Frequently asked questions

According to the doctors at the partner clinics, the technique is called Strategic Corticobasal Implantology. It uses a one-piece implant made of Swiss titanium. The prosthesis has a pure grade 4 titanium frame and a graphene-reinforced nanopolymer, a material used to make the replacement teeth. It differs from All-on-4. The doctor decides whether it suits your case.

According to the doctors at the partner clinics, a transitional prosthesis is placed on surgery day so the mouth is not left without teeth. About 24 hours later, the clinic delivers the definitive fixed prosthesis. Healing, checkups and possible maintenance are still needed. Not all cases qualify. The doctor decides after evaluating you.

According to the doctors at the partner clinics, a transitional prosthesis is placed on surgery day so the mouth is not left without teeth. About 24 hours later, the clinic delivers the definitive fixed prosthesis. Healing, checkups and possible maintenance are still needed. Gums change as they heal. Many immediate-loading treatments use an initial fixed prosthesis and replace it later. These clinics' adjustments, possible replacement, and costs are [to be confirmed]. Before deciding, ask what you would receive and which procedures might follow. Discuss this during the doctor's evaluation.

According to the doctors at the partner clinics, the technique is called Strategic Corticobasal Implantology. It uses a one-piece implant made of Swiss titanium. The prosthesis has a pure grade 4 titanium frame and a graphene-reinforced nanopolymer, a material used to make the replacement teeth.

Selva-Otaolaurruchi and colleagues found greater resistance to repeated loading in a laboratory test. De Angelis and other researchers found no clear advantage in other strength tests. Those results cannot establish how many years a prosthesis would last in your mouth. Material selection requires a doctor's evaluation.

G-CAM has FDA 510(k) clearance, K220329, for making dental restorations. Clearance differs from approval. It was based on laboratory and biocompatibility tests, which assess compatibility with the body. No clinical studies were submitted. The document does not expressly name a screw-retained fixed full-arch prosthesis. It does not certify the whole treatment. Ask the doctor about the specific use being proposed.

An arch is the upper or lower set of teeth. All-on-4 supports one arch with four implants. In comparison, the corticobasal system guide proposes more support points to distribute forces. A larger number is not better for everyone. The doctor determines the number for your case during an evaluation.

Corticobasal implant series have a few years of follow-up. Many are linked to the group that developed the system. Compared with All-on-4, there is less independent long-term evidence. Fixed full-arch prostheses with graphene also lack long clinical follow-up. Those data cannot establish how long treatment would last for one person. Ask for a doctor's evaluation.

The 2026 meta-analysis by Panday and colleagues could not make that direct comparison. A meta-analysis combines results from studies. Independent reviews find advantages over conventional implants uncertain. Studies of a technique do not establish that it is better than another. Ask the doctor to evaluate your alternatives and explain the limits of the evidence.

Yes. Some series describe bending the neck of certain implants to align them. Reviews discuss that practice and possible complications. Our sources do not provide enough long-term data about fractures caused by repeated forces in that area. The design proposed for your mouth is [to be confirmed]. Ask the doctor to explain and assess it.

Zirconia is a ceramic that is more rigid than dental acrylic. The prosthesis we describe uses acrylic with graphene. Adding graphene does not turn it into zirconia or establish equal strength. The materials require different repairs and neither is free from complications. Available options and repair arrangements at these clinics are [to be confirmed]. Ask the doctor to compare maintenance, weight, and evidence for your bite. Our guide to graphene, zirconia, and acrylic explains those differences further.

Implant lifespan and the lifespan of the teeth they support are different questions. Published cortico-basal implant series mainly follow patients for two to four years. Long clinical follow-up is missing for fixed full-arch prostheses with graphene. Those data cannot establish a replacement interval or predict how long your prosthesis would last. Warranty length, planned adjustments, and who pays for replacement are [to be confirmed]. Ask the doctor to explain those terms before deciding.

The type of anesthesia, whether sedation is offered, and whether you would be asleep during treatment are [to be confirmed]. These terms do not all mean the same level of awareness. Ask the surgeon to explain the proposed option, who administers it, and what monitoring is required. Your medicines and medical history also need assessment. This page cannot promise freedom from discomfort or select an anesthesia option for you.

