Facial & Dental Clinic · San José, Costa Rica · 15 years of practice
Fixed teeth inone trip.
All-on-6 and All-on-X full-arch implants, single implants and veneers — planned in 3D and placed by Dr. Erick Rivera in San José, Costa Rica. A fully English-speaking team, a partner hotel a short walk from the clinic, and a coordinator who answers you the moment you write.
15 years of clinical practice3D scan & digital implant planningYour whole treatment in one tripWe answer 24/7 · English & Spanish
What we treat
Built aroundcomplex smiles.
Bisho is an implant and cosmetic practice. Most of our international patients arrive missing several teeth, wearing a denture they cannot stand, or with old work that finally failed — and leave with fixed teeth.
All-on-6 / All-on-X
Our flagship treatment: a full arch of fixed teeth carried on six or more titanium implants. Maximum stability, the strongest bite, and the option that protects your bone best over time.
How it works
All-on-4
A full fixed arch on four implants — fewer surgical sites and a faster path for patients whose bone volume allows it. We recommend it only when it is genuinely the better plan for you.
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Single dental implants
One tooth, done properly: implant, abutment and a crown matched to the teeth beside it. The neighbouring teeth are left untouched.
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Veneers
Hand-layered porcelain veneers designed for your face, not from a catalogue — shape, shade and proportion planned before anything is prepared.
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Crowns & bridges
Zirconia and ceramic restorations that rebuild broken, worn or root-treated teeth — and replace old crowns that no longer seal.
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Smile makeover
Whitening, gum contouring and cosmetic work planned together as one result — with a digital preview of the smile before we begin.
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Full-mouth rehabilitation
For the hardest cases: bite, gums, bone and aesthetics rebuilt in one sequenced plan, upper and lower, so the whole mouth works together again.
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Remote case review
Send photos or a panoramic X-ray from home. We tell you what is realistic, what it involves and how many days you would need here — before you book a flight.
Start online
Is this you?
Is thisyour case?
These are the situations we see every week. However long it has been, and however bad you think it looks, a full-arch plan usually still works.
No teeth left in the arch
A denture that will not stay put
Loose teeth & advanced gum disease
Broken roots and worn-down teeth
Old bridges and failed work
The All-on-X package
One plan,everything included.
For patients travelling from the USA and Canada we quote the arch as one package — not as a list of surprises added later.
3D CBCT scan & digital surgical planning
Extractions and site preparation
Titanium implants & abutments
Fixed provisional teeth
Final fixed prosthesis
Anaesthesia & sedation options
Post-op reviews during your stay
Remote follow-up once you are home
Your quote
Priced per case, in writing
After your free virtual consultation — no obligation
Every mouth is different. We only put a number on your case once Dr. Rivera has seen your scan — then it is fixed in writing before you travel.
Fixed teeth on implants
WhatAll-on-X actually means.
A full arch of teeth screwed onto your own implants. Nothing comes out at night, nothing covers the roof of your mouth, and nothing needs adhesive. All-on-X simply means we use the number of implants your bone actually calls for — four, six, or more.
ComfortableLocal anaesthesia, with sedation available for anxious patients.
Never movesScrew-retained onto the implants — it does not lift, click or slip.
Eat what you wantSteak, apples, corn — a bite strength close to natural teeth.
All-on-4
A full arch carried on four implants, angled to use the bone you still have. Fewer surgical sites and a shorter appointment — the right choice when bone volume and bite force allow it.
All-on-6 / All-on-X
Our flagship: six or more implants spreading the load across the whole jaw. Maximum stability, the strongest bite, and better long-term protection against bone loss — which is why most of our full-arch patients end up here.
How an implant is built
Three parts,one natural tooth.
Understanding the parts makes every quote easier to read — and makes it obvious what a cheaper offer has left out.
The crownThe visible tooth, matched to the shade and shape of your face.
The abutmentThe connector that joins the crown to the implant below the gum.
The implantA titanium root that fuses to your jawbone and carries the bite.
Real results
Cases treated byDr. Rivera.
These are his own patients — before, and after the arch was rebuilt. Nothing here is a stock photograph.
Full arch rebuilt on implantsInset: the same patient before treatmentAll-on-4 — worn and failing teeth replacedInset: beforeFull-mouth reconstructionInset: before
Real patients of Dr. Erick Rivera. Every mouth is different and results vary from case to case.
Dental travel to Costa Rica
Your trip,start to finish.
Patients fly in from across the USA and Canada. Nothing about the trip is left for you to figure out alone — your coordinator plans it with you before you book a flight.
