Dentures

Complete denture

Made when no teeth are left in a jaw, or when the remaining teeth need to be taken out. The denture rests on the gum and the bone beneath it. An upper denture also covers the roof of the mouth. A lower denture sits on a narrower area and can move more easily.

Partial denture

Made when some teeth are missing but there are healthy teeth in the mouth as well. The denture holds on to the remaining teeth with small hooks (clasps) or with special crowns made on those teeth (telescopic crowns). So the teeth that will support it, and the gums, need to be healthy. There are also small dentures that replace a single tooth.

Immediate denture (fitted straight after extraction)

If impressions are taken before the teeth are extracted, the denture can be fitted on the day of the extraction. This means you are not left without teeth. But the gum and bone change shape as they heal. So these dentures often need adjusting or replacing within about a year². Your dentist will tell you when to take this denture out and clean it for the first time. In this period, follow the aftercare instructions for the extraction.

Implant-retained denture

The denture is attached to implants placed in the jaw, with parts such as press-stud attachments or a bar, and can still be taken out. It is used mostly for lower dentures, which move about the most. According to a consensus report, for a lower denture, two implants gave better patient-reported outcomes than one. More than two implants did not improve these outcomes further³. These were outcomes reported by patients. How many implants a plan uses also depends on your jaw and the type of implant. With mini implants, a review found that fewer implants were lost when four held the denture than when two did⁴. This comparison was made across separate studies, not within one trial. Where there is little bone in the lower jaw, thinner (narrow-diameter) implants are described as an option⁵.

When another option is considered

• If you do not want to wear a removable denture. A bridge or an implant may be considered.
• If the teeth that would support it are loose or have very large fillings. These teeth need to be examined and treated first. Sometimes a different plan is more suitable.
• If you cannot have, or do not want, surgery. A conventional complete or partial denture remains an option.
• If you are happy with your upper denture and your tissues are healthy. According to an international consensus guideline, in this case no further treatment beyond regular maintenance is suggested⁶. Your dentist will still explain the long-term effects and the implant options.

The figures in this list come from published studies, not from our own records.

• Doing nothing. If a single back tooth is missing, leaving the gap is also an option. One study followed 116 untreated back-tooth gaps with X-rays. In the first year, the average change in the gap was less than 1 millimetre⁷. Later movement was mostly slow and small. A review looked at adults who had lost back teeth (molars) but kept their front teeth and premolars. Managing without a partial denture looked promising⁸ in terms of chewing and satisfaction. Whether this suits you depends on your remaining teeth. On the other hand, tooth loss has been linked with lower oral health-related quality of life⁹. This is an association; it has not been shown to be the cause. If you leave the gap, have it monitored at your regular check-ups.
• Partial denture. No surgery is needed. With clasps, the supporting teeth usually need little or no trimming. With telescopic crowns, the supporting teeth are trimmed and crowned. Better quality of life and satisfaction among partial denture wearers have not been reported consistently in studies¹⁰. How long it lasts is covered below.
• Bridge. It is fixed and does not come out. In a conventional bridge, the teeth on either side are trimmed and crowned, and that tooth tissue does not grow back. In a review published in 2004, of every 100 conventional bridges in long-term studies, about 89 were still in the mouth after ten years¹¹. A later review, published in 2007, found that the most common problems were decay and loss of nerve vitality¹² in the teeth carrying the bridge. More on bridges is on the dental bridges page.
• Implant. An implant is placed in the jawbone in place of the missing tooth, and a crown is made on top. This is a surgical procedure, and there is a wait while the bone heals. A review pooled 46 studies of implants carrying a single crown. Of every 100 implants, about 97 were in the mouth after five years and 95 after ten¹³. The crown on the implant is a separate part. In the same review, of every 100 crowns, about 96 were in use after five years and 89 after ten¹³. Staying in the mouth does not mean trouble-free use. A 2007 review found no study¹⁴ comparing a single implant directly with a bridge. So these rates do not show which is better for you. More detail is on the dental implants page.
• Complete denture or implant-retained denture. In a jaw with no teeth, a conventional complete denture is a less costly treatment, needs no surgery and takes less time⁶. An implant-retained denture needs surgery and more maintenance: replacing the retaining parts, relining and repairs. Randomised trials studied people with no teeth in the lower jaw. On average, a lower denture attached to implants was found more satisfactory than a conventional denture¹⁵. But the size of the benefit is uncertain. No evidence was found¹⁵ that it improves general health. The evidence on its effect on nutrition is weak and inconsistent¹⁶. For the upper jaw, the evidence is thinner and less consistent. But more recent studies suggest that an implant-retained denture can increase satisfaction in the upper jaw too⁶.
• Fixed full-arch implant teeth. All the teeth in a jaw can also be replaced with fixed teeth attached to implants. See the All-on-4 and full-mouth dental implants pages.

