Since: Jan 11

San JosÚ, Costa Rica

#4386 Aug 24, 2013
We're finding out the hard way that it's a really good idea to bring your own stash of pain meds - just in case. I'm sure for most people, what the dentist
or implantologist provides for pain following surgery is more than adequate, but if you need more, it's proving to be a major hastle getting it. Dr Anglada has been more than responsive in trying to get prescriptions called in and filled, but the issue is getting it from the pharmacy. The pharmacy says it will be delivering in 2 hours, and it still hasn't shown up 6 hours later. Calls are made to check on the status, and it turns out the delivery man got in a motorcyle accident and it can't be delivered until the next day.
A day later when another prescription is called in, it never arrives. When I call Dr Anglada to follow up, it turns out no pharmacies deliver on Sat or aren't open on Sat, then there's another glitch with a pharmacy that's finally located that can fill the prescription. My daughter finally got her meds a day and a half after it was first called in. If you are the type of person that tends to use all the pain meds you're given following surgical procedures rather than just the first day or two, it might be a good idea to bring some extra vicodin or something, just in case.
LJL

Calgary, Canada

#4387 Aug 24, 2013
hi Mike
can you say total cost for the implants including all fees? greatly appreciated thks L.J.
lauralisi

San JosÚ, Costa Rica

#4388 Aug 25, 2013
Thank you to all who have shared their research, opinions and experiences. I arrived in CR last night. Getting through immigration/customs was a breeze. A shuttle was at the airport for transport to the hotel. We and settled into the KC COLAYE apartment hotel. It is nice, clean and more than adequate. There is an excellent rate for those seeking dental care and the rate includes a scrumptious breakfast.
TIP: bring washcloths and sundries. Umbrellas can be borrowed at the front door.
Tomorrow, I'll be seeing Dr Luis Kaver to finalize treatment plan.
I'l keep you folks apprised of the situation.
Feel free to ask me anything and will do my best to answer.
Toothfully yours,
Lauralisi

“thedentaltourist .com”

Since: Jul 13

Santa Cruz born. Now in Oregon

#4389 Aug 25, 2013
lauralisi wrote:
Thank you to all who have shared their research, opinions and experiences. I arrived in CR last night. Getting through immigration/customs was a breeze. A shuttle was at the airport for transport to the hotel. We and settled into the KC COLAYE apartment hotel. It is nice, clean and more than adequate. There is an excellent rate for those seeking dental care and the rate includes a scrumptious breakfast.
TIP: bring washcloths and sundries. Umbrellas can be borrowed at the front door.
Tomorrow, I'll be seeing Dr Luis Kaver to finalize treatment plan.
I'l keep you folks apprised of the situation.
Feel free to ask me anything and will do my best to answer.
Toothfully yours,
Lauralisi
A report on Dr. Kaver would be cool when your all done. I've heard good things.

Since: Mar 13

Richmond Hill, GA

#4390 Aug 25, 2013
It's my opinion that Dr. Kaver would be right up there with Dr. Castro, and maybe one or two others as far as cosmetic dentistry goes. I've heard great things about his work.

Lauralisi ... I am anxious to hear your reports.

OkeefenokeeJoe
Charlie in Escazu

Escaz˙, Costa Rica

#4391 Aug 25, 2013
just a fyi LJL...from my experience the cost of implants can vary but the average price, including permanent crown, is @1500.00. The wildcard in pricing is the quality of the post used. The quality can vary and thus affect the price. My experience is that dentists that are much less than 1500.00 use a inferior post that makes the final cost cheaper, say $1000-1200.00 range.A cheaper post could result in failure of the implant a year or two later. You should ask them to tell you the manufacturer of the post and google it. In addition make sure your dentist is an Implant Specialist and not just a DDS...there is a bit of bait and switch you have to be careful about...the other factor in total cost is the health of your bone tissue that might result in needing grafts and finally some docs prefer using a 3-D tomography instead of a pan-x because it provides a much higher resolution for diagnosis. It could run between 150.00 and 250.00 depending on the doc.

“thedentaltourist .com”

Since: Jul 13

Santa Cruz born. Now in Oregon

#4392 Aug 25, 2013
That little triangle of gum between the teeth.

So I'm either getting a fixed full arch bridge or individual implants and crown for each tooth in my uppers. Some fixed bridges will have a small bit of fake gum and some are just teeth no gum. When trying to decide of what I want I have wondered about that triangle of gum and if it's important to have or not. Then I found this great read: http://bit.ly/14w28mJ

Since: Jul 13

Fort Worth, TX

#4393 Aug 25, 2013
My cost, for 16 implants and 28 crowns, a few extractions, and two bone grafts (along with IV sedation) is just a shade over $18K. Not too bad at all compared to the cost of implants in the US.

