Dentist in Costa Rica

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“Dental Blog Link In My Profile”

Since: Jul 13

Santa Cruz born. Now in Oregon

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#4303
Aug 17, 2013
 
Awesome info Dave. Will for sure ask my future CR dentist about this. Thanks!
Mildred

Cumming, GA

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#4304
Aug 17, 2013
 
OK Joe -

If I remember your crown work was done by Castro. The dentist some consider to be the best dentist for crowns in Costa Rica. You had one missing tooth, now you have two missing teeth. You are must braver than most, unexpectedly losing your two front teeth would worry a lot of people.

Just wondering what the Castro said when you contacted him about this problem? Is the dental clinic compensating you for this problem?

"About two weeks ago the temporary crown covering the implant on my front tooth broke. In fact, the tooth that was anchoring the temp, snapped off at the gum line, so now I have a most unattractive 2-tooth gap right in the very front of my mouth. All I need is a banjo and a hound dog to complete the picture. My wife says that for someone who has completed several hours toward his Phd, I look hideously ignorant. I agree, but interestingly, I have found that missing two front teeth plays to my advantage. When folks walk up to ask me for information and I smile and say SURE ... they almost always back away and say, "Oh, I'm sorry ... I'll ask someone else." Yes, the social dynamics are very interesting, teeth vs no teeth.

I went to my local dentist to see about another temp that would get me by until October. He wanted $1200 so I politely said, "No thanks," and decided just to "go hillbilly" until I return to CR in October."

Since: Mar 13

Richmond Hill, GA

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#4305
Aug 17, 2013
 
Mildred wrote:
OK Joe -
If I remember your crown work was done by Castro. The dentist some consider to be the best dentist for crowns in Costa Rica. You had one missing tooth, now you have two missing teeth. You are must braver than most, unexpectedly losing your two front teeth would worry a lot of people.
Just wondering what the Castro said when you contacted him about this problem? Is the dental clinic compensating you for this problem?
"About two weeks ago the temporary crown covering the implant on my front tooth broke. In fact, the tooth that was anchoring the temp, snapped off at the gum line, so now I have a most unattractive 2-tooth gap right in the very front of my mouth. All I need is a banjo and a hound dog to complete the picture. My wife says that for someone who has completed several hours toward his Phd, I look hideously ignorant. I agree, but interestingly, I have found that missing two front teeth plays to my advantage. When folks walk up to ask me for information and I smile and say SURE ... they almost always back away and say, "Oh, I'm sorry ... I'll ask someone else." Yes, the social dynamics are very interesting, teeth vs no teeth.
I went to my local dentist to see about another temp that would get me by until October. He wanted $1200 so I politely said, "No thanks," and decided just to "go hillbilly" until I return to CR in October."
Mildred ... you just keep impressing us with your idiocy.

Let me explain this in its simplest terms so that you can understand. Please try to follow along since you have already demonstrated in world-class form your inability to comprehend the written word.

Dr. Castro had nothing to do with the crown. The crown in question was a splinted crown (a double crown, if you will) and was manufactured about 15 years ago here in the US. The splinted crown was supported by an adjacent tooth (#8) and filled the void left by tooth #7, which was extracted by Dr. Anglada. Dr. Anglada subsequently grafted bone and placed an implant in the #7 position.

Dr. Anglada gave me specific instructions to avoid biting down on the splinted crown, which was (essentially) serving as my temporary. Dr. Anglada explained that since the splinted crown was supported by only a single tooth (#8), any load placed on the crown could cause the crown to pop loose.

Although I gave it my best effort, a few weeks ago, while eating, the crown fell out of my mouth and on to my plate. Upon inspection, it appeared that the support tooth (#8) snapped off at the gum line, making it impossible to reattach the splinted crown, leaving a 2-tooth void.

Since I am returning to CR in a few weeks for my final crown work by Dr. Castro, and since my local dentist wanted $1200 to temporarily fix the issue, I decided to not spend the money for a very abbreviated fix and, instead, have chosen to "go hillbilly" until I return to CR. It's a simple matter of simple economics over vanity.

