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Dentist in Costa Rica

RJ, I used Drs Anglada & Castro and was pleased. But also checked out Dr. Simon Flikier and was at the top of my list along w/ Anglada after interviews and consultations. The Dr Navarro that Dom listed in his note was Flihier's implant specialist and is still listed on his staff. http://www.dentali nstitutecr.com/our -team/ Good luck.  (Nov 27, 2013 | post #4971)

Dentist in Costa Rica

Interesting story on Mother Jones. Were Your Dental Crowns, Retainers, and Dentures Made in Someone's Dirty Cellar? http://www.motherj ones.com/environme nt/2013/11/unregul ated-dental-labs Be sure to check out the dental labs in Costa Rica. The lab Drs. Anglada/Castro has is upstairs in their La Sabana office. A bit crowded but clean.  (Nov 11, 2013 | post #4879)

Dentist in Costa Rica

Hey CuriousGirl and Blobtz, Agree 100%, some dental should be part of any health insurance plan. I have BC/BS and they only pay 30% 2x a year for a cleaning and routine exam bill that generally runs $100 - $150. I believe the Europeans include dental in their system. It's been proven over and over that bad teeth can cause all kinds of other medical problems, especially if bad teeth rare genetic. My sister would look at a candy bar and get a cavity. Maintaining good teeth is preventative medicine but try and convince the Insurance Lobby or Govt. If one could US dentists couldn't charge $5000 - $6000 for the surgery, implant and a crown and would have to cut back on their golf outings. I have separate dental insurance w/ MetLife and they paid 40% of my sinus lift, implants and crowns and veneers w/ Anglada/Castro for the work over a 3 year period. The return on the policy premiums was about 5 to 1. Much better than shelling out the difference out of pocket. So some suggestions and words to the wise for what they're worth: Plan ahead and get some dental insurance (or for cosmetic surgery) before you head to Costa Rica or elsewhere. Make sure you check the for any mandatory waiting periods as some required a year, MetLife didn't. Also, make sure they cover non- PPO providers and out of the country doctors. Also, look at the limits per year, and plan and/or space your dental treatments accordingly. My limits luckily went from $5000/yr to $10,000/yr which nicely fit our treatment plan for 2 stage implants and crowns for me and the wife. Finally, don''t forget to do the math and take what you can off on your taxes if it exceeds the 7% of the AGI, including your travel costs which the IRS allows. The millionaires squeeze every penny out of the IRS so you can too.  (Nov 1, 2013 | post #4817)

Dentist in Costa Rica

Common RJ, you didn't just get off the boat did you? If true, the "bill" was at least $2500 to high. I hope you got kissed a few time after that screwing to account for that gin on your face. And since when are Beverly Hills dentist moving to Oregon? I'd report his ass to the BBB and the State Board. The arrogance of US dentists and doctors make me sick and we consumers are stupid to let them get away with it. The going rate in the US of $3500 to $5000+ for an implant and crown is outrageous compared to any other country in the world. And if it falls out in a year, too bad, just bend over and smile while you're writing another check.  (Aug 19, 2013 | post #4327)

Dentist in Costa Rica

Karen & Hubby, Big shout out to you both and sincerely hope all is well and complication free. Twenty-eight extractions along with grafts and lifts is a record on this site. The only other one that can close was SKMax with 18. We all need to light a few candles for your husbands fast, full and pain free recovery. Couple of questions if I may: Did Anglada/Catro provide dentures the wear to cover and protect the grafts and facilitate eating? When I had my grafts and sinus lifts there were no other teeth in the back to tie a temp bridge to so they were left exposed. I believe I had declined a removable partial at the time which was a big mistake on my part since I had some difficulty chewing everything with my front teeth to "protect " the grafts. Also curious as to why you're getting a full 28 implants in lieu of a combination of implants and pontics/bridges? A combination of bridges supported by implants on either side and all implants in the molar/pre-molar areas for chewing would reduce the number of implants by about 1/3 -1/4, save you a bunch of money, pain & effort and may be just as strong and lasting. Just wondering. Also, big kudos to your husband for quitting smoking. Tough to do. I blame the failure of at least 1 implant and the wreaking of 2 others on my smoking. So far, I'm smoke free for 11 months, really don't feel any better and I do sometimes stand close to those who are smoking to grab a whiff or 2. Good luck and enjoy the new smile. Phil  (Jul 13, 2012 | post #3235)