My wife had one implant for 8K here in Texas. They were talking about a bone graft, another implant, and a bridge between the two. The cost for that would have been $12K. So with her two implants, and one bone graft, she would have paid what I did for my 16 implants, etc.

Unfortunately she got cancer before she could complete the work and passed away this past April. I tried to tell her that Costa Rican dental care is much less expensive than in the US, but as always, she wouldn't listen.:)

Since: Mar 10

El Monte, CA

#4394 Aug 25, 2013
re:drugs...
there are pharmacies everywhere including in most of the super markets where you can fill your prescriptions, usually at about 2/3 of your cost in the states. however, if you bring narcotics INTO c.r., it's a good idea (as it is if you travel anywhere) to bring your prescription bottle with you or some paperwork showing you are not trying to bring illegal drugs into the destination country with you.
jerry6665@yahoo.com

Since: Feb 13

Location hidden

#4395 Aug 26, 2013
RJ,
I have been looking at a lot of finished products since my return trip is rapidly approaching. I am very concerned about the ability to be able to thoroughly clean debris away from below the gumline and am glad to be getting a combination of individual crowns and bridges as opposed to the "All on" prosthesis supported by 4, 6, or 8 implants. Such caution on my part may be unfounded, but I am basing my concern on the solid block of temps that I am currently wearing on both arches (which are fixed) and wondering what debris (even though I use the water pic until all runs clear) may still remain that I cannot see.

I thought for sure that I was going to have an "All on" situation in the upper arch until Dr. Marco said he was going to only extract one of my remaining upper 6 teeth; leaving 5 and adding 6 implants. I only needed 3 implants on the lower arch, but all teeth have been prepped for crowns and bridges.

Just yesterday I was thinking that some gum contouring may be necessary. It was not mentioned by the doctor on my first visit and none of the patients who were getting their permanents mentioned anything about the procedure either. Perhaps it's understood that the gums and teeth need to be in sync as standard operating procedure; it's something that I will make note of definitely.

There are several You Tube videos that I watched that showed gum contouring surgery as well as some articles that describe the procedure which does not seem to be that invasive.

An easy to understand article: "Questions about Laser Gum Recontouring" http://www.triexceptional.com/faq-laser-gum.h...

Video showing a surgery in progress:


Woody66

“thedentaltourist .com”

Since: Jul 13

Santa Cruz born. Now in Oregon

#4396 Aug 26, 2013
Woody,

Thanks for the info and the links. Man I'm going crazy with trying to decide what I want to get. The more research I do the more overwhelmed it all seems to be. In just the last couple days I've turned to the idea of individual implants/crowns for each extracted tooth. Also learning more about the different types of materials used to make the teeth. Zirconium, full zirconia, porcelain (several different types/grades of porcelain), empress porcelain, e.max, e.max Lithium Disilicate. Then there are the different implants. The different abutments, screw or cement retained full arches,.........

Did you just hear that boom? It was my head exploding over hear in Oregon.

“thedentaltourist .com”

Since: Jul 13

Santa Cruz born. Now in Oregon

#4397 Aug 26, 2013
here not "hear". Why can't we edit our posts?????

BOOM!

Since: Feb 13

Location hidden

#4398 Aug 26, 2013
RJ,
This is something I just saw for the first time last night. At first I wasn't going to pay too much attention to this, but then I felt I owed it to myself since I had never heard of basal implants.

Make sure you watch a vid to see how they're put in.

http://basalimplants.blogspot.com/

Since: Jul 13

United States

#4400 Aug 26, 2013
I do have one issue that I'm slightly concerned about. I got quite a few sutures because of the various surgeries that I had. The sutures were supposed to dissolve, but 3 weeks later and it's not showing any signs of going away. It's only bothersome on a front suture, which is poking me in the front upper lip .. and it's kinda sore now. Do these things eventually go away, or am I going to have to go to a local dentist to have them removed?

Since: Mar 13

Richmond Hill, GA

#4401 Aug 26, 2013
Mike-M ...

When I was in CR last June with my brother-in-law, he had a bothersome suture that would get in the way when he ate. We just cut it off. It's been three weeks in your case. I'd break out the scissors and, at the very least, do some trim work.

OkeefenokeeJoe

Since: Mar 13

Richmond Hill, GA

#4402 Aug 26, 2013
VERY CAREFULLY do some trim work!

OkeefenokeeJoe

Since: Jul 13

San JosÚ, Costa Rica

#4403 Aug 26, 2013
Hello, All,
I just got back from my first visit to Dr Luis Kaver's office. It was a 10min walk from Hotel Colaye.

