Saving the Tooth by Treating the Root


For that Knockout Smile


The Solution to Bone Loss


Adding Bone to Reinforce the Upper Jaw


Filling In the Cavity


Eliminating Pain and Anxiety


Doing Away with Dentures


The New Approach to Missing Teeth


For a Natural Look and Feel


Fully Customized and Flawless


The Easy Cover-ups


Frequently Asked Questions

Who is Dr. Esteban Urzola?

Esteban Urzola, MDS is an Aesthetic and Implant Specialist who has a Masters Degree in Oral Implantology. What makes him unique is the verifiable fact that he is one of the few dental practitioners in Costa Rica who is Board-Certified as a Specialist by the Costa Rican College of Dental Surgeons. He is also an owner of a Dental Laboratory with a full-time staff of Dental Technicians and is one of the few laboratories in Costa Rica that is equipped with the Zirkonzahn Computer-Aided Design and Computer-Aided Manufacturing (CAD/CAM) Milling Machine, the latest in dental technology.

How successful are Dental Implants? What happens if they fail?

It is important to note that every human being is unique; therefore, each body subsequently responds to certain physical changes in a different way. We can better illustrate this point by giving specific case studies of two of our patients. A 72-year- old man with 8 dental implants returned for the Rehabilitation process without a single problem; whereas a 37-year- old woman with 3 dental implants returned and 2 of them had failed.

Your general health, genetic make-up, the quality and quantity of available bone, the number of teeth replaced, the type of replacement teeth, and lifestyle are contributing factors that may determine the success or failure of the implants. That said, it is very difficult to pinpoint why some implants might work and others might fail for one person.

Dental Implants are designed to last a lifetime. Clinical studies over the past 50 years indicate that dental implant treatment has a success rate well over 95%. Dr. Urzola has a 98% success rate for the dental implants. He gives them a 5-year warranty, but will only remain valid if the patient refrains from smoking during the course of the healing period, strictly follows the Soft Diet, and if the implants are not compromised in any way by having another dental practitioner attempt to address an issue should one arise. If you feel that there is a problem, we recommend that you contact us immediately and we will do our best to help you resolve your issue.

In the event that an implant fails, it is usually detected on the Second Visit. Dr. Urzola will remove the failed implant and replace it with a new one. The same procedure follows where the patient will return after six months to change the temporary crown to a permanent one.

Why does the Dental Implant process take so long?

To ensure the survival of your dental implants and their proper function, they have to undergo the process of “Osseointegration”, which is a structural connection that forms between your natural jawbone and the titanium implant. This process can take anywhere from 3 to 6 months to properly heal and integrate into the jawbone, depending on the location of the dental implant.

Am I a candidate for Dental Implants?

The Panoramic x-ray will determine your viability as a candidate for dental implants. This is why it’s very important that you send Dr. Esteban Urzola your x-ray, a front view picture with a smile, and a picture of the inside of your mouth via e-mail so that all your options will be enumerated and everything will be thoroughly discussed with you. This would be the ideal moment to voice out any concerns that may be lingering at the back of your mind.

  • If you have moderate to high bone density, you will proceed with the usual two-step process. The first step being the placement of the Dental Implants and Temporary Crowns and the second step 6 months later will be the Rehabilitation process where the Permanent Crowns will replace the temporary ones.
  • If you have low bone density, you will proceed with the three-step process. After studying your 3D Scan, the first step will either be the Bone Graft or Sinus Lift. Six months later, you will proceed with the placement of the dental implants, then finally after another 6 months, the Rehabilitation process begins with the replacement from temporary to permanent crowns.
What kind of Dental Implants are used?

Rest assured that all our dental implants are of the highest quality the market has to offer. They are all made in the United States and are FDA approved. If any should fail within the 5-year warranty, we will replace the unit for free.

Is Oral Surgery painful?

Every patient has a different level of tolerance for pain. We can assure you that the pain will be minimized to a degree that you can handle by way of either Sedation or General Anesthesia. Please know that your ease and comfort will always be our priority and we will help you decide which type of Anesthesia will be best for you.

If I have a medical condition, am I still a candidate for Dental Implants?

You will be required to fill up the Medical History Form. Any pre-existing health conditions and any prescription or non-prescription medication must be declared. In most cases, the medication does not interfere with the Treatment and Rehabilitation Plan; however, some types of medicine may have to be put on hold for several days both prior to surgery and after the surgery. Please consult with your Medical Physician for further instructions.

Why do I have to stay so long? What happens if I have to leave earlier?

Creating your perfect smile takes time and patience. This is crucial for you to achieve the look that you want. When you rush this process, you can compromise the quality of the work that Dr. Urzola can deliver to you. Every day that you take away from the required length of stay as specified on your Treatment and Rehabilitation Plan can decrease the level of perfection by as much as 10% each day. It is a very high risk and one not worth taking.

In some cases, patients have left earlier than the required time and have suffered as a result. They complain once they’ve returned to their country that something doesn’t feel quite right – maybe the bite isn’t perfect or the color isn’t the exact shade they wanted. This is the difference even a day can make. Unless it is an emergency, you are strongly advised to stay the required number of days as discussed during your Consultation; otherwise, you may compromise the outcome of your Treatment and Rehabilitation Plan.

Always remember that it is more logical to stay for the required days than to have to return for a second time and – if time becomes an issue and you cannot return to Cost Rica – you will either have to pay for a local dental practitioner to resolve the issue or tolerate it until the day that you can return. Whatever imperfection is rectifiable and the time to address it is during your visit. There is a 1-year warranty on the crowns and veneers.

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