Before you decide, you can also ask a dentist in the UK for an independent opinion. Ask which option suits you, what they think of the plan you are given, and whether to have the treatment in the UK instead.

The steps below are for a conventional complete or partial denture. Your dentist will plan how many appointments are needed, and how much time passes between them, after the examination. How the appointments fit a trip is covered in "Should you travel for a denture?".

For an implant-retained denture, the implants are placed first and there is a wait while the bone heals. The denture is attached to the implants afterwards. This process is described on the dental implants page.

The figures in this section come from published studies, not from our own records.

Risks and disadvantages

• Loosening over time. After teeth are taken out, the jawbone shrinks markedly, especially in the first 3-12 months, and then continues more slowly for life¹⁷. So even a well-fitting denture can become loose over time.
• Rubbing and sores. A new or loose denture can cause sores on the gum. A denture that hurts, slips or no longer fits is a reason to see a dentist².
• Inflammation under the denture. The tissue under a denture can become inflamed (denture stomatitis). To reduce this, one guideline recommends taking the denture out at night unless your dentist advises otherwise¹⁷.
• Supporting teeth with a partial denture. The teeth a denture holds on to have been found to have a higher risk of being extracted¹⁸ over time. The risk is clearly higher in teeth whose nerve has died. On average, looseness of the remaining teeth and gum pocket depth did not change, and a measure of gum inflammation showed a slight increase¹⁸. These are associations; they do not show that the denture itself caused the extractions.
• Breakage. A denture can crack if it is dropped or as it wears over time. In a large review of dentures attached to mini implants, 69 of the 76 dentures counted as failures failed because the denture broke⁴.
• Extra risks with an implant-retained denture. The risks of implant surgery are added; these are covered on the dental implants page. The figures below are for mini implants, a thinner type than standard implants; they do not describe standard implants. A review pooled 39 studies of mini implants holding dentures. Over an average follow-up of two to three years, about 5 in every 100 implants were lost⁴. Most of the losses happened in the first year. Results in the upper jaw are clearly worse. An analysis pooled upper-jaw studies with an average follow-up of less than two years. At the end of these studies, about 77 in every 100 implants were still in place¹⁹. Studies comparing mini and standard implants are few and short; for a lower denture, which is better in the long term is uncertain²⁰.

Benefits

• It helps with the difficulty in eating and speaking² that missing teeth cause.
• A conventional denture needs no surgery. A clasp-retained partial denture usually needs little or no reshaping of the supporting teeth.
• The denture can be taken out and cleaned outside the mouth. When it is taken out at night, the tissues of the mouth get a rest.

Eating and speaking

Getting used to a new denture takes time: the NHS says it can take a few weeks to get used to wearing dentures². In the first days the denture may feel big in your mouth, and some sounds may come out differently. Eating may feel different too. Practise taking the denture in and out. Start with soft foods and cut food into small pieces. Avoid biting hard foods with your front teeth for a while. If the denture rubs, causes a sore or moves about, do not try to fix it yourself; book an adjustment appointment.

Cleaning every day

• Clean the denture outside your mouth every day. Brush it with a soft brush and a non-abrasive denture cleaner. Soak it in a cleaning solution as the product instructions say, and rinse it well before putting it back in. In a review of 44 clinical studies, brushing combined with a chemical cleaner was found more effective than either on its own²¹.
• When cleaning the denture, fill the basin with water or put a folded towel in it. This lowers the risk of it breaking if you drop it.
• Cleaning tablets and solutions are used only while the denture is out of the mouth¹.
• Do not put the denture in hot or boiling water. Do not use household bleach or household cleaning powders. If you use a denture cleaner that contains sodium hypochlorite, do not leave the denture in it for longer than 10 minutes¹⁷. If your denture has metal parts or a soft lining, ask your dentist before using a chemical cleaner.
• The NHS advises not cleaning dentures with toothpaste, because it could damage them². Use mild soap or a non-abrasive denture cleaner instead.
• Clean your gums, tongue and remaining teeth every day as well. Brush your remaining teeth twice a day with a fluoride toothpaste and clean between them. With a partial denture, take particular care with the teeth the clasps hold on to.

