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How to find your perfect Costa Rican dentist

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Someone on the Topix forum recently asked, Who is good with veneers?  This is not the first time this question has come up, but it's the first time it's come up when I had my own blog to give my take on it. 

Veneers aren't a secret occult science, nor are they a specialty area in itself.  There are several specialty areas of dentistry, but "Veneerology" isn't one of them.  Rather, veneers are a part of prosthodontics, the specialty that covers crowns and bridges.  A dentist who is very skilled and successful with crowns, bridges, etc, should also be able to do good veneers.

Not being a dentist nor even having any veneers myself, let me just do some blue-sky thinking.  It seems to me that placing a veneer requires the same skills dentists use to place crowns, only more so:  An aesthetic sense to judge the color and select the material what would best work in a given situation; a feel for the strength of materials and cements to judge whether a given veneer would hold; technical laboratory skills to fabricate such veneers to such precise tolerances; and manual dexterity to prep the surface correctly.  In other words, it's just like setting crowns, only more difficult. At least in the judgment of this layman.

I think that this question arises from some bad experiences some patients have had with veneers.  Veneers are very likely more difficult to successfully acheive than crowns.  I suspect that some dentists whose skills are adequate to place crowns simply lack the additional skill and judgement required to do veneers. Hence this concern.

If you need veneers--or any other type of "cosmetic" dentistry, for that matter--you should choose a highly skilled dentist, rather than the first one that pops up on your Google or Yahoo search.  There are some very good dentists on this blog.  My first impulse would be to check out some of the specialists in prosthodontics.  These dentists have studied advanced cosmetic procedures under a master in their graduate programs.  Some of the other general dentists might well have acquired the experience and skills required for these procedures, but I can't speak to that.

Two years ago I talked with someone who wanted dental work done in Costa Rica for purely cosmetic purposes. There wasn't anything wrong with his teeth, he just wanted to look better.  Nothing wrong with that.  The trouble was the clinic he had chosen--a clinic so mediocre that it had trouble just doing the basics.  Like crowns.  A clinic that can't even do basic dentistry reliably cannot be expected to succeed in something much more challenging. After a long conversation, I was able to talk him out of his plan.  For this good deed alone, I fully expect to have secured my spot in Heaven.

If you want dental procedures for purely "cosmetic" purposes, you need to find someone who has excellent judgment and integrity in weighing the "downside" of the procedures you're considering, as well as having the skills to successfully accomplish it.  You want someone who can preserve what's working for you and just make it look better, not someone who will give you new dental problems.

Good luck hunting!


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"Who's the best dentist in C.R. for VENEERS?"

By CometGlare → Friday, January 23, 2015
I had a long phone conversation with a would-be dental patient recently who was on the verge of a visit to C.R. to check out dentists.  A couple of isues came up that might be of general interest.

Cost was an issue for her as it is for many of us. After all, that's one reason why we're looking at Costa Rica.  For price-conscious patients, I always mention Cavallinis and Costa Rica Dental Team.  Both clinics do both full-mouth restorations and implants, but I think that the Cavallinis are particularly good to look at for economy-priced implants, and CRDT for crowns.

Another issue was scheduling procedures for implants with Dr. Gonzales.  She tried to contact Dr. Gonzales first and I guess that sort of surprised me until I thought about it.  Dr. G. is the implantologist (and periodontist) for Dr. Prada of DDS Dental, and so it would be natural for many US patients to make the contact with him since he would be doing the implants.  I think this may be how it works at some C.R. clinics (Dr. Anglada and Dr. Castro-maybe?), but the best and easiest procedure here would be to let Dr. Prada handle everything.  Let him be the point of contact, and if he thinks you should contact Dr. G directly he'll tell you.  This is the how both R.J. and I handled our procedures with Dr. G., implants in RJ's case and crown lengthenings in mine.  The beauty of this arrangement is that if something ever goes wrong, you just contact Dr. P., and he'll figure out how to fix it. I love that Dr. P and G work so well as a team. 