Which teeth can stay, which need extraction, and whether removal happens on one day are [to be confirmed] after assessment. Avoiding bone grafts is a goal of this technique. Your doctor confirms whether it applies to your case at the evaluation with your test results. That does not mean every mouth allows the same plan. Ask the doctor about extractions and the maxillary sinus, the space above the upper teeth, including whether adding bone there is proposed.

We do not have a verified success rate for these clinics. Results published by other groups cannot predict what would happen in your mouth. Most come from authors linked to the system and follow-up lasting only a few years. Panday’s 2026 meta-analysis rates certainty about survival, meaning an implant remains in place, as low. Each doctor’s results are [to be confirmed]. Ask for patient numbers, follow-up years, losses, and repairs alongside any percentage.

The word "screwless" can be misleading. A cortico-basal implant still has a body that anchors in bone. Single-piece means that body and the post supporting the teeth are joined, without a screwed connection between them. Some published series describe bending the neck to align it. That practice has limits and possible complications. The proposed configuration is [to be confirmed]. Ask the doctor to show the model and explain how the prosthesis attaches and is removed.

Yes. This technique is designed to avoid bone grafts. Your doctor confirms whether it applies to your case at the evaluation with your test results. It is not suitable for every mouth. Other options also exist for substantial bone loss. A dental CT scan, a three-dimensional image, helps assess them. The doctor determines candidacy during an evaluation. According to the doctors at the partner clinics, vitamin D and alkaline phosphatase blood tests are required. A panoramic X-ray or CT scan is requested if possible. If vitamin D or alkaline phosphatase levels are low, the doctor may prescribe supplements about a week before surgery. Not all cases qualify. The doctor decides at the evaluation with your test results.

Being over 50 or over 70 does not by itself determine whether you can receive implants. Overall health, medications, and the ability to maintain follow-up care matter. A message exchange cannot replace that assessment. Any health conditions or ongoing treatments need to be part of the doctor's evaluation.

Well-controlled and poorly controlled diabetes present different situations. Blood sugar control affects healing and treatment risks. Tell the doctor which medications you use and bring recent results, including an A1C test if available. A1C measures average blood sugar over recent months. Do not change your treatment because of this page. Request a doctor's evaluation.

General implant evidence links smoking with a higher risk of implant failure. Favorable claims from the group that developed this technique do not rule out that risk. Tell the doctor how much you smoke and for how long. Do not hide it out of concern about eligibility. The doctor must assess precautions and conditions for surgery.

Yes. Some osteoporosis medications can be linked to healing problems in the jawbone. The system guide excludes intravenous bisphosphonates, a type of bone medication given through a vein. Tell the doctor about pills or other bone treatments too. Do not stop them yourself. The treating doctor needs to assess your case with your regular physician.

Blood thinners affect surgical planning. The doctor needs to know why you take them. Heart conditions may also affect anesthesia and travel. Do not stop any medicine because of what you read here. The decision requires coordination with your regular physician and an evaluation by the doctor providing treatment.

Yes. Discuss current and previous treatment, especially head or neck radiation, chemotherapy, and bone conditions. The system guide lists exclusions including oral cancer and active bone infection. These clinics' specific criteria are [to be confirmed]. A photo cannot resolve those medical questions. The doctor needs to review them during an evaluation.

Zygomatic implants anchor in the cheekbone and offer another option for an upper jaw with very little bone. They have more published evidence than cortico-basal implants, but also carry risks, including inflammation in the sinuses, the spaces beside the nose. That does not establish which technique has better results. Ask the doctor to review both options using your CT scan and explain the reason for the proposed treatment.

Age alone cannot answer that question. Health, medicines, the maintenance you can manage, and your expectations also matter. Consider the cost, effort of travel, available help, and possible return visits when deciding whether treatment is worthwhile. These clinics’ costs and check-ups are [to be confirmed]. Ask the doctor to compare fixed teeth, removable dentures, and other options for your situation, without assuming surgery is the best choice.

Ask what the CT scan shows, which teeth you would receive on the first day, and whether adjustments or replacement are planned. Request the check-up schedule, the plan for a problem back home, and written warranty terms. Those clinic details are [to be confirmed]. You also need to understand alternatives and the limits of the evidence. Our guide to questions to ask before paying helps prepare that conversation. Review the answers with the doctor before deciding. According to the doctors at the partner clinics, vitamin D and alkaline phosphatase blood tests are required. A panoramic X-ray or CT scan is requested if possible. If vitamin D or alkaline phosphatase levels are low, the doctor may prescribe supplements about a week before surgery. Not all cases qualify. The doctor decides at the evaluation with your test results.