Therefore, as you can see, Mildred, neither Dr. Anglada nor Dr. Castro had anything to do with this situation. My teeth have become very brittle due to 3 years of extensive chemotherapy, a matter I have chosen not to discuss in detail on this forum. Nevertheless, to address your ignorance and total lack of character, there you have it.

Please, Mildred, send me your address and I'll forward you some fresh towels ... so you can wipe the frikkin' mud off your face.

OkeefenokeeJoe
Mildread

Cumming, GA

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#4306
Aug 18, 2013
 
Joe,

I think I got it.

You had a double crown at #7,#8. They must have been bonded together for support.#7 extracted. Anglada/Castro used #8 to support a temporary crown on #7. This worked so well that #8 broke off at the gum line. That is an especially bad break. Anglada/Castro should have been able to see that #8 was in bad condition. A gum line break is so bad that perhaps #8 should have been extracted with #7. Condition of #8 had to be bad to start with.

You have an implant at #7. Now, you will have to get an implant at #8.

Having a temporary crown fall off is one thing. It happens.

Have a support tooth break at the gum line that will now have to be replaced by an implant is something else.

Doesn't seem like you have emailed the dental clinic to see what they will do. Hopefully you will get some kind of discount for having to go hillbilly for 3 months.



“Dental Blog Link In My Profile”

Since: Jul 13

Santa Cruz born. Now in Oregon

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#4307
Aug 18, 2013
 

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I don't believe Mildred is a person looking for dental tourism info as she/he claimed a few pages back. It just doesn't add up. Every post by "Mildred" has had one purpose in my opinion...to manufacturer doubt and non-confidence in Mr. Anglada & Mr. Castro and their abilities so that prospective customers looking for information on this forum will go elsewhere.

My spider-senses tells me that Mildred is affiliated with another dentist/clinic or one of those dental tourism referral companies. I know at least one of those companies is based in the Atlanta, GA area where Mildred seems to be.

Funny thing though, Anglada & Castro's reputation is so good...their work so respected that the only thing Mildred can grab on to, in order to try and discredit these two, is the absence of a U.S. based phone number and a broken crown made by another dentist.

If someone is purposely looking to make a professional look bad but can only find meaningless and unrelated things to use then all that does is help VERIFY that the professional in question is legit in their respect and reputation.

Since: Jun 11

The Triangle, NC

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#4308
Aug 18, 2013
 

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Oh, c'mon guys!

"Mildread's" post # 4304 seems to me to be a perfectly legitimate question, even though it is hard-hitting. She's asking for clarification from a poster's first-hand report on his C.R. dental experiences. Her post # 4306 seems equally focused: She seems to be actively weighing the meaning (if any) of OKJoe's broken tooth on the reputation of his dentist. This is the kind of question you'd expect of someone who is seriously considering your dentist, but sees a red flag that needs to be clarified. I think that this a perfectly legitimate use of this board.(Yes, we would all take "Mildread" more seriously if she registered. But at least she's asking reasonable questions now.)

OKJoe: It's obvious Mildread hit a nerve. Your reply contained valuable information that clarified this issue for us. But the tone was not appropriate for a public forum.

RJ: Please remember that the main purpose of the board is to allow folks to post their FIRST-HAND experiences with Costa Rican dentists. Your post is just speculation about someone else's speculation. If you don't like a poster, can't you just ignore them and hope they'll go away?

Just my two cents. PM me if you want to argue.