At night

Unless your dentist advises otherwise, take the denture out at night and clean it before storing it. The NHS says that if dentures are worn overnight, trapped food increases the risk of gum infections and tooth decay². It also warns that you could choke on dentures left in while you sleep². Cleaning the denture before storage reduces Candida (a yeast) settling on the denture²². Whether to store it in water or dry depends on the material. One guideline recommends storing it in water to stop it losing its shape¹⁷. A review, on the other hand, reports that storing it in water alone can increase yeast growth²². Ask your dentist which suits your denture.

Denture adhesive

Reviews of studies in people with complete dentures show that adhesive can improve how well the denture stays in place, biting and chewing²³. But the size of the benefit varies from person to person. Depending on the review, confidence in these results ranges from moderate²⁴ to very low²⁵. Almost all the studies were done with complete dentures. With a partial or implant-retained denture, ask your dentist before using adhesive.

Follow the amount and method in the product instructions; use the smallest amount that holds. For cream adhesives, one guideline recommends three or four pea-sized dots per denture¹⁷. If adhesive oozes out from the edge of the denture, too much has been used. Clean the adhesive off the denture and out of your mouth completely every day. As a precaution, the same guideline recommends avoiding adhesives that contain zinc¹⁷. Zinc-free adhesives are available. Because ingredients are not always listed²⁶, choose a product that states it is zinc-free. In people who used very large amounts of zinc-containing adhesive over a long time, copper deficiency and related nerve and blood problems have been reported²⁷. The US Food and Drug Administration (FDA), however, states that it found no conclusive evidence²⁶ that these problems arise when adhesive is used as directed.

The rates below come from published studies, not from our own records. They describe the denture staying in use. They do not mean there were no problems during that time.

• Partial denture. A review of 46 studies looked at partial dentures. Of every 100 with cast clasps, about 95 were still in use after five years, and about 92 of every 100 with telescopic crowns¹⁸. The difference between the two types was not significant. The rates are per denture and do not predict the outcome for any one person.
• Complete denture. For conventional complete dentures, published estimates of how long they last cannot be compared directly with the partial-denture figures above. When to replace one is decided at an examination, based on its fit, its wear and the tissues of your mouth.
• Implant-retained denture. The lifespan of the implants and of the denture are measured separately; implant losses are given above, under risks. With these dentures, replacing the retaining parts, relining and repairs are needed again and again⁶. In a review of dentures on mini implants, wear and replacement of the attachment parts and relining of the denture were also common⁴.

Relining, repairs and replacement

When a denture becomes loose, new material can be added to its fitting surface so that it fits the gum again. This is called relining. A cracked denture, or a tooth that has come off, is repaired by a dentist; sometimes the denture needs replacing. According to the American College of Prosthodontists, there is no evidence²⁸ that sets how often dentures should be relined or replaced. The same organisation recommends that a denture in use for more than five years be assessed for replacement. This is not a rule to replace it every five years; the decision is made after an examination.

One guideline on complete dentures recommends that wearers have a check-up once a year¹⁷. For a partial or implant-retained denture, your dentist may set a different interval. Even if you are happy with your denture, take it with you to your check-ups. The NHS says dentures can last for years if you look after them, but it is important to keep seeing your dentist regularly². Once you are back in the UK, these check-ups are likely to be with a dentist near your home.

See your dentist if any of the following happens:

• The denture moves, slips, clicks or no longer fits
• The denture causes pain or sores; a sore does not heal
• The denture has cracked or broken, or a tooth has come off (do not glue it yourself; take any broken pieces with you)
• The gums under the denture are red or bleed; you have bad breath
• You need more and more adhesive for the same hold, you apply adhesive more than once a day, or you cannot eat without it
• A tooth that a partial denture holds on to hurts, is sensitive or is loose
• A sore does not go away even after the denture has been adjusted, or you notice a new patch or swelling in your mouth

The first four items are among the NHS's reasons to see a dentist². Where adhesive is concerned, one guideline recommends having the fit of the denture assessed¹⁷, and a professional body recommends assessing whether the denture needs replacing²⁸.

