Dental Crowns
Restoration for damaged or worn teeth

You can browse a list of clinics that provide dental crowns here on RevaHealth.com. If you need any help deciding which clinic to choose, just ask us for help.

Crowns tend to be quite expensive and therefore individuals are increasingly looking to other destinations to cut down the cost.  In addition there have been several advances in the field with newer porcelain crowns offering a better cosmetic appearance and only requiring a single visit.

What are Dental Crowns?

A crown is a cap that typically completely covers a single tooth and adds strength, stability and durability to an otherwise weakened structure. It can be made out of gold or ceramic and is typically fitted by a dentist in one or two visits. Crowns tend to be expensive with US pricing ranging from $600 to $3,000 dollar and are therefore one of the more common treatment sought by dental tourists.

You might need a crown if:

• If a lot of your tooth has decayed and there isn't enough tooth structure to fill in the same way that small cavities are filled
• A large section of your tooth has fractured off
• You have a large cavity and are opting for the addition protection that a crown offers against fracture and decay
• You have implants and are opting for crowns to be fitted
• If you have had a root canal on one of your rear teeth then a crown is typically required to strengthen the tooth
• If you want a better smile but veneers/implants are not appropriate
• Grinding or acid erosion has significantly reduced the tooth

What is the procedure like?

The tooth in question needs to be prepared by stripping off the entire top covering (enamel) of the tooth where the crown is to be fitted. It should be noted that this process is not reversible.  From this point on, the procedure differs greatly according to the type of crown being fitted. In the instance of gold crowns, a mould is taken and sent to a laboratory so that the crown can be manufactured. This can take anywhere from days to weeks, so a second visit is required for the crown to be fitted. Your dentist should supply you with a temporary crown or ‘flipper’ for you to wear in the interim. Certain ceramic crowns can be made in the dentist’s surgery and fitted in a single visit.

What different types exist?

Full gold crowns – Although called full gold these are normally an alloy of various metals. Check with your dentist that the ‘gold’ they are using contains at least 75% noble metal. Gold crowns are typically made by taking a wax impression and having the crown fabricated in a laboratory and then fitted in a latter visit.  As gold crowns require at least two visits to a dentist, many dental tourist opt for ceramic varieties, however it should be noted that many dentist still regard full gold crowns as being superior in the long terms.

Porcelain fused to Metal Crowns – In order to achieve a more natural look on visible teeth, porcelain can be fused to metal crowns.  This is a different process to full gold crowns as more of the original tooth needs to be removed in order to make space for the porcelain. Although gold can be used normally, a different metal alloy is used because of the intense heat of the fabrication process. The latest and most expensive material used is circoniumoxide.  

Porcelain Crowns - There are two main types of porcelain crown. The traditional variety is felspathic and is created in a lab making porcelain. The newer type is created by a single ingot and can be created by specialised equipment in the dentist’s surgery.  This makes porcelain crowns particularly attractive to the dental tourist as they can be completed in a single visit.

Procera (Alumina or zironia) – Procera AllCeram is a brand name for natural looking crown created by covering a alumina or zironia core with ceramic.  The crown is created by computer- aided manufacturing rather than the traditional casting process. Studies by Procera have shown a very high success rate over 5 and 10 years.

CERAC – Is the current leader in computer aided crown manufacture in the US. The crown is created out of ceramic and rather than being fabricated in a laboratory, it is build in specialized (and expensive) equipment in the Dentist’s surgery. This can result in crowns being fitted in a single visit.

What affects the price?

There are a huge number of factors that determine the price. It is important when you are comparing prices, you are comparing like with like.  Look for details like:

• The type of crown you are getting
• Is a pin required to anchor the crown?
• Is root canal work required?
• Additional work that may need to be performed

Price Comparison

Price lists should always be viewed with caution as many factors can increase or decrease the resulting price. The follow table gives some indicative costs for crowns across the world:

Dentists in Costa Rica
Save yourself up to 70% on cosmetic dentistry in Costa Rica

A recent World Health Organization (WHO) report rated Costa Rica’s health system above that of the USA*. A high level of professional training and an impressive public healthcare system reflect in the private care available to Medical Tourists. Once known mainly for its acclaimed promotion of ecotourism, dentistry in Costa Rica is now gaining significant international recognition.

Our three most popular dental clinics are:

A study at the University of Costa Rica showed that almost 14% of visitors to the country come in search of its medical expertise. The well-educated, tech-savvy population is gaining Costa Rica the reputation of a Central American 'Singapore', with industry analysts putting it in the top three offshore development destinations for American companies along with China and India.