-dave

“Dental Blog Link In My Profile”

Since: Jul 13

Santa Cruz born. Now in Oregon

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#4309
Aug 18, 2013
 
Chicago Dave wrote:
Oh, c'mon guys!
"Mildread's" post # 4304 seems to me to be a perfectly legitimate question, even though it is hard-hitting. She's asking for clarification from a poster's first-hand report on his C.R. dental experiences. Her post # 4306 seems equally focused: She seems to be actively weighing the meaning (if any) of OKJoe's broken tooth on the reputation of his dentist. This is the kind of question you'd expect of someone who is seriously considering your dentist, but sees a red flag that needs to be clarified. I think that this a perfectly legitimate use of this board.(Yes, we would all take "Mildread" more seriously if she registered. But at least she's asking reasonable questions now.)
OKJoe: It's obvious Mildread hit a nerve. Your reply contained valuable information that clarified this issue for us. But the tone was not appropriate for a public forum.
RJ: Please remember that the main purpose of the board is to allow folks to post their FIRST-HAND experiences with Costa Rican dentists. Your post is just speculation about someone else's speculation. If you don't like a poster, can't you just ignore them and hope they'll go away?
Just my two cents. PM me if you want to argue.
-dave
Dave- my remarks are not based on her 2 posts on this page alone. In fact more based on her previous posts on other pages. When I combine those posts, it becomes evident to me that she/he has a hidden agenda. This person first presented themselves as someone who wanted information so they could choose a CR dentist. But it quickly became apparent to me that all they are trying to do install doubt regarding Anglada. This person has never asked anymore questions about who is a good dentist. Now they only post when Anglada is mentioned and they attack. Of course it's my opinion and I could be wrong but I trust my instinct as it has served me well.

Since: Jul 13

Crestview, FL

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#4310
Aug 18, 2013
 
RJ of Oregon wrote:
<quoted text>
Dave- my remarks are not based on her 2 posts on this page alone. In fact more based on her previous posts on other pages. When I combine those posts, it becomes evident to me that she/he has a hidden agenda. This person first presented themselves as someone who wanted information so they could choose a CR dentist. But it quickly became apparent to me that all they are trying to do install doubt regarding Anglada. This person has never asked anymore questions about who is a good dentist. Now they only post when Anglada is mentioned and they attack. Of course it's my opinion and I could be wrong but I trust my instinct as it has served me well.
Sorry Dave I agree with RJ here. If a person is deliberately attacking a Dr. with no factional information they need to be called out. That information could influence a newbys decision. You have been on this board for a long time and I don't think you realize that a newby doesn't go back and read 1000's of pages of testimonials. more than likely the skip around. Secondly how can you defend her second comment. Joe obviously said Anglada/Castro didn't do the original work and she went right back to saying they did. Again confusing newby's. I thought that those of us who have been to CR and experienced the top notch dentistry were here to help others make the right decision. If thats the case then it is ours and your responsibility to clarify when misinformation is given. Not ignore it.

Just my two cents.

Since: Mar 13

Richmond Hill, GA

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#4311
Aug 18, 2013
 
Mildread is a loser ... A lowly functioning idiot who does not belong on this forum. She is certainly not seeking information but is here to stir dissent, nothing more.

She does not have the ability to follow simple logic, and is attacking two excellent professionals, neither of whom she has met or knows anything about. Certainly, by her last post, she has no working knowledge of tooth structure or dental procedure. I, too, suspect she is a shill.

Sorry, but if my response to Mildread's post is a little harsh, then so be it. I'm not a whiney-tail hand wringer that operates under the impression that everyone should get along. That's not the way I operate. When people display such ridiculous behavior I'm calling them out on it, so if you don't like it, just back out of the way.

Oh, just to be clear, Mildread ... I did, in fact contact Dr. Anglada about the broken tooth and he was very quick to take the time from his busy schedule to personally contact my dentist here in Georgia, from his non-US telephone, with specific medical recommendations for a fix to the situation; however, I chose to take no action. The permanent fix for tooth #8 will not involve another implant, as you imply, but will involve a simple post and crown. Furthermore, at the time I had an implant on #7, there was absolutely ZERO evidence of any issues with #8. Again, it fractured at the gum line because I failed to follow instructions and bit down on the crown at such an angle that it placed undue torque on #8, causing it to break. Simple physics and my fault entirely.

