The Cosmetic Dentistry Blog

April 12, 2012

Should I go to Clear Choice or Costa Rica for my dental implants?

Your website only discusses Clear Choice as a provider of the all on 4 implant procedures. I went in for a 3d x-ray and initial eval at both Clear Choice (CC) and EON. My experience with CC was consistent with the experiences of others reflected on your website. EON seemed much better. In particular, the head of the EON clinic spoke with me. Apparently he used to be associated or partnered with CC. He stated that he left CC because he did not like the practice of abandoning the patients once they had the procedure done. Also according the the “evaluation done at CC and reported to me by the sales rep, I was a fine candidate for the procedure. The dentist from EON referred to the x-ray and mentioned several consideration that needed to be evaluated. Ultimately he stated that they could make the necessary modifications to allow insertion of the implants without bone grafting. If any of this seems odd or false, please let me know. I figured you might benefit from my description of the initial meetings with the 2 local competitors in Chicago area. Thank you. Mike Burke My next step, in addition to scouring the internet for justification and knowledge is to consider going out of the country to have the implants put in. Costa Rica?

Mike from Chicago

Mike,
I don’t understand. You are unhappy with the idea that you would go to Clear Choice and get dental implants and they wouldn’t have any follow-up. And for THAT you are going to Costa Rica? What kind of follow-up do you think they have in Costa Rica? Do you think THEY will call you for a checkup and a cleaning?

Having dental implants placed, even in the United States, is a risky procedure. We are seeing so much malpractice in this area. Dentists are getting into it without adequate training, and the standards of care are not well established because it isn’t a recognized specialty and is fairly unregulated.

But take the worst dentists you have in the United States, and remove ALL quality control standards that even they have, and that’s what you’ll have when you go to Costa Rica. If you are a brave soul, you could try getting crowns or bridgework done in Costa Rica, because you could always have those re-done if something goes wrong. But when something goes wrong with implant dentistry, you could end up a dental cripple, maybe with practically no jawbone. They could accidentally place implants in your nerve canal, in your nasal sinuses, they could perforate the bone. Infection could set in. The implants could be too short or too thin. They could be placed under load prematurely. They could come loose. If they place cheap fixtures, they could lack precise tolerances, which would leave openings for infection and coming loose. The fixtures could corrode. You could get peri-implantitis. There are so many things that could go wrong with dental implants. At least in the United States you might have some legal recourse if things go bad.

I am not a fan of Clear Choice. As you were told, they do not have any follow-up contact with you. We have numerous reports of high-pressure sales tactics. To see some of those reports, check our Clear Choice reviews page. Clear Choice costs are high. And the all-on-four is a risky procedure – if anything goes wrong later with any one of the four implants they place, the entire case will have to be re-done. But you are far better off having this done by Clear Choice than going down to Costa Rica. If you want the best care, my recommendation would be to find a solo practitioner with expertise in dental implants. Look for credentials from either the International Congress of Oral Implantologists or from the American Academy of Implant Dentistry.

There are other dentists who do the all-on-4 procedure in the Chicago area. Dr. Anthony LaVacca in Naperville is one. He is a board-certified prosthodontist and is also implant surgery trained. If you are leery of the all-on-4 procedure, which I am, you may want to get a second opinion from Dr. William Cohen in Glenview, who used to be my dentist when I lived in Iowa.

But please, please, don’t go down to Costa Rica for dental implants, not if your quality of life is important to you.

Dr. Hall

We thank our advertisers who help fund this site.

About David A. Hall

Dr. David Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does complete Internet marketing for dentists.

March 31, 2011

Clear Choice is my cheapest option

Dr. Hall,
I had an appointment and would like to know if there has been any complaints from the Beaverton (near Portland)clear choice. They quoted me $53,000 but settled on $29,000 when I explained my financial position and that I was a disabled Veteran. All of the other Implant dentist quoted me 50 to 75 thousand and wanted to fix my teeth (for 10 thousand plus) rather than a full implant procedure. I have several missing teeth and at 62 they are breaking and falling apart at an accelerated pace.

Thanks,
Neil from Oregon

Neil,
The complaints we’ve had about Clear Choice Dental Implants Centers have been mostly about their sales tactics and them not giving you options. And my recommendation is that when you go to Clear Choice you get a second opinion. You’ve done that. If you like the option Clear Choice is giving you and you feel comfortable with the Clear Choice doctors, then I would have them do your work. Generally, I think they hire good doctors.

But are you telling me that the other implant dentists are telling you they refuse to extract your remaining teeth? Or did you just not ask that question? If it were me, I would take the fee Clear Choice gave me and take that back to the other implant dentists, telling each of them that you just are tired of dealing with your existing teeth and want the rest of them out and implants. If they are that hard-nosed that they won’t be flexible on that, then Clear Choice is a better bet for you. I would think most dentists would be flexible financially and treatment-wise. I can understand a dentist telling a 25-year-old that he or she would refuse to take out all their teeth – that’s what I would do. But when you’re 62 with your remaining teeth breaking and falling apart, having them out and going with implants is not an unreasonable desire. And your case should be a lot less complicated than someone who has been without teeth for ten or twenty years.

Having said that, the drop in fee from $53,000 to $29,000 is rather suspicious. Either the first fee was grossly exaggerated or something else is going on. If you have any kind of an uneasy feeling about the Clear Choice clinic you went to, I would continue shopping for another opinion. But if you do that, I would tell the dentist straight up that you don’t want to monkey with saving your existing teeth, if you’ve already made up your mind that’s what you want.
Dr. Hall

Links: read more about dental implants.

We thank our advertisers who help fund this site.

About David A. Hall

Dr. David Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does complete Internet marketing for dentists.

Powered by WordPress