The system’s guide excludes intravenous bisphosphonates, used in some bone treatments, oral cancer, active osteomyelitis, an infection of the bone, and vascular malformations, abnormal blood vessel structures. Head or neck radiotherapy, poorly controlled diabetes, and smoking also require risk assessment. These situations do not all mean the same thing and cannot be decided from a photo. These clinics’ specific criteria are [to be confirmed]. The doctor needs to review your history, medicines, and test results and explain whether another option or postponing surgery is appropriate.

The Hexa Smile treatment price is [to be confirmed]. The currency, whether the price covers one or two arches, and included services also need confirmation. We cannot give a fixed amount without those details. Compare implants, the prosthesis, and follow-up separately. Add travel costs if you live outside the Dominican Republic.

Ask whether it includes a dental CT scan, extractions, anesthesia, implants, and the prosthesis. Check medications, adjustments, and checkups too. Budget separately for flights, lodging, and transportation. These clinics' included services are [to be confirmed]. Request exclusions and possible additional charges before deciding how much money you need.

That cannot be assumed. Proposals vary by the number of arches, materials, and procedures needed. Add travel, time away from work, and possible return trips to a Dominican quote. With the local price [to be confirmed], savings cannot yet be calculated. Compare equivalent treatments and follow-up costs. Include PTO or unpaid leave in your planning.

Lenders, terms, and financing availability are [to be confirmed] for both Dominican and US residents. Before accepting installments, review interest, fees, and the total amount due. Ask what happens if the clinical plan changes. A small monthly payment alone does not tell you the cost of borrowing.

US insurance usually does not cover this treatment abroad. Ask your insurer directly. No policy covering this treatment in the Dominican Republic has been verified. Ask about overseas care, reimbursement documents, and complications after returning. Travel insurance may exclude planned procedures. Your policy's coverage and accepted process are [to be confirmed]. Ask your plan administrator separately whether flexible spending account or health savings account funds, called FSA or HSA funds, could apply.

The deposit, cancellation, and refund policy is [to be confirmed]. It needs to address an in-person evaluation that changes treatment or rules out surgery. Do not assume the flight or deposit would be refundable. Request terms before paying and separate the clinic's charges from travel expenses.

Coverage and tax treatment for these costs in the Dominican Republic have not been verified. Medicare, a Delta Dental policy, and a health savings account, or HSA, require separate checks. Eligibility, required documents, and any tax deduction are [to be confirmed], with legal and tax review pending. Ask the program, insurer, or account administrator and your tax adviser before including any reimbursement or tax saving in your budget.

We do not have verified foreign prices that would allow those destinations to be ranked from cheapest to most expensive. Prices at these clinics are also [to be confirmed]. Compare quotes for the same number of arches, meaning the upper or lower set of teeth, and the same material. Ask how many appointments and trips each proposal requires and who pays for adjustments or complications. Include accommodation and time away from work when comparing totals.

No coverage has been verified for this treatment in the Dominican Republic that would allow reimbursement from French social security, a French mutual insurer, or Quebec’s RAMQ to be calculated. Applicable coverage and requirements are [to be confirmed], with legal review pending in France and Quebec. Ask the relevant program and your insurer about planned treatment abroad, the prosthesis, and complications. Request their documentation requirements before budgeting for any reimbursement.

We do not have a breakdown of these clinics’ costs that would explain their price. Implant numbers, materials, or delivery speed cannot by themselves justify every difference. An itemized quote is [to be confirmed]. Ask for assessment, extractions, implants, prosthesis, anesthesia, and check-ups to be listed separately. Include questions about repairs, replacement, and return trips. Compare equivalent proposals and ask about each difference rather than treating a higher price as evidence of better results.

The project's clinics are S.O.I. FACE in Santo Domingo and Asenjo One Visit Dentistry in Punta Cana. Clinic and doctor assignment is [to be confirmed]. Do not choose based only on the airport or hotel. The location needs to match the clinical plan determined during the doctor's evaluation.

