
Full Mouth Reconstruction: Peter from New Hampshire
Sometimes it is better to let a patient speak for your work. Such is the case with Peter. After visiting our office in Costa Rica we received this letter from Peter:
My dental work was done at Prisma Dental in San Jose, Costa Rica.
My teeth had always been pretty bad (I’m a Brit, what would you expect?) and got to the point where I was having fillings replaced every few months and my front lower teeth were worn down to about 1/8″ and showing the brown dentine.
Basically — I was like an old horse. Replacing the worn-down teeth with taller ones would affect every other tooth because they would no longer meet. I spent a year going to several dentists at home but no one had a solution I could afford. We researched dental tourism and found that Costa Rica is one of the top three destinations. An e-book called Patients Beyond Borders, mentioned in an AARP magazine, said that Prisma was “la creme de la creme” of dental clinics so I went there. It was the most impressive dental clinic I have ever seen, and they gave us a tour of the facilities which included their own labs for making crowns and specialist rooms for such as root canal work.
I had every tooth in my head crowned. The process included 18 root canals. This was in February of 2008 and so far I have not had any trouble, and it is a joy to be able to smile without scaring children. All the dentists in the U.S. seemed to find complications, whatever procedure they proposed. I felt that my dental problems were worse than anyone had ever had. At Prisma they just regarded it as routine and got on with it. This is possibly a downside of having treatment there. You need to be aware that they will go ahead so fast it might make your head spin. I’m not suggesting that they are anything but correct and proper in giving you the best possible modern treatment, just that compared to here they don’t pussyfoot around.
Here, I would probably have had one or two teeth worked on per day, with rest days in between. Believe it or not, all of my work was completed in three days. Ten days later I went back to have the final crowns cemented in place. It was a bit grueling, 8 a.m. until 6 p.m. the first day, 8 a.m. to 8 p.m. the second day, four hours on the third day and all was done. This would probably have been different if I was a resident instead of being there for a limited period. Several dentists worked on me according to their specialties; When one was done another came in.
I could not be more impressed by their professionalism and efficiency. This all sounds like a commercial, but it is what I think and what I tell everyone, and I have been to a lot of dentists in my life.
— Peter, New Hampshire










I’m quite sure I need full mouth implants/reconstruction and likely gum surgery. I’m available to travel and would like to have everything done in a condensed period of time. I have no idea where/how to begin. I’m coming from NH and I dont want to fly back and forth. Can you tell me what steps I need to take?
Amanda
Hi Amanda,
I’ll put you in touch with the dentists and with Tiffany Kofroth, the Prisma patient coordinator. You can expect to hear back from them after the weekend.
-jeff
I too live in NH. Just got a $10,000 estimate for dental and periodontal work that needs to be done. Do these doctors do full periodontal work? (I only saw gingivoplasty listed which I don’t believe is full periodontal, but I could be wrong. I’m single and wondering if people ever go down together to share some of the expenses…for instance, a double room instead of a single etc. $75/night divided by 2, instead of $65/night. If down for 10 nights would save another $300+. Thanks, Dona
Hi Dona,
I’ve forwarded your comment on to the dentists and you can expect to hear back shortly. I do know that they are broadly experienced in periodontal work, though.
Also, people often travel or stay with others to save on accommodations. I have some suggestions for following up that I’ll send you privately.
HI FROM TEMPE,AZ I NEED A LOT OF DENTAL WORK DONE. I HAVE MISSING TEETH AND SOME WITH JUST A PART OF THE TOOTH SHOWING. I AM A VERY LOW INCOME AND JUST CHECKING TO SEE WHAT THIS DENTISTRY IS ALL ABOUT. IT WOULD BE NICE TO SHARE A ROOM WITH SOMEONE FEMALE OF MY OWN AGE 59, I WOULD LOVE IMPLANTS BUT MIGHT BE TO EXPENSIVE. THANKS. DONNA ANDERSON
Hi Donna,
I’ve forwarded your inquiry to the dentists and they will be getting back to you soon. Generally, you can expect the costs of your dental work to be substantially less at Prisma than in the United States. Prisma can also help you with suggestions for budget travel and accommodations.
-jeff
I need crown lengthening and about 20 crowns. I think I need two root canals. How quickly could I get all of this done? Over one trip, two trips? I have photos, xrays, etc. and have visited specialists here in America. Could the CR denists take copies of all this information and give me an estimate long distance? Just looking at options.
Hi Dan,
Telma and Josef and the folks at Prisma will be happy to get you an estimate. It seems likely that your procedures could be done in one trip of 10 days or so. Please give Prisma a call at 1.866.741.8194 (toll-free), Dr. Telma would like to talk to you. If she is not immediately available, leave a phone number and she’ll call you back.
I am a 57 year old female, that needs pins put in to hold new dentures.My income is poverty level.I would love to get implants, but I could never afford that luxury. I have dentures now that are 20 years old. I know my grandchildren are embaressed for me, because my smile is sagging and it makes me look 20 years older. I get all kinds of looks from most people. It has effected my whole life. I don’t know where to turn? Do you have any suggestions for me?
Sincerely, Brenda Balistreri
I had a same story with Mrs. Brenda, its quite embarrassing when I smile when I know that my dentures are too old..I really wanna have to get implants and I am searching for an affordable one. Looking forward to your reply. Thanks.
Hi, I have a full upper denture and would like to get a fixed dental bridge or use my own denture which is about 2 years old and very well done to do some implant to hold my denture and be able to cut off the denture roof.Is it possible? I’m a 60 years old and have no insurance to be able to do in America.Living in a very small budget and very small savings I ask you, would that be very costly? I wonder If I can afford it? I used to sing a lot and received a offer from a friend to make some extra money to sing to supplement my income, I’m in doubt to do so because I’m afraid to be singing and have an accident with the denture. Could I have an estimate with everything included,Days of staying,hotel prices and all? Thank you