To understand my situation, I have healthy gums, but ugly teeth which I've ground down over the years-even grinding in the daytime! Of course a night guard and a type of daytime appliance (can't remember the name) will be needed. Kudos to Dr Kaver for his thorough explanations and for his willingness to answer questions. My local dentist and hygienist had prepared me for what was to happen-they are champs! I like Dr Kaver very much and am quite comfortable with him.. Dr. Kaver gave me 2 options, but I chose the more extensive one which will crown all 28 teeth and open the bite a bit. Because the grinding had destroyed pretty much most of the back teeth, my local dentist was worried that soon the nerves would be involved causing a lot of pain.
The office was clean and the staff were very attentive, demonstrating much concern for my comfort.
Today impressions were done on upper and lower arch. Then, local anesthesia was used after which the top teeth were reduced to make room for the crowns. There was some discomfort, but no real pain. A temporary top arch was made and I left the office 4 hours later-looking better with the temporary arch than with my "before" teeth.
Tomorrow, they'll do the bottom arch.
The permanent crowns will be 10 on top and 10 on bottom of porcelain without metal. The rest of the back teeth will be of porcelain fused to metal.

Hope I covered the highlights. Will post more later. As always, if you have questions, ask.

Toothfully yours,

Lauralisi
LJL

Calgary, Canada

#4404 Aug 26, 2013
Mike-M wrote:
My cost, for 16 implants and 28 crowns, a few extractions, and two bone grafts (along with IV sedation) is just a shade over $18K. Not too bad at all compared to the cost of implants in the US.
My wife had one implant for 8K here in Texas. They were talking about a bone graft, another implant, and a bridge between the two. The cost for that would have been $12K. So with her two implants, and one bone graft, she would have paid what I did for my 16 implants, etc.
Unfortunately she got cancer before she could complete the work and passed away this past April. I tried to tell her that Costa Rican dental care is much less expensive than in the US, but as always, she wouldn't listen.:)
Thank you Mike. that really helps doing a budget number on costs....very sorry to hear about your Wifes passing. LJ

Since: Mar 13

Richmond Hill, GA

#4405 Aug 26, 2013
Lauralisi wrote:
Hello, All,
I just got back from my first visit to Dr Luis Kaver's office. It was a 10min walk from Hotel Colaye.
To understand my situation, I have healthy gums, but ugly teeth which I've ground down over the years-even grinding in the daytime! Of course a night guard and a type of daytime appliance (can't remember the name) will be needed. Kudos to Dr Kaver for his thorough explanations and for his willingness to answer questions. My local dentist and hygienist had prepared me for what was to happen-they are champs! I like Dr Kaver very much and am quite comfortable with him.. Dr. Kaver gave me 2 options, but I chose the more extensive one which will crown all 28 teeth and open the bite a bit. Because the grinding had destroyed pretty much most of the back teeth, my local dentist was worried that soon the nerves would be involved causing a lot of pain.
The office was clean and the staff were very attentive, demonstrating much concern for my comfort.
Today impressions were done on upper and lower arch. Then, local anesthesia was used after which the top teeth were reduced to make room for the crowns. There was some discomfort, but no real pain. A temporary top arch was made and I left the office 4 hours later-looking better with the temporary arch than with my "before" teeth.
Tomorrow, they'll do the bottom arch.
The permanent crowns will be 10 on top and 10 on bottom of porcelain without metal. The rest of the back teeth will be of porcelain fused to metal.
Hope I covered the highlights. Will post more later. As always, if you have questions, ask.
Toothfully yours,
Lauralisi
GREAT report Lauralisi!

Keep the good information coming.

We are all waiting with baited breath at your case since we have so few patients write their experience with Dr. Kaver.

Get some rest and know we are sending positive tooth vibrations your way!

OkeefenokeeJoe

Since: Jul 13

San JosÚ, Costa Rica

#4406 Aug 27, 2013
Hi, again, All,

Just got back from my second day with Dr. Kaver and team. Today the lower teeth were reduced in preparation for the crowns. Once again local anesthesia was administered. It seemed to wear off more quickly than on the top arch, but all I had to do was signal and more local was used. As before, everyone was attentive to my comfort. There were adequate staff so that time was not wasted.

There were a number of Americans in the waiting room. They had received dental services of all types, including implants. Not one person had a single complaint about his treatment or results.
Also, Dr. Kaver has done a number of Miss Costa Rica contestants, actors and TV Personalities. How do you like that? I'm right up there with the rich and famous but at a very affordable price *and* skill which I've not seen surpassed.

Today I selected the color (B-1). Since I'm starting from scratch I can finally have that "Hollywood Smile" that I've always wanted.

Again, there has been no real pain. Any discomfort is completely controlled with Ibuprofen.

Tomorrow will be a short return visit to discuss the shape, length and a few other particulars. This is so exciting. My dream is coming true.

Will post later,

Lauralisi

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