One more thing, Mildread, I will not respond to any more of your posts. You are certainly not worth my time. The old saying about "Never argue with a fool" serves well in your case. In fact, you give other fools around the world a bad name. I suspect, however, other (legitimate) forum members will be quick to call you out and take you to task.

Thanks RJ and PanhandleJim for the backup.

OkeefenokeeJoe
Donna

Naples, FL

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#4312
Aug 18, 2013
 
Hey guys, Thanks for the new info regarding emax. It may be early next year before I can go back. Changing circumstances. Am grateful for the research you all do.

I want to address something for the people who are just looking/lurking like I was last year.

We really are all pretty much in the same boat. We are ALL concerned with price or we wouldn't be looking for dental work overseas. That said, we all have some financial means or we wouldn't be able to afford dental work at all.

While the dentist I chose was the least expensive, that was NOT the driving factor in my choice. This is NOT a comparison of Walmart and Nordstrom. So make your choices by who seems to "get" you and your situation and trust your gut. Really.

And trust the posts of the reasonable people here. They helped and are still helping me. No matter which dentist they used. I'm 3 and a half months back from extensive dental work. I would not have changed a thing. My temporaries are pretty much normal to me now. The implants feel solid under there as do the stumps of my remaining natural teeth.

That said, I occasionally have what I call 'coyote caught in a trap' moments when I want to rip the things out of my head. Not from pain,it's just awkward to not have your own teeth, even when they have been infected and loose for years. If anybody understands what I'm talking about, we can probably also discuss that unnatural (but not in the least suicidal)urge to jump from high places :)
Ms K

Manchester, NH

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#4313
Aug 18, 2013
 
Wow, just popping in here for the first time in months. Last time I popped in, I thought I had noticed a change, lots of really helpful posts...now, it seems it's gotten mean again.Can't believe how hostile some of the posts are...civility folks, please!

Oh well....

For the folks reading who are considering Costa Rica dentistry, try to read thru the crap on the forums (It's painful, but worth it), Get on your thick skin and ask questions of those who post here and be prepared to read between the lines...there are many really great dentists in CR and a few that aren't and plenty of people posting here defending both!

My dental work (3 implants, a root canal and 10 crowns) was completed over a year ago, my daughters work (4 implants/crowns) was completed this past January. We are both totally happy with our implants and our crowns and I would definitely return to my CR dentist if I needed enough work to justify the travel. My local dentist was also quite happy and complimented the work, quite reassuring indeed!

Best advise I can offer, don't just go by the posts here...ask the dentists you're considering for US references, then pick up the phone and actually call the references! Ask people on here if you can talk with them by email and/or by phone, actually meet them if they are in your neighborhood. Do your due diligence and you should be fine! But by all means, keep the thick skin on, this forum demands it! lol

Cheers all!

“Dental Blog Link In My Profile”

Since: Jul 13

Santa Cruz born. Now in Oregon

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#4314
Aug 18, 2013
 

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Great PBS: Frontline documentary about U.S. dental care http://www.pbs.org/wgbh/pages/frontline/dolla...

Since: Jun 11

The Triangle, NC

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#4315
Aug 18, 2013
 
Guys: Looks like I’m outvoted here. I’m not sure what to suggest about the Mildred’s aggravating posts. I'm not sure there's much that we CAN do about such posters, you know. I still hold out hope that she's a real (though possibly clueless and/or socially awkward real person). But it's obvious that posts #4304 and 4306 are by different people. They have different styles, even different usernames (“Mildred” versus “Mildread”). I'm not sure what their game is. Or whether it even matters much, other than the discord it sows.

Ms K, Nice to hear from you too! And I agree with every word of your post. It’s a lot harder to avoid acrimony on an open board like this than it appears!!!

And I absolutely agree that part of “research” is contacting American patients about their experiences. I ABSOLUTELY AGREE. I suggest getting the names of at least five patients—better ten patients—from the dental clinic and contacting them.(Specialists may not play this game, but there’s no reason why general dentists can’t dig up five or ten references for you out of all the hundreds of patients they see each year.)

