Potential Complications and Considerations:

Bone Grafting and Sinus Lifts:
Patients with insufficient jawbone density may require bone grafting to build support for the implant. A sinus lift may also be necessary for implants in the upper jaw to create space and enhance stability.

Medical Conditions:
Conditions such as high blood pressure and diabetes must be well-managed before undergoing implant surgery to minimize risks.

Implant Rejection:
While rare, implants can fail due to poor healing, infection, improper placement, or inadequate bone integration (osseointegration). Advances in materials and techniques reduce this risk, and failed implants are often replaced under warranty.

Torque and Stability:
Implants are secured based on torque, which measures the stability of the implant in the bone. If torque is insufficient, immediate loading (attaching a crown) may not be possible, and additional healing time may be required.

Healing Time and Monitoring:
Healing times vary, typically taking 4-6 months. Periodic scans may be recommended to assess progress, especially for complex cases.

 

 

“All-on-4 or 6 Implants: What to Expect and Disclosures”

 

The All-on-4 implant procedure involves the placement of four dental implants to support a full set of teeth, providing a fixed and stable solution. Before undergoing this treatment, it’s important to understand what to expect and any disclosures associated with the procedure.

FYI: The All-on-6 treatment concept, like any dental procedure, may not be suitable for everyone due to various factors.

Here are some reasons why it might not work for everyone:

• Bone Quality and Quantity: The success of the All-on-6 treatment relies on sufficient bone density and quality in the jaw to support the six implants. If a patient lacks adequate bone structure, additional procedures such as bone grafting may be necessary, and in most cases, this might not be feasible.
• “In some instances, a scan may indicate adequacy, but upon further inspection, it may not function as expected.” You will be quoted two prices.

Consultation and Evaluation: The process typically begins with a comprehensive consultation and evaluation by a dental professional. This includes assessing your oral health, bone density, and discussing your specific dental needs.

 

Treatment Planning: A personalized treatment plan will be created, outlining the details of the procedure, including the placement of four implants strategically in the jawbone.

 

Surgery: The implant surgery involves the precise placement of the implants. This procedure is usually performed under local anesthesia, and the implants act as anchors for the prosthetic teeth.

• Anesthesia requirement & cost in most cases can vary on time used: $650 in most cases – $800 in extreme cases
  • Please bring the following at least one week prior to coming. This is done in an effort to make sure you can be sedated
  • For preoperative Evaluation including an EKG, please contact your primary care physician or cardiologist as soon as possible and request a copy of the results to be brought with you
  • Coagulation test (coagulation test: TP Y TPT)
  • Complete blood count (Complete blood count)

 

• In Costa Rica & Mexico , gas anesthesia is not used; instead, a certified anesthesiologist administers real conscious anesthesia with all the essential equipment.
• It’s important to emphasize that eligibility for this type of sedation requires successful completion of all medical examinations and being deemed fit for the procedure.
• This precaution is necessary due to the prolonged nature of the operation, requiring an extended period with the mouth open. Even though the surgery is minor, it is still surgery, and constant IV monitoring will be in place. Additionally, for female patients, there is always a female assistant present for your comfort.

 

 

Recovery Period: There is a healing period after surgery during which the implants integrate with the jawbone. Temporary prosthetic teeth may be provided during this phase.

• FYI: The nature of dentures and the limited time frame, typically seven  to ten days during which I am available for adjustments, means achieving a perfect fit can be challenging.
• The short period may not allow for an absolutely flawless adjustment.
• However, I’m here to work with you to address any concerns and make the necessary adjustments to enhance the comfort and functionality of your dentures.

 

We want to emphasize the significant role of bone density in determining whether temporary or permanent dentures can be screwed in place.

• While immediate loading is preferred, it may not always be feasible immediately after implant installation.
• In such cases, temporary dentures, while not ideal, are employed. Adjustments may be necessary later when you are fully healed to enhance comfort.
• The decision for immediate load depends on the torque of the bone at the time of surgery. If the bone density is insufficient, immediate loading poses risks, and we may need to wait for proper healing.

 

We want to set realistic expectations; our goal is immediate loading, but it is contingent on favorable bone conditions during surgery.

The accommodations provided in  All-on-4 or 6 implants treatment plans, whether for the upper, lower jaw, or both, are extended as a courtesy by the doctor in appreciation of selecting their services.

Terms and conditions 

Near the Fortuna facility, the well-equipped lodgings are rustic cabins, aligning with an eco-friendly philosophy.

• The doctor actively supports environmental sustainability by employing solar power to heat water for showers. While the cabins don’t offer full-service front desk staff amenities, they do feature air conditioning for comfort.