All the dentists mentioned here have their own entries on this blog under "The Dentists".
 
Pura vida!

Conversation with would-be patient

By CometGlare →
T
his page is for miscellaneous readers' comments.  If you have a comment on a particular dentist, please post it on that dentist's page.  If it's a general comment, you can post it here.

Please observe blog guidelines for posting. Be polite and respectful when talking of other folks' dentists.

Thanks!
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Readers' discussion forum

By CometGlare → Thursday, October 9, 2014
T
here are several active threads on TripAdvisor about Costa Rica dentists.

I like TripAdvisor because moderators remove posts that are irrelevant or self-promoting.

Here is the single longest TA threadanother long conversation here, and yet at third long one (now closed for comments).
 
And there are shorter conversations: here, here, here, here (mostly about Costa Rica Dental Team), here, here (about NOVA).  You get the idea.

To see all the conservations about C.R. dentists, you need to page through the lists of individual conservations in the "San Jose (C.R.) Travel Forum".  I've listed the significant ones that were "active" from January 1, 2014 to Oct 9, 2014, when I composed this post.


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TripAdvisor threads on C.R. dentists

By CometGlare →

I'm not a dentist. I don't have any implants. I have never researched implants and I really shouldn't be commenting on implants.  But I can't help myself, so I'm going to go ahead and tell you what I do know about getting implants in Costa Rica.

Implants are a mysterious topic for many US patients who suddenly learn from their dentist that they need one (or several).  Let's see if we can demystify it some.

First, as I explain elsewhere on this blog, I have nothing against US dentists.  If you have a local dentist that's an expert in implants, by all means, take advantage of him. Not all US patients are so fortunate, and so there has always been a demand for dental services abroad.

Implants are not an exotic specialty in Costa Rica.  CR dentists have been doing them for over 20 years.  Implants are now a bread-and-butter service at many CR dental clinics.  Services can range from a single implant to replace a diseased tooth, to several implants and associated crowns/bridges/appliances to replace all the teeth on the top or bottom of the mouth. I won't presume to give you any advice for your particular needs; that's the job of highly trained dentists.

You won't save much money going to Costa Rica if you just need a couple of implants: The travel costs will eat up the savings, especially since patients generally require multiple trips.  But if you need a whole bunch of implants, the savings can add up fast.  More importantly, you might be able to afford a much better dental solution in Costa Rica for the same price you would pay in the US for a lesser solution.

All of the clinics listed in the "The Dentists" menu do implants.  Patients frequently post on the Topix and TripAdvisor forums about their experiences in Costa Rica with implants.  In the last year alone, people have posted on Topix from these clinics: Cavallini clinic, Nova (Dr. Obando), DDS (Dr. Prada and Dr. Gonzales), Dr. Anglada and others.  My knowledge about implants comes from these posts, and occasional conversations with other patients.

The Cavallini clinic offers high-quality, economically priced implants.  They have placed over 21,000 implants since 1980.  There is discussion on the Internet boards from time to time about the best types and makes of implants, but I don't follow those discussions.  Sorry!  Most patients don't care about the particulars as long the final result is solid and aesthetic.

The Costa Rica Dental Team also does implants; please see their page.

This photo of a lone surfer at the edge of the Costa Rican surf is so relaxing to me.  I hope it relaxes you too.  And if you're reading this blog to research dental implants abroad, you could probably use a little relaxation!  (123RF stock photo)


The specialist clinics discussed on this blog (DDS, Nova, Anglada, and other specialty clinics) offer specialist services, naturally:  One specialist places the implant and another specialist fits the crowns/bridges/appliance.  The dentist placing the implant is sometimes called an implantologist.  Though a graduate of a US specialty program would more frequently be called a periodontist with training in implants.  Implantology is not a separate specialty in US dental schools, though it is in other countries. The dentist placing the crowns would be called a prosthodontist (if he holds a graduate degree in that specialty).  Prices for implants by specialty clinics are pretty standard, about 800 or 850 for just the implant (no crown) according to one person I talked with recently (Oct 2014).  Prices for a crown-on-implant run a little higher than crown-on-natural teeth.  As there are different choices of crown material with different prices, it's hard to quote a figure.