Dentist in Costa Rica

The following is my personal comment on "wonderchild' s"comments relating to Dr. Anglada where she says: "Anglada suggests using full anathesia and with Cavallini these is just a local." In all of my 3 trips for my 8 implants, grafts/sinus lifts, crowns and 10+ veneers and my wife 7 implants, 2 grafts, crowns and 9 veneers, Dr. Anglada never pushed or recommended or suggested anesthesia. Wonderchild's impression may have been different from ours. While his practice offers anesthesia, I believe we only met one person in all our 3 trips who said they used it because of exceptional sensitivity to pain. We just used the shots and I tried the nitrous oxide, for grins, but as I posted earlier, I'm not sure it worked while Anglada did my grafts, 1st implants and an extraction. We did inquire about immediate load implants. Bothe Anglada and Castro stated they did not recommend that procedure for foreign patients where they (the doctors) could not observe the success or failure of the implant on a regular basis. Made sense since they were guaranteeing the success of the implant for life. Lots of folks on this forum have posted their successes, and some failures, with these and clinics. The bottom-line is buyer beware, do your homework, be informed. Everyone reacts differently to procedures and everyone's situation is different; what works for one person doesn't always work for someone else. You get what you pay for and take your chances, but try to minimize problems - whether in the US, Canada, Mexico or Costa Rica. Good luck.  (Jun 27, 2012 | post #3209)

Dentist in Costa Rica

Mic A., Carl M has some good advice. I interviewed 3 dentists face to face before making a decision. If you think you need extensive work including bone grafts, a CT Scan might be in order that shows the condition and extent of bone and/or absorption of bone by the sinus cavity. You can get these in CR for about $200 as opposed to the $400 I paid in the States. Any dentist/implantolo gist in CR will write the prescription and you can probably get it done the same day and be back for a consult later the same day and you'll have to consult with others. Good luck and keep smiling. Phil  (Jun 11, 2012 | post #3196)

Dentist in Costa Rica

Karen, My wife and I started with Anglada and Castro oct '10 and finished up Nov 11, doing 3 trips in that time frame. To date we've had no problems with our grafts, implants, crowns or veneers. I will not categorically say everything that the doctors did was perfect like some posters claim for their chosen dentists. I will say we were very satisfied with the work and cost and received compliments from our local dentist/periodonti st on the work that Anglada/Castro did. I will also say that both Angalada and Castro went far out of the norm to fix anything we didn't like or were concerned about to the extent of taking late night calls at home, working late (10 PM) at night, coming to our hotel on a Sunday to check out a "concern " before we left and refunding money for a failed implant (even thou I probably contributed by smoking) since I didn't want it another trip even at no cost and decided on a bridge instead. Anglada and Castro are not the cheapest but not the most expensive as well and they use the best materials. I've met a number of people who vouched for Dr. Mesa but I have not had specific experience so cannot endorse his work. Finally, contrary to much innuendo and unsupported BS from comments in the last few pages, not every one on this thread is a shill or gets referral fees. We have spent some $30k with Angalada/Castro, are very happy to have not spent $90K in the States for the same work, have never received any funds from the doctors (other than for the failed implant), and was never asked to make recommendations. My recommendation is merely "playing it forward" since many people on the site help me in the past. Good luck.  (May 31, 2012 | post #3174)

Dentist in Costa Rica

JoAnn, 1) I would not go back to the same dentist unless he/she agrees to do the work for free. Even so, I would not go back. 2) I'd get an attorney there in San Jose to sue for a refund or the cost of redoing the work by another dentist. I met 2 people in CR who had problems with their dentist and got their money back. 3) I'm surprised your US dentist can't/didn't advise you on whether or not you can do a bone graft with implants in place or if you you have to remove them and replace once the grafts have taken. I would not relay on anyone's advice with is NOT an implantologist/den tal surgeon. 4) Tell us who screwed up your and your friends work. Good luck.  (May 21, 2012 | post #3143)

Dentist in Costa Rica

Joanne, Suggest you look at "LadyBoss' " comments back around page 43 of this forum. She's had extensive work with Dr. Flikier and Navarro. She lives near you as well. I interviewed and liked Flikier and was very impressed with his credentials, Boston U training, offices and modern equipment. However, we decided to have our work done elsewhere based on purely rapport issues.  (Mar 16, 2012 | post #3100)

Dentist in Costa Rica

Ms. K, Good comments. I don't think you have to worry or 'brace' for an attack; if one comes, and I doubt it will, just consider the source. Best of luck with your on-going treatments.  (Feb 12, 2012 | post #3083)

Dentist in Costa Rica

Vicki, Despite unwelcome comments to the contrary, I thought your comments were helpful and instructive to any one looking for information. Lorna, I agree with Vicki's comments. You seem to be an honest and very enthusiastic person who is extremely happy with the dental work done. Having taken the experiences from others and shared our own over the years, I personally would like to play it forward an post from time to time the status of my dental and any issues I might be having. I'm sure others would like to hear from you as well.  (Feb 11, 2012 | post #3077)

Dentist in Costa Rica

Mike, You posted while I was still making my comment. You sound a little frustrated and are lashing out. Lighten up. Hey, people are just trying to help. Had I read it before I posted, I would not have bothered with any suggestions.  (Feb 11, 2012 | post #3076)