If you get numbness or tingling in your hands or feet while using adhesive, stop using the adhesive and see a doctor²⁶.

Before you fly home. Make sure the denture has been adjusted after fitting and that you can put it in, take it out and clean it. Have written care instructions, a record of the treatment and a way to reach us. If any of the problems above starts while you are still in Turkey, tell us before you fly home.

Once you are home. Sore spots can appear after you have gone home. If the denture rubs or moves, see a dentist near you; do not file it yourself. If a problem comes up that is not urgent, you can also write to us and send photographs. In England, if you have no dentist or cannot get an emergency appointment, the NHS says to call 111 or get help from 111 online²⁹. They can tell you where to get help, and you may have to pay for the appointment. Elsewhere in the UK, check the local arrangements.

Emergencies. In the UK, call 999 or go to A&E²⁹ if you have any of the signs below. Do not wait for a dental appointment or for our reply. In Turkey, call 112.

• It is hard to breathe, speak or swallow
• There is a lot of swelling in your mouth, or it is hard to open your mouth
• Your eye is swollen or painful, or your eyesight changes suddenly
• Your neck is swollen³⁰

If you think you have swallowed or breathed in the denture or a piece of it, get urgent medical help straight away. Do not wait for a dental appointment.

Whether you need a denture, and which type, depends on your mouth, not on the trip. In the UK, dentures are made on the NHS and privately. In England, an NHS dentist may offer you NHS dentures if you need them to treat a dental problem². Dentures are classed as a band 3 treatment under NHS dental charges². Most people pay NHS dental charges, although some are entitled to free treatment. You can also have dentures made by a private dentist, where you may have a wider choice of materials. These NHS pages are for England. Scotland, Wales and Northern Ireland have their own NHS rules, and this page does not cover their charges.

Is it worth the trip?

A conventional denture is made over several appointments, and sore spots usually need adjusting in the first weeks of wearing it. Over the years it needs check-ups, relining and repairs. Most of that care will be with a dentist near your home. So if a denture is all you need, consider having it made by a dentist in the UK. Treatment in Antalya makes more sense as part of a larger plan you have already chosen to have there. Examples are an implant-retained denture or other treatment in the same trip. An implant-retained denture needs more maintenance over the years, so first check that a dentist in the UK will look after it. Either way, before you book, agree who will adjust and reline the denture once you are home.

Your appointments in Antalya

A conventional denture is made over several appointments, with laboratory stages between them: impressions, recording the bite, a try-in and the fitting. After the fitting, sore spots are corrected at review appointments. How many days you need in Antalya depends on the type of denture: complete, partial or implant-retained. It also depends on whether teeth need extracting or treating first. Other treatment planned in the same trip changes it too. The NHS website for England says it usually takes a few weeks for dentures to be made², with another appointment to fit them. Ask how the stages fit your stay, and whether a try-in is included. Ask for the plan to leave time for an adjustment appointment after the fitting, before you fly home.

Before you book, you receive a written preliminary plan with the appointments and how many days they need. It is based on your description, photographs and any X-rays you send. The examination confirms or changes it, and with it the days and the cost. If it changes, you receive the revised plan in writing before treatment starts. The examination may also show that the planned denture does not suit you; a different plan or no treatment may then be advised. Ask before you travel what you would pay in that case. You can say no, or ask to stop, at any stage, including after the examination. Once a tooth has been extracted or trimmed, that step cannot be undone.

If teeth are taken out

Whether a tooth should come out depends on the tooth, not on the trip; the tooth extraction page covers this. An immediate denture, fitted on the day of the extraction, often needs adjusting or replacing within about a year², as the gum and bone heal. This relining or replacement is likely to be done by a dentist in the UK, or on a return visit; agree which before treatment starts.

Implant-retained denture

The implants are placed first and there is a wait while the bone heals, so the treatment usually needs at least two visits to Antalya. How long healing takes is set after the examination. Your plan states how many visits it needs and what is done on each. The retaining parts need replacing again and again⁶ over the years. So ask for a record of the implant system placed, with its diameter and length, and of the attachment type. A dentist in the UK needs it to look after them. Before you go, ask us which implant system we use, and ask your UK dentist whether they can work with it. More on implant treatment and visits is on the dental implants page.