If I needed an implant today, I would probably use my current dentist with a high-end crown made by a top outside dental lab. (I would go to Costa Rica even if I needed only one implant.)  I think that this would run a little above $1800, implant plus crown.  This is the route that one patient took last year for his rather involved case.  It worked out well, judging from Rod's blog, which has already inspired several people to make the pilgrimage to Costa Rica.

For exact prices, you will have to contact the clinics directly.  You can find the URLs of their web sites listed on the clinics' individual pages in the "The Dentists" menu of this blog.  To get comparable quotes, please be specific in the work you need done and how you will pay (credit card or cash/wire transfer).  Some dentists include extractions in quotes, others charge separately.  Most dentists quote credit prices, but some quote cash prices, which are generally lower.   You can also explore choices in crown or implant materials.

Some dentists will work up a prospective treatment plan for complicated cases based on x-rays and photos you send them.  The treatment plan will show how the dentist proposes to treat your case.  It might offer alternative approaches.  See my Q and A posts for more information.

Of course, implants are performed by clinics not discussed on this blog.  Feel free to explore your options among good Costa Rica dentists. It's always great to learn about great, new dentists.

So that's it, folks.  That's all I know about implants.  It's not a lot, but it should be enough to give you a few ideas and get you started. And that's as much as this blog aspires to do.

Pura vida!








What I know about implants in Costa Rica

By CometGlare → Sunday, October 5, 2014
Pacific sunset at Matapalo, Costa Rica

R
eaders:

Your comments are welcome.

If you had an experience with any of the clinics listed as Favorites on this blog, either Dave's Faves or Internet Faves, your comments are appreciated.  Even if your experience was a bad one, please let me know.  I can't promise that I'll post your reply, but if I see a pattern of unhappy patients, I'll remove that dentist from my Fave lists.

If you had a good experience with a dentist not list as a Fave, please comment on the "Readers Share Their Favorite Dentists" page. If you have a miscellaneous comment not pertaining to a particular dentist, you can comment on the "Readers, Sound-Off Here!" page.

Many readers will want to know:
  • What was the name of the dentist(s)?
  • When did you have your work?
  • What work did you have done?
  • Anything about the experience that's particularly memorable?

Some optional questions:
  • Was it painful?
  • How did the dentist handle any post-treatment issues that came up?
  • Can you comment on the quality of the workmanship?
  • What did it cost (if you're comfortable providing that)?
  • Suggestions on travel arrangements or accommodations?
  • Has another dentist examined the work?  If so, what did he think?
  • If you have a personal blog, you may post its URL.

  • You can help readers find you on Topix or TripAdvisor
    by providing the post number and the URL. Please don't recopy your post, just post a note like this:  "For more on my good experience with Dr. XXXX, please see my post #6383 on http://www.topix.com/forum/world/costa-rica/THGCO47LHH1FS7DR7/p307."
    We need the URL because there are many separate threads on TripAdvisor and two separate threads on Topix with almost 400 pages.  Give us the post number too.  Topix posts sometimes change pages as the thread ages.

  • If you want folks to be able to contact you, please put your email or web site URL in the post, or refer readers to a post on Topix or TripAdvisor where they can send you a private message.

Finally, help me maintain a respectful and upbeat tone on this blog.  Please don't post comments that are: Disrespectful, unfounded in fact, or phrased overly harshly against any dentist.  There are more appropriate outlets for those kind of posts.