Donna, Nice to hear from you again. I'm glad to hear that your implants are holding up. And that there is at least one real person who appreciates the posts here.

At the risk of starting a squabble in the middle of a war zone, I do have one little quibble with your post. It is true that the vast majority of C.R. dental tourism is motivated by the desire to save money. However, there is another complementary motivation, which is to get great quality. I had both motivations for my dental work. I think there are a lot of people out there who can afford their local dentists but would be better served by upgrading their quality expectations.

The image that comes to mind here is of my friend "Jane's" composite fillings. It is a visual symbol of what is wrong with a lot of US dentistry. The composite filling her local dentist did three months ago was terribly unaesthetic, a smudge on her tooth. And he charged her three times as much as Prada's undetectable composite fillings. Economy PLUS Quality.

Of course, many general dentists in the US (and CR) are really good at pretending to be a lot more qualified than they really are. This is just an authority act to keep patients in line. You gotta to quash those doubts right away lest your patients start casting wistful eyes abroad!

Could it be that Mildred/Mildread/Nancy are some jealous US dentists fearful of losing patients to CR. Who knows?

My memory is SO BAD that I had to Google the board to see Ms. K’s old posts:

site:www.topix.com/forum/world
/costa-rica/THGCO47LHH1FS7DR7 “ms K”
(Single line, no spaces between "world" and "/costa".)

Both Donna and Ms K are Cavallini patients. Ms K’s dental blog is at the link she gives in post #3485 on p. 170.

Thanks for the link, RJ.

-dave

Since: Jul 13

Cape Coral, FL

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#4316
Aug 18, 2013
 
Hi Y'all!

Has anyone had an implant fall out within 2 weeks?
Well I just did! I was having dinner with friends Saturday night and felt something foreign in my mouth. To my surprise it was an implant. I'm still in shock.

I immediately sent Dr. Marco an email and he quickly got back to me that very evening. He really thought it could be the healing cap and not the implant. He asked me to send him a pic...which I did. Again he answered quickly. Indeed it was an implant and he said he was "trying to find an explanation for this with extreme guilt and disappointment at himself". He said they stood behind all their work and would replace the implant and crown at no extra cost to me.

Thank goodness for that; but I'm really scared of this happening again. I cannot believe how tiny this implant is. I really don't see how it could stay in or how it can support a crown. By the way, I am not a smoker or a drinker.

I actually had two implants put in on the 7/30..#31 & #19. I have a feeling the other may have come out too, because I don't see it anymore. But, it seems I would have felt it. Unless I swallowed the darn thing.

Hope someone has something good to say.

“Dental Blog Link In My Profile”

Since: Jul 13

Santa Cruz born. Now in Oregon

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#4317
Aug 18, 2013
 
Regarding contacting patience about their CR experience is a must! I have found a few right here on this forum and contacted them via email and phone. I've also contacted some that I found on YouTube, personal blogs and from dentist's websites.

Today I even contacted a guy who has property that he rents out to CR vacationers on vrbo.com (a site I've used for years when traveling). He's a Texan expat in CR and I sent him an email asking him if he's has any info/advice regarding dental work in San Jose. Within an hour he called me. Super nice guy and I'm glad I reached out and took a chance.

This is where your best information will be obtained...from people who know first hand. Forget whatclinic.com reviews as there is a reason you see very few negative reviews no matter what clinic you research.

“Dental Blog Link In My Profile”

Since: Jul 13

Santa Cruz born. Now in Oregon

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#4318
Aug 18, 2013
 
Patients not "patience"...geez I need to slow my fingers down.

Since: Feb 13

Location hidden

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#4319
Aug 19, 2013
 
Florida Ms,

It truly concerns me that you are having issues with your implants. I am going to render a couple of opinions here and you should take them as OPINIONS ONLY as a fellow dental traveler who went to the same clinic.