SJODirect flights from major US & Canadian hubs
No visaUS & Canadian tourists enter visa-free
UTC−6Same clock as US Central, all year
Send your case
Photos of your smile, and a panoramic X-ray if you have one. WhatsApp is easiest — someone answers around the clock.
From home
Virtual consultation
A video call with the clinic to go through what is possible, what it involves, and how many days in Costa Rica your case really needs.
Free
Written plan & dates
You receive the treatment plan and the full price in writing, plus the hotel booking and your day-by-day schedule. Then you book the flight.
Before you travel
Treatment in San José
3D scan on arrival, surgery, and fixed provisional teeth. You rest at the partner hotel a short walk away and come back for post-op reviews.
Your stay
Home & follow-up
You fly home with fixed teeth. We check in remotely while the implants integrate, and plan the short second visit for your final prosthesis.
Ongoing
One surgeon, one plan, and a team that stays reachable long after you have flown home.
Treated by Dr. Erick Rivera himself
Bilingual coordinators, English & Spanish
3D imaging and guided implant surgery
Partner hotel within walking distance
Written plan and price before you travel
Dr. Erick Rivera with a patient at the clinic in San José, Costa Rica.
Your surgeon
Dr. Erick Rivera
Founder & director · Bisho Facial & Dental Clinic
Dr. Rivera has practised dentistry in San José for 15 years and built Bisho around implant and reconstructive work — the cases other clinics call complicated. Full-arch rehabilitation with All-on-6 and All-on-X is what he does most, and what he plans personally for every patient who travels to us.
He treats patients in Spanish and English, and prefers to say plainly what a case needs — including when the honest answer is that a simpler treatment is enough.
15Years in practice
All-on-XPrimary focus
EN / ESTreats in both languages
Sabana SurSan José, Costa Rica
ER
Dr. Erick RiveraBisho Facial & Dental Clinic · San José
In their own words
Real patients,real recoveries.
Dr. Rivera's own patients describing their treatment — plus the television segments where he explains the surgery behind it.
A patient of Dr. Rivera describes her experience — in English.
Patients of the clinic
A patient on their treatment at Bisho.
In their own words, after treatment.
What the experience was actually like.
A patient on choosing Dr. Rivera.
On the result, and the care around it.
Another patient of the clinic.
Dr. Rivera on television
What causes dental bone loss — and how it is treated
Osteoporosis, diabetes and tooth loss
Is there a solution for sleep apnoea?
Correcting the position of the chin
Where you stay
A short walkfrom the chair to your bed.
We work with a partner hotel within walking distance of the clinic, so the day of your surgery does not end with a taxi ride across a city you do not know. Your coordinator arranges the booking with your treatment dates — you just confirm it.
Walking distancePartner hotel steps from the clinic in Sabana Sur
200Rooms available to our patients
ArrangedBooked around your treatment schedule
CompanionTravelling with someone is welcome — tell us and we plan for two
Frequently asked questions
Your questions,answered.
It depends entirely on your case, which is exactly why we review your scan before you book anything. Once Dr. Rivera has seen it, you get the number of days in writing along with your plan — so you can book flights and time off with confidence instead of guessing.
With teeth. In most full-arch cases we place a fixed provisional prosthesis during your stay, so you leave with teeth that are screwed in place — not something you take out at night. The definitive prosthesis is fitted once the implants have integrated with the bone, usually after a few months.
We hear this constantly, and it is often out of date. A 3D CBCT scan shows the bone you actually have, and full-arch techniques are designed to use it — angled implants, longer implants, or grafting where it is genuinely needed. Send us your scan and you will get a straight answer either way.
The surgery itself is done under local anaesthesia and you should not feel pain during it; sedation is available if the idea of the appointment worries you. Afterwards expect some swelling and soreness for a few days, managed with medication — most patients describe it as far less than they had braced themselves for.
In most cases yes, provided the condition is controlled. Tell your coordinator about your medical history and any medication — particularly blood thinners or bone medication — at the virtual consultation, so Dr. Rivera can adapt the plan before you travel rather than on the day.
Yes. Dr. Rivera treats in English and Spanish, and our patient coordinators work in both languages — from your first WhatsApp message through to your follow-ups after you are home. You will never be handed a consent form you cannot read.
You keep the same WhatsApp thread you started with. Send a photo, and we will tell you whether it is normal healing, something your local dentist can handle, or something we should see — and we plan the second visit for your final prosthesis around your calendar.
Free virtual consultation
Let us look atyour case.
Tell us what is going on and we will come back to you the same day with the next step — no cost, no obligation, and no pressure to book a flight.
Got it — thank you.
Your case is with our coordinators. You will hear from us today — and if you want to send photos or an X-ray right now, WhatsApp is the fastest way.