The total stay and timing for resuming work are [to be confirmed]. Receiving fixed teeth quickly does not mean recovery is complete. Allow for evaluation, checkups, possible adjustments, and travel. Tell the doctor if your job involves physical effort or speaking for long periods. Plan PTO around the doctor's individual assessment.

There is no single dental rule for every surgery. The CDC warns about risks of combining surgery and flying. It also matters whether treatment affects areas near the maxillary sinus, an air space beside the nose. These clinics' timing is [to be confirmed]. The doctor must assess your recovery before giving individual guidance.

You can ask, but family visits should not determine the surgery schedule. A celebration, outing, or return ticket already purchased can leave too little time for checkups. Discuss rest and transportation with your family. The required stay is [to be confirmed]. Ask for the doctor's evaluation before combining the plans.

You can consider bringing someone to help organize transportation and hear instructions with you. A companion package and its included expenses have not been confirmed. The help needed after anesthesia and during recovery is [to be confirmed]. Describe your circumstances and ask what support you would need during the doctor's evaluation.

Request records that let another professional understand the treatment. The CDC recommends keeping records of care received abroad. Ask for images, implant brands and models, lot numbers, the prosthesis material, and medications used. The delivery format and availability in English are [to be confirmed].

Our sources do not establish compatibility of the specific components in these situations. A CT scan, an MRI, and a security detector require separate checks. The answer for the system that would be used is [to be confirmed]. Ask the clinic for the implant and prosthesis brands, models, and documentation. For medical imaging, the doctor and radiology service need to review that information. Ask airport security staff about the requirements for their screening procedure.

Discomfort can occur, and experiences vary. An independent review included a trial reporting more pain and longer surgery with basal implants than conventional implants. These clinics' anesthesia or sedation is [to be confirmed]. During the doctor's evaluation, ask how discomfort would be managed and which signs need medical attention.

Receiving fixed teeth does not mean every food can be chewed right away. Immediate-loading treatment commonly includes an initial soft-food stage. These clinics' food guidance and the length of each stage are [to be confirmed]. Request instructions for the proposed treatment and discuss diet changes during the doctor's evaluation.

Fixed teeth are cleaned in the mouth. Cleaning must reach the area near the gums. Appropriate cleaning tools depend on the design of the prosthesis. We do not have a confirmed clinic protocol to recommend here. Instructions are [to be confirmed]. Ask the doctor to assess your care needs and demonstrate cleaning.

The laboratory research in our sources describes color changes. Some tests favor graphene-reinforced acrylic over ordinary acrylic, but also record marked changes with whitening. Replacement teeth should not be treated as if they were natural teeth. Specific maintenance is [to be confirmed]. Discuss it during the doctor's evaluation.

Yes. Both can have problems. Graphene does not remove the possibility of fracture. Reviews also note that replacing a basal implant can be difficult. How the clinics would remove the prosthesis, repair it, or change treatment is [to be confirmed]. Before accepting surgery, ask the doctor to assess and explain those possibilities for your case.

That cannot be promised. Some papers from the system's group report no peri-implantitis without clearly explaining how it was diagnosed. Peri-implantitis is inflammation around an implant with bone loss. They also describe damage from excessive biting forces. A polished surface does not remove the need for checkups. Discuss risks during the doctor's evaluation.

Local care, the contact for complications, and who would pay for a repair or another trip are [to be confirmed]. A US dentist network for this system has not been verified. The in-person checkup schedule also needs confirmation. Before deciding on surgery, ask the doctor to evaluate a follow-up plan with you.

Food trapped underneath and smell are common concerns about All-on-4. With our technique, you also need to ask about the space between the gum and the fixed prosthesis. Gums change during healing and a gap may remain. We have no clinic data that rule out these problems. The shape, cleaning method, and removal process are [to be confirmed]. Ask the doctor to demonstrate cleaning and explain how trapped food or an odor would be assessed.

Our sources do not establish how often speech changes occur with this prosthesis or how long they might last. We cannot promise that speech will settle within a few weeks. Ask the doctor how pronunciation would be assessed with the proposed teeth and what would happen if certain words became difficult. Speech checks, possible adjustments, and any extra appointments at these clinics are [to be confirmed]. Mention if speaking is part of your work.