Additionally, a convenient Uber service is available at a reasonable rate,

Transportation Services:
A set number Scheduled dental appointments included complimentary transportation to and from treatments.

• All other rides with the driver are billed separately. Emphasizing transparency, it’s highlighted that these accommodations are intended to be accommodating.

Patients are encouraged to inquire about specific needs or requests, as the primary goal is to facilitate a cost-effective and comfortable experience for those opting for treatment in Costa Rica.

Thank you for selecting our services.

Final Prosthetic Placement 2nd visit: Once the implants have fully integrated, the final set of prosthetic teeth is securely attached to the implants. This provides a functional and aesthetic full-arch restoration.

FYI: “Be mindful of the variety of prostheses available for implant attachment, including permanent and snap-in options.

• While the default choice is permanent, an alternative exists.
  • Permanent functional and aesthetic full-arch restoration.
  • It is crucial to inquire about the specific type you are receiving to ensure clarity regarding its permanency.
  • Snap-in prostheses are chosen when patients are not immediately prepared for a permanent transition or when financial considerations favor starting with a snap-in option, allowing for a potential upgrade to a permanent one in the future.
  • Communicate your intention to transition later to your dentist, ensuring the placement of implants with the capability for future upgrades.”

 

Disclosures and Considerations:

 

Surgical Risks: As with any surgery, there are inherent risks, including infection, bleeding, or damage to surrounding structures. Your dental professional will discuss these risks during the consultation.

 

Healing Time: The integration of implants with the jawbone takes time, and individual healing rates may vary, as you progress through the healing phase following implant surgery, it is generally expected to be fully healed by the 5th, or 6th month. If there is a desire to check healing progress before the typical timeframe, obtaining a 3D scan in your home country is recommended if you want to come earlier. This precaution ensures that healing is sufficient. If the initial check shows incomplete healing, it is highly advisable to schedule another 3D scan later in the 5 or 6^th month to confirm proper healing before proceeding with further steps.” Not a requirement most heal just fine its only done in precaution so its not wasted trip if you come to early

Disclosure: Implant rejection by the human body is a complex phenomenon that can be influenced by various factors. Common causes of implant rejection include: Infection, Poor Osseointegration, Improper Placement, Chronic Inflammation

Advances in medical technology and materials have significantly reduced the likelihood of rejection, and careful consideration of these factors is taken into account during the planning and placement of implants.

While it’s uncommon, the human body can reject an implant. Rest assured that you are covered; if, against the odds, it fails, another implant will be placed under warranty at no cost to you.                                               

 Patience is key during the recovery phase.

 

Maintenance and Oral Care: Regular dental check-ups and proper oral hygiene are crucial to maintain the longevity of the All-on-4 implant restoration.

It’s essential to have open communication with us, ask questions, and fully understand the process with All-on-4 or 6 implant treatment “keep in mind 6 if possible not everyone can ” additional fee if six are placed

Dentures disclose what to expect.

The nature of dentures and the limited time frame, typically ten to ten days during which I am available for adjustments, means achieving a perfect fit can be challenging. The short period may not allow for an absolutely flawless adjustment. However, I’m here to work with you to address any concerns and make the necessary adjustments to enhance the comfort and functionality of your dentures.

Bone Healing and Resorption: After implant surgery, the surrounding bone undergoes a healing process that may result in changes to its shape and density. Additionally, some bone resorption might occur over time. These natural processes can affect the initial fit of dentures, as the oral anatomy may no longer align perfectly with the prosthetic.

Soft Tissue Changes: The gums and surrounding soft tissues can also undergo alterations during the post-implant healing period. This can lead to variations in the contours of the oral cavity, impacting the fit of dentures.

 

Implant Integration Time: The time required for implants to fully integrate with the jawbone varies among individuals. If the integration process is not yet complete at the time of denture placement, it can contribute to fit issues as the underlying support structure may not be fully stabilized.

Guidelines for Post-Dental Crown Care:

To ensure the stability and longevity of your dental crown, it is crucial to refrain from chewing gum and consuming foods that are excessively chewy, hard, or sticky. Additionally, it is advised to favor chewing on the opposite side of the mouth from where the crown is placed as much as possible. These precautions help prevent dislocation and promote the successful integration of dental restoration.

 

I acknowledge and accept the conditions and explanations outlined. I understand that the physician will make decisions in my best interest, prioritizing my safety and the long-term goal of restoring my smile. I willingly accept these conditions without holding any liability, recognizing that all necessary measures have been taken to minimize complications or unforeseen issues that may arise.