Gingival Flap Surgery Costa Rica

I have had my All-On-4 for a YEAR as of today! I waited to do the review because something as major/expensive / life-changing as an ALL-ON-4 isn't something that can honestly be reviewed after just a few days. I was born with Enamel Hypoplasia; that is, my adult teeth didn't have any enamel. I was told when I was a teenager that I would be wearing dentures by the time I was 25. I decided to do my best to take care of what I had - I brushed after every meal, I flossed, etc. My teeth lasted until I was 56! I tried several times to get my teeth fixed in the US (starting in 1989) and the price / procedure kept changing including the first time I started in 1989 and I had already paid the dentist over $5k (in 1989 $). Any how, I visited a few more dentists up here in Texas throughout the years and never got a good feeling for they were going to do for me (price was all the way to $100k with a WHOLE year of warranty). I first reached out to Goodness Dental in 2016 and they were very informative and had me send down a panoramic x-ray of my teeth. I was told that if my gums were in good shape (they are), they recommended an ALL-ON-4 and it would take two trips to Costa Rica 6 months apart. Covid19 finally allowed me the opportunity to travel to Costa Rica in December of 2020 - they yanked all my TEETH!!! For the first couple of days, I was thinking WTF did I just do. They screwed by bottom temporaries in and gave me a set of removeable upper CLOWN teeth (I only wore them for the minimum recommended 1 hour a day as I couldn't talk/chew with them). My family and I travelled back to Costa Rica in June/July 2021 for the permanent teeth. They told me for most it would take a couple of months to get used to it - since I was used to having no teeth for the previous 6 months, it only took me a few days. The procedure has been life changing as I finally have teeth that are super sensitive to things like lemons and other acidic fruits, I can chew without shifting food around from side to side in my mouth, etc. The only thing I would ding Goodness Dental for it there has been no follow-up since I left to see how was I adjusting to my new teeth. Since I haven't had any issues, this hasn't been a big deal to me - but I know others who need the follow up.

We learned of Prisma Dental through International Living during one of their conferences in Costa Rica. They gave a presentation and I spoke with one of their representatives at their table during the conference. My husband and I both needed dental work. His was going to be extremely expensive in the US, so we took the leap and made an appointment online with Luis at Prisma Dental and traveled back to Costa Rica. My husband was extremely apprehensive and wanted complete sedation, but Dr Nadine Rubinstein was so gentle that she was able to remove 13 tooth roots with just numbing. He had no pain during the procedure or that evening. By the next day they had his very natural looking dentures ready! He will be back in 6 months for implants. I needed bonding on my lower front teeth and a cracked back molar fixed. I, too, was apprehensive, but with a mild sedative, Dr. Carolina Nunez built up the back molar and bonded nine lower teeth - all painlessly. The next day, she permanently cemented the new back molar. One can't even tell I had any work done - each bonding is seamless. From arranging for the appointment with Luis to being incredibly kind when we walked in the front door - topped off with the terrific work they did, it was a great experience - and the cost was a fraction of what we would have paid in the US.

Dr. Diego is the BEST! Been going to him for over 10 years now! June