatment delivery is the responsibility of the treating partner clinic in Istanbul.

Information on this page is intended for general professional reference. The terms of any co-management arrangement are defined in written agreements between the parties and are not established by website content.

A Structured ReferralFramework