Professional Aftercare

One of the most interesting aspects of the Medical Tourism industry in Costa Rica is in the area of recuperation facilities. While other destinations offer high quality hotels and accommodation, Costa Rica goes a bit further. Once a treatment has been completed, patients are able to check into dedicated recuperation centres. These centres have excellent accommodation and relaxation facilities but also provide qualified nurses and medical workers to help monitor their client’s condition and keep doctors updated on the recovery progress.

Regional benefits

Most doctors in Costa Rica spend much of their time maintaining the country’s excellent public healthcare system. Revenue from the treatment of foreign patients enables local medical specialists to continue devoting their resources to the local healthcare. Benefits are mutual, with skills passing between the two sectors. In addition to dental and cosmetic practice the Medical Tourism boom is enabling corrective eye surgery clinics to open and encourage hospitals — such as CIMA Hospital San Jose — to seek Joint Commission International certification.

Dentists in Costa Rica have the advantage of being able to offer patients dedicated recuperation centres in sun-filled tropical surroundings. As the regions leading healthcare destination it attracts patients from the U.S as well as neighbouring countries to take advantage of the low-cost, high-quality dental care available.

The Colegio De Cirujanos Dentistas overseas all Costa Rica's dental practices. It's practices conform to the very highest standards represented in world dentistry. A lengthy college career of 6 years is followed by a commitment to continuing education over the entire course of a dentist's career. To benefit from research and developments in US dentistry many Costa Rican dentists maintain not only local affiliations but membership of the American Dental Association (ADA) and of those US dental associations connected to the specialties they practice.

A combination of lower local wages and costs allow Costa Rican dentists to operate with the same materials and equipment as their North American counterparts at far lower prices. The same implant that might cost $2000 or more in the US can cost under $1000 in Costa Rica. Our most popular destination in Costa Rica is San Jose.

Dentists in Costa Rica - Prices

The following price guide indicates estimated cost of Dentistry in Costa Rica. Please note that this is a guide only and you should always check with your dentist directly.

*Exchange rates from 08/2007

Dentists in Costa Rica - Qualifications

Costa Rica’s Board of Dental Surgeons, Public and Private Dental Universities, Professional Associations and Specialist Boards, all work together to oversee and maintain the high quality of dentistry in Costa Rica. The Board of Dental Surgeons governs all practising dentists in the country with continuing education required for all members. Regular inspections of clinics are carried out by the National Health Department to ensure strict standards of sterilisation and health are maintained.

Formal training for all Costa Rican dentists begins in university where students undergo six years of education from the University of Costa Rica or similar courses from various private universities. Many graduates then travel abroad to further their dental knowledge in a specific area of dentistry.

Practicing dentists in Costa Rica receive the same education, have access to the same hi-tech medical equipment and follow the same Board Certification Requirements as a dentist in the United States, Canada or Europe. A reputable dental practice in Costa Rica will be a member of the American Dental Association, the international authority providing continuing education and teaching in the advancement of Dental Science.

For those interested in cosmetic dental treatment, look for clinics who belong to the American Academy of Cosmetic Dentistry, an organisation which sets standards of excellence in cosmetic dentistry. This is the largest association of its kind in the world with over 7000 practitioners in 60 countries.

Dentists in Costa Rica - Additional Information

Organizations

The Colegio De Cirujanos Dentistas (CCD) De Costa Rica is the dental regulatory body created by the legislative assembly of Costa Rica. All dentists operating in Costa Rica must be members of the CCD.

Dental Ethics

Members of the Colegio De Cirujanos Dentistas are required to abide by its ethics and requlations as stipulated in the legislative act that created the Colegio. The Colegio publishes its own code of ethics that places the Dentist's reponsibility to the health of the patient at the core of the profession.

Complaints

Complaints directed to the Colegio are dealt with by the Tribunal de Honor. It has powers to issue warnings, suspend members, expel members. In addition the Tribunal will refer complaints addressed to it that relate to non-members, suspended or expelled members to the civil courts.

Acts commited during professional practice that might be judged illegal will become the responsibility of the civil courts.

Continuing education

The code of ethics of the CCD states that the surgeon dentist should update his technical and scientific knowledge in a process of continual learning. This process is covered by the dental legislative act and is an enforced element of the CCD's membership requirements.

Data Protection

Dentists in Costa Rica have an obligation to protect and preserve the dental records of their patients, past and present, under the code of ethics of the CCD.

Resources

El Colegio De Cirujanos Dentistas
Colegio De Cirujanos Dentistas

Provisions of the Legislative Act (Spanish)
Directive 5784

Code of ethics (Spanish)
CCD code of ethics