The proposed teeth are fixed and are not designed for you to remove each night like a removable denture. That does not answer every question about sleep after surgery. Sleeping position, nighttime instructions, and whether a night guard, a protective dental appliance, is needed are [to be confirmed]. Tell the doctor if you clench or grind your teeth so your bite can be assessed and the appropriate care explained.

These clinics have not published a schedule that assigns a check-up to each month. In the general literature, many immediate-loading treatments start with a fixed temporary prosthesis and plan another at three to six months. According to the doctors at the partner clinics, a transitional prosthesis is placed on surgery day so the mouth is not left without teeth. About 24 hours later, the clinic delivers the definitive fixed prosthesis. Healing, checkups and possible maintenance are still needed. Check-ups at two, six, and twelve months, adjustments, and return trips are [to be confirmed]. Ask the doctor for a schedule that distinguishes in-person examinations from remote contact.

A local dentist may lack the parts or training needed for this system. No follow-up network has been verified in the United States. Before traveling, ask the treating clinic what alternative would be available if your dentist declines the case. The professional who would provide care, clinical contact, check-ups, and costs are [to be confirmed]. Hexa Smile can coordinate contact, while clinical decisions and treatment remain the clinic’s responsibility.

Independent reviews report that removing and replacing a basal implant can be difficult. A one-piece implant does not allow the supporting post to be changed separately or the failed implant to be left covered under the gum as a solution. How the connecting prosthesis is removed also matters. These clinics’ procedure, alternatives, and costs are [to be confirmed]. Ask the surgeon to explain the removal plan and how the teeth would remain supported afterward.

Looseness or detached teeth need a doctor’s assessment to determine whether the problem involves an implant or the prosthesis. The system’s documentation describes bone loss from excessive biting forces, especially during the first two years. Clinical responses may include adjusting the bite or removing an implant, depending on the assessment. These clinics’ contact arrangements, available care, and costs are [to be confirmed]. Ask for the plan for problems before traveling.

Hexa Smile is the company that coordinates contact and treatment organization. The clinic's professionals perform surgery and make clinical decisions. That distinction should appear in your documents. The specific scope of travel and follow-up coordination is [to be confirmed]. Coordination does not replace medical care.

The project works with Dr. Carlos Contreras Columna in Santo Domingo and Dr. Miguel Asenjo in Punta Cana. Request an exequatur, the Dominican authorization to practice, professional registration, and relevant degrees. You can check them with the issuing institutions. Case assignment is [to be confirmed]. One doctor's experience should not be attributed to the other.

The verified number of full-mouth cases per doctor is [to be confirmed]. A clinic's published restoration totals may include individual crowns. They do not equal the number of full-mouth patients. Ask for results separated by professional, with dates and years of follow-up. Ask how many cases needed repairs or repeat treatment too.

They are different products. The cited 510(k) clearance applies to the prosthesis material. The project's research did not verify FDA clearance for the current corticobasal implant. The specific implant model is [to be confirmed]. Request the system's documents and an explanation during the doctor's evaluation.

The guarantee's duration, coverage, and exclusions are [to be confirmed]. It needs to distinguish implants from the prosthesis and explain repairs, maintenance, and travel costs. A commercial guarantee does not remove surgical risks. Request the terms for the clinic that would treat you before assuming a problem would be covered.

Yes. You can seek another opinion and share the proposal with your dentist. Ask about alternatives, evidence, and maintenance. Our sources do not verify long clinical studies of this exact implant and prosthesis combination. Questions about removal and adjustments need an explanation. Bring them to the doctor's evaluation.

The reviews collected in our research include complaints about trapped food, speech, and the cost of fixed teeth. They are not studies and cannot establish how common these problems are or attribute them to our technique. That research did not verify any Reddit threads either. Ask the doctor how these situations would be handled and request results with follow-up periods, including repairs. The clinics’ own outcome data are [to be confirmed].

The project works with Dr. Carlos Contreras Columna in Santo Domingo and Dr. Miguel Asenjo in Punta Cana. The associated clinics are S.O.I. FACE and Asenjo One Visit Dentistry, respectively. The clinic and professional assigned to your case are [to be confirmed]. Hexa Smile coordinates contact, while the clinic provides treatment and makes medical decisions. Consult our doctors page and ask to verify the credentials of the professional who would treat you.