If this is the first comment you've posted on my blog or another Blogspot blog, you might want to make a copy of your comment before posting it. Blogspot may ask you to sign up the first time you try to post, and your comment might get lost in the confusion.
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Guidelines for Comments

By CometGlare → Wednesday, October 1, 2014

Q: Which dentists do you personally recommend, and Why?
      A: I recommend several dentists.  In my mind, these dentists fall into four different groups depending on how well I know them.
    (1.) Dr. Prada and his colleagues at DDS Dental.  He's my dentist, and I know him very well.  I've sat in his chair for dozens of hours on five different trips.  I've exchanged countless emails with him, and have even ridden as a passenger in his car.  On a scale of 0 to 100, my Personal Knowledge of him is about a 90.
    (2) Specialists, even if those I haven't heard of.  I have a bias towards dentists who received graduate education *after* their DDS degree.  In the interest of full disclosure, I freely confess this bias of mine up front.  In my eyes, the training of specialists not only distinguishes them educationally--as having served an apprenticeship under excellent established specialists--but it also distinguishes them as having been selected for such training to begin with.  Graduate programs will attempt to choose only the best candidates.
          I recommend that you discover new specialists, those trained in the US (therefore, English-speaking) or those trained in other countries (often English-speaking).
           On my Personal Knowledge scale, all these specialists taken all together as a group rate only a 15 out of 100.  I know them mostly by reputation and some Internet postings. However, my belief in the implicit guaranty provided by their specialty training prompts my recommendation.
    (3) My two favorite general dental clinics of which I have personal knowledge:  The Cavallini Clinic and Costa Rica Dental Team.  I sat for an exam at both clinics in 2010, and have researched them carefully.  I have followed their progress in the years since, and have been impressed with the quality of the work done at very affordable prices.   On my Personal Knowledge scale, each of these clinics individually rates a mere 5 or 10 out of 100.
   (4)  Two clinics that appear over and over on the Internet blogs:  Nova Dental (Dr. Luis Obando and his colleagues) and Dr. Anglada.  I have researched neither dentist, but I've heard excellent things about them on TripAdvisor and Topix.  I would be remiss in not mentioning them to you as you begin your own research.  On my Personal Knowledge scale, these each of these clinics individually rates a mere 5 out of 100.   Dr. Obando and Dr. Anglada are both specialists, trained outside the US, so they fall comfortably within category (2).

Each dentist named above has a page devoted to him in this blog under "The Dentists".  There is a also separate page for specialists as a group.


Q: Do you personally guarantee I'll be happy with any of these dentists?
      A:  I have a lot of personal faith in these dentists, especially "Dave's Faves."  All of these clinics provide quality work.
          But I don't suggest choosing a dentist at random.  Quality is important, yes, but so are other things.  Some are tangible, such as price; others are intangible, such as clinic atmosphere or dentist-patient rapport.  Find a dentist who is an good "fit" for you, not merely one who is excellent in the sense of having good technical skills and access to a good dental lab.
          And if you're not happy with one of the dentists on my site, let me know.  I don't expect much dissatisfaction here--provided you choose a dentist who's not a bad fit for you to begin with. 
          And I apologize in advance if you're not happy.


Q: How about the other great dentists in Costa Rica not discussed on your blog?
      A:  I apologize in advance for not knowing about other great dentists in Costa Rica.  I always wonder about the specialists trained outside the U.S.  I think some of these could be real hidden gems, waiting to be discovered.
            I know there must be little known great dentists in CR, and I'd encourage you to seek them out and sing their praises.
           


Q: How about great dentists in the U.S.?
      A: If you have a great local dentist in the U.S., by all means, take advantage of the situation.
           I'm not trying to break the bond between Americans and their local dentists.  I'm trying to steer people away from mediocre local dentists (in the US or CR) and toward fine dentists in CR.  It's just a bonus that CR dentists are usually more affordable than their US counterparts.
           But if you somehow got the impression that I had something against US dentists, I apologize.


My Preferred Dentists: One Overview and Three Apologies

By CometGlare → Monday, September 29, 2014