IS THE OTHER IMPLANT STILL IN PLACE? One sure way to find out is to have your local dentist take an xray on which an implant can be clearly seen. You can also compare this new xray with the xrays that you have from Marco(If you don't have them, they will gladly send them to you).

WHY DID YOUR IMPLANT COME OUT?
OPINIONS ONLY:
1. Your own personal physicality/chemistry

2. The extraction may have left a larger cavity than originally thought and may have needed a bone graft and/or more healing time. This is not unusual.

3. Because of #2, may have needed a larger implant

4. You may have put too much pressure on the implant too soon. I personally believe that there is a temptation to eat normally(especially the things we like) when there is no pain and to forget that we are still healing from a surgical procedure.

You are fortunate to have this occur in a molar so that at least appearance is not an immediate issue(if at all). I am not sure if you had any temporary prosthetic(false tooth)over your implant, so the offer by Marco to include the crown as part of the guarantee is somewhat of a bonus. The reason I say "somewhat" is because you "may" require an additional trip to CR; if not, that will be a blessing.

Did you get the air and hotel insurance that was offered? If not, being in Florida, you should still save money.

The best to you,
Woody66

Since: Feb 13

Location hidden

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#4320
Aug 19, 2013
 
Ms. K,

It is good to see you here. I want to thank you for being one of the inspirations for me going to Costa Rica. Your dental Journey had a very comforting and calming effect.

I really enjoyed your website and will recommend it to others upon private request unless you decide to post it publicly here.

Love,
Woody66

Since: Jul 13

Crestview, FL

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#4321
Aug 19, 2013
 
Florida Ms wrote:
Hi Y'all!
Has anyone had an implant fall out within 2 weeks?
Well I just did! I was having dinner with friends Saturday night and felt something foreign in my mouth. To my surprise it was an implant. I'm still in shock.
I immediately sent Dr. Marco an email and he quickly got back to me that very evening. He really thought it could be the healing cap and not the implant. He asked me to send him a pic...which I did. Again he answered quickly. Indeed it was an implant and he said he was "trying to find an explanation for this with extreme guilt and disappointment at himself". He said they stood behind all their work and would replace the implant and crown at no extra cost to me.
Thank goodness for that; but I'm really scared of this happening again. I cannot believe how tiny this implant is. I really don't see how it could stay in or how it can support a crown. By the way, I am not a smoker or a drinker.
I actually had two implants put in on the 7/30..#31 & #19. I have a feeling the other may have come out too, because I don't see it anymore. But, it seems I would have felt it. Unless I swallowed the darn thing.
Hope someone has something good to say.
Florida MS,

I am sorry to hear about your tooth. I think that your post is very helpful for others. I think it is important for people to know that no matter what the reason your tooth fell out that this is not an exact science and for what ever reason things happen. The encouraging thing about your post was the time and care Dr. Marco apparently took when this happened. I have not had my implants yet and Dr. Marco is not my Dr., but I often worry about if such I thing were to happen to me that the CR Dr.'s really stand behind their work and apparently they do. Again I am sorry to hear about your tooth, but I know for me your experience has added a little comfort level to myself. I hope that I never have a problem once I have my implants in, but if I do I feel better about the fact that I will be taken care of.

Since: Jul 13

Crestview, FL

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#4322
Aug 19, 2013
 
Chicago Dave,

I need to agree with you on the quality also. I speak from experience. Several years ago I had a filling placed smack dab in the middle of my two front teeth here in America. There was an obvious color difference. Because I knew no better I accepted this is just how it is when you have bad teeth. To my shock when I was in CR this past July they cleaned up my temporary smile. Oh my what a difference. I can sit and stare in the mirror and I honestly can not tell where the filling is. It all looks the same.

I post this for people who are still under the impression that this is inferior care at a massive savings. It is not. It is superior care are a massive savings.

This has been my experience so far. I hope this helps any one out their still on the fence about CR dentistry.

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