Flying

A 2023 review of flying after dental treatment gives no interval for fitting a denture. Its earliest times are 24 to 48 hours after a simple extraction and 72 hours after a surgical extraction or an uncomplicated implant placement³¹. They apply only if there is no pain, swelling or bleeding where the treatment was done. After a sinus lift or more complex surgery, the review suggests waiting longer. The authors note that the research is limited and comes mainly from military aviation. Treat it as a starting point for your dentist's advice, not as a rule.

Your dentist in the UK

The GDC says it is always a good idea to speak to your own dentist³² before treatment abroad. They may be able to advise you from your dental history, and they need to know the plan in case problems come up later. Ask now whether they will see you after you return, to adjust, reline or repair the denture. If you do not have a regular dentist, find one, NHS or private, before you travel. The NHS suggests you discuss your plans with a GP³³ before making final decisions about travel or medical arrangements. Bring back a written record of the treatment (see "What records will I take home?" below). If you still have some of your own teeth, check-ups matter for them too. National guidance in England (NICE) says the interval between check-ups should be set for each person according to their risk³⁴.

Back in the UK, a dentist near you will usually be the first to see a problem with your denture, rather than us. Plan for that before you travel. The British Dental Association advises patients to get advice on what to do if problems occur after they return³⁵.

• Sore spots, rubbing or a denture that moves. These often appear in the first weeks. See a dentist near you; do not file the denture yourself or bend the clasps. For a problem that is not urgent, you can also write to us and send photographs.
• Relining. As your gums and bone change, the denture loosens and needs relining. A denture fitted on the day of an extraction often needs it sooner (see "If teeth are taken out" above). This is likely to be done by a dentist near your home, or on a return visit if your plan says so. Agree which before treatment starts.
• A crack, a break or a tooth that comes off. See a dentist near you and take any broken pieces with you. Some breaks can be repaired; sometimes the denture needs replacing.
• Implant-retained denture. The clips or other retaining parts wear and need replacing. Take your record of the implant system and the attachment type to your dentist. Whether a problem is dealt with in the UK or on another visit to Antalya depends on the problem.
• Who pays. Our written remake terms state who pays for further treatment and travel (see "Is the work guaranteed?" below).

What the NHS does and does not do

The NHS Business Services Authority publishes guidance for dentists in England and Wales. It says a patient treated abroad is dealt with like any patient previously treated by another provider. If an NHS practice accepts you, it provides the clinically necessary treatment its NHS contract covers, with your consent. In England, NHS dental charges list small adjustments to dentures in band 1, such as smoothing rough parts or tightening clasps³⁶. Relining and rebasing a denture are listed in band 2³⁶. But some entitlements do not apply where another provider did the original work. These are further treatment within two months, free repair or replacement, and a replacement appliance under Regulation 11³⁷. So before any repair, ask the practice whether you will be charged for it. The guidance covers England and Wales. Scotland and Northern Ireland have their own NHS rules, which this page does not cover; ask the practice you plan to use. The NHS also states that it is not liable for negligence or failure of treatment³³ you receive abroad.

Travel insurance

The NHS warns that most travel insurance policies will not cover you for planned treatment abroad³³, so you may need specialist cover. Ask your insurer, in writing, before you book.

The GDC lists thirteen questions³² to ask before dental treatment abroad, and the NHS has its own checklist. Below are the ones that matter most for a denture, each with our answer. Where our answer is a commitment rather than something you can check today, it says so. Ask us the full list, and ask for the answers in writing.

Who will treat me, and how can I check their registration?

We name the dentist who will treat you, in writing, before you commit. In Turkey a dentist in private practice must register with the local dental chamber³⁸ within a month of starting, and cannot practise privately without it. The Turkish Dental Association's website offers a search of registered dentists by name and province³⁹. Ask us for the treating dentist's registration details. Registration in Turkey is separate from the UK register: the GDC states that only people registered with it can legally practise dentistry in the UK⁴⁰.

How often do you do this, and what are your complication rates?

The GDC suggests asking how many times the procedure has been carried out, and the success, complication and infection rates³². The figures on this page come from published studies, not from our own patient records. We publish no denture figures of our own yet. Ask us for them, how problems such as breakage or relining were counted, and over what period.

Is the clinic licensed and regulated?

In Turkey a dental clinic cannot open without a licence or treat patients without an operating permit. It is inspected at least once a year⁴¹. To treat international patients, a facility also needs an authorisation certificate from the Ministry of Health⁴². The Ministry publishes a register of authorised facilities⁴³ that you can check yourself. We give you our authorisation details before you commit. A licence or authorisation is a legal minimum, not a statement about the result of your treatment. The GDC itself cannot guarantee that a regulator like it exists in another country³².

Will I get the plan in writing?

Yes. The GDC says you should be assessed by a qualified dentist before being given a treatment plan and cost estimate³². Your written plan states the type of denture and why it was chosen. It gives any teeth to be extracted or treated first, with the reason for each. It lists the appointments and how many days they need, and what the plan covers and does not cover. Check whether the adjustment appointments after fitting, and relining, are included. A plan made from photographs or X-rays you send is preliminary. It is confirmed after the examination, and we tell you before anything in it changes.

Is the work guaranteed?

The GDC suggests asking whether the work is guaranteed and for how long³². It also suggests asking whether further treatment is included if there are complications, and who pays for extra flights, hotel and remedial work³². Before you commit, we give you our complication route and remake terms in writing. They state what is covered, for how long and what is excluded. They also state what you must do to keep the cover, such as attending reviews, and who pays for further treatment and travel. Read that document before you decide, rather than relying on the word "guarantee" on any web page.

Is there insurance if something goes wrong?

The GDC list also asks about insurance³². In Turkey a facility treating international patients must take out complication insurance for surgical and interventional procedures carried out in an operating theatre⁴². That does not by itself tell you whether anything in your plan is covered. A conventional denture involves no surgery; if your plan includes extractions or implants, ask which procedures fall under it. Ask us too, in writing, whether the clinic or the treating dentist holds insurance for complications or errors, and what it covers. Travel insurance is covered under "Adjustments, relining and repairs once you are home" above.

Who do I contact after treatment?

Your written plan names the contact route for questions and problems once you are home, and your review interval. For urgent symptoms, get emergency care where you are first (see "When to see a dentist" above).

What records will I take home?

The NHS lists exchanging medical records and arranging aftercare back home³³ among the things to consider. In Turkey you are entitled to an itemised bill, and on request to free copies of the records of materials, tests and imaging⁴². You may also examine your file and take a copy⁴⁴. Before you fly home, ask for a written record a UK dentist can use. It should show the type of denture and its materials, any teeth taken out or treated, and copies of your X-rays. For an implant-retained denture, it should also give the implant system placed, with its diameter and length, and the attachment type.

What if I am unhappy, and where can I complain?

We give you our written complaints procedure before treatment. A complaint goes to the clinic first; private dental polyclinics, centres and hospitals in Turkey must have a patient rights unit⁴¹. If the clinic does not resolve it, you can apply in writing to the provincial health directorate's Patient Rights Board⁴⁴. The Board decides within thirty days, but it does not assess allegations of medical error. The dental chamber can also open disciplinary proceedings³⁸ against a dentist. Do not expect the UK regulator to settle it. The GDC states that it cannot resolve complaints or help with refunds⁴⁰; its investigations are about whether dental professionals are fit to practise.

Will the team speak English?

The GDC suggests asking whether the team speaks your language and, if not, whether a translator is provided³². We confirm in writing, before you commit, who will explain the plan, the consent form and the aftercare instructions to you in English.

Warning signs, including for us

The NHS checklist names five signs to think twice about before booking. They are a hard sell, a lack of information, pressure to make a quick decision, no discussion of possible complications, and no mention of aftercare⁴⁵. Apply them to us too. If you feel pushed to decide quickly, wait.

This page carries no prices. The treatment plan is prepared for you after an examination. The main factors are:

• A complete or a partial denture, and the type of partial denture (acrylic, with a cast metal framework, or with telescopic crowns)
• Teeth that need extraction, fillings, root canal treatment or gum treatment before the denture
• Whether a temporary denture is needed straight after extraction
• For an implant-retained denture, the number of implants, a bone graft if needed, and the attachment parts
• Later adjustments, relining, repairs and replacement parts
• The number of trips the appointments need

Ask for a written plan that shows what is included. Ask too whether the adjustment appointments after fitting, and relining, are included in the plan. And ask who pays for further treatment and extra travel if there is a complication. Add your own travel and accommodation for every visit, and later adjustments and relining with a dentist in the UK, to see the whole cost. If you are comparing with a quote from a UK practice, compare what each one includes, item by item.