The rise of dental tourism

CHOICE investigates why some consumers are going overseas to save money on their dental treatment.
 
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01 .Dental tourism

Medical-tourism_Lead

As dental costs continue to rise, some people are choosing to travel overseas for treatment instead. 

With reported savings of up to 75% in some countries, it’s not surprising a growing number of people are packing their bags to chase cheap dentistry overseas. 

In this report we look at:

There are few things in life worse than a trip to the dentist. Some might say the only thing worse is paying the bill. Worse yet, though, is not being able to afford to go at all. Because of this a growing number of Australians are considering seeking cheaper dental treatment overseas.

And if you’re up for it, there are plenty of medical tourism agencies to help you on your way. Many offer a range of medical options – from cosmetic surgery to elective surgery, eye surgery and fertility treatment while others specialise in one area such as dental. 

These agencies will organise your flights, accommodation and even sightseeing (though not travel insurance should a procedure go wrong). They will provide advice on hospitals regarding their success rates and complications for treatment and whether they are accredited by organisations such as the International Organization for Standardizations or the Joint Commission International.

It all sounds pretty tempting, but is dental tourism too good to be true?

Overseas destinations

India, Vietnam and Turkey are just some of the exotic global destinations on offer for medical tourism. For Australians, the most popular destinations for dental work are Malaysia and Thailand.

Bumrungrad International Hospital in Bangkok sees 11,000 overseas visitors for dental treatment alone. 

Marketing Director Kenneth Mays estimates that 500 to 600 of these patients are Australian. “We provide a complete dental centre, staffed by 55 full- and part-time dental specialists, 26 [of whom] trained and/or have been board-certified in the US, UK, Japan or Australia,” he says. 

Patients are choosing to travel to Thailand, he explains, because of the lower cost for equivalent quality of care, combined with good treatment, service and value – and all in a desirable vacation location.

Barbara Sherriff, who owns Queensland travel agency My Body and Spirit, specialises in sending clients to Thailand for dental work, cosmetic surgery and laser eye surgery. 

She says the business came about as a result of her husband’s dental woes. “He needed signifigant dental treatment and was quoted $25,000, which was just far too much.” 

Sheriff, a travel agent already familiar with Thailand, looked into having the treatment there instead. She and her husband visited The Bangkok Hospital on the holiday island of Phuket and were impressed with the facilities. 

After receiving a quote they were even more impressed with the price – $5500, a huge saving on the original quote. As a result, the couple started a health travel service to Thailand. 

Sheriff says they’ve sent more than 160 clients overseas in the last year, 75% of whom were for dental. When she asks her clients why they’re choosing overseas destinations for their dental care, the answer is always the same. 

“It’s cost. We’ve seen people who’ve been quoted up to $60,000 for substantial work and simply cannot afford to have it done in Australia. We now receive up to 20 enquiries a week, and most of these are from people wanting dental work.”

Cassandra Italia owns Global Health Travel, another agency that sends Australians to a variety of countries for healthcare. She also says dental requests are on the rise. “Dental is huge, and the driving factor is cost,” she says. “Even if people have a holiday at the same time they will usually find they still come out better off financially.”

 
 

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02.The downside to overseas dentistry

 

Medical-tourism_2The Australian Dental Association (ADA) acknowledges that dental tourism is on the rise but warns of the risks. 

“For a third of the price and a holiday at the same time it sounds like an offer that’s too good to be true, but it isn’t that good.”says former Federal President Dr John Matthews. “Most people go overseas because they want fairly complex dentistry done, and the more comples it is themore likely that something will go wrong. And when it fails, it fails big time.”

Dr Carmelo Bonanno, a Canberra dentist and Federal Executive of the ADA, says people need to understand the implications of taking their dental care offshore. “Overseas dentists may or may not have the training and experience, but with your Australian dentist it is very clear. If you see me you know where I’ve been trained and that I’m registered, and if you’re not happy with the work there are avenues to complain.”


Bonanno says if people choose to head overseas, they may be in for unexpected additional costs.A former patient of his chose to have cosmetic dentistry done in Asia that was so badly done it will take significant work and a lot more money to get it fixed at home.

While Bonanno says he understands dental costs can be expensive in Australia, he urges people to weigh up the risks of taking their treatment out of the safety net provided here. “You might have work done that’s absolutely fine but what if it isn’t? Fixing bad dentistry is no fun.”

In the Australian dentists' corner

The ADA says there are many reasons that Australians should avoid dental holidays. 

  • In a public document it cites issues including poor training and infection control. 
  • Time and continuity of care is another problem where dental treatment overseas is fitted in around a holiday, and should ideally be conducted over a longer period of time. 
  • And, of course, there’s the risk of something going wrong. Most travel insurers will not cover medical tourism.
  • It's also unlikely there will be any suitable avenues for complaint.

The ADA states that “Australians must ask themselves [whether] the overseas treatment will remedy dental problems long term. Will it be safe? Can patients be assured they will not be worse off? Are they fully aware of what treatment is actually being provided?”

Arguments for dental tourism - The travel agents have their say

In the other corner, the medical travel agents CHOICE spoke to say they’ve had no complaints from the customers they deal with and that they provide a full estimate of the time required for treatment before their clients even book a flight, as well as a high level of care in quality hospitals. 

“Our clients’ cases and X-rays are reviewed by the head of dental in The Bangkok Hospital and all the details are put into place meticulously,” says Sheriff. 

While it’s unfair to put all overseas dentists in the same category, Italia says she feels that detractors of medical tourism have a level of ignorance about the countries in question. 

“A lot of people in Australia have a perception that countries such as Thailand, Vietnam and India would have bad conditions in the hospitals, maybe slack infection control and be very Third World. Certainly from my experience visiting the Bangkok and Bumrungrad hospitals, I didn’t find this the case. Bumrungrad has a surgical site infection rate of only 0.39%, which is well below the worldwide benchmark.” 

Italia believes much of this talk is scaremongering by those wanting to keep their patients. She says many of her clients have been refused access to their dental records or X-rays by local dentists if they want them to take overseas. “We tell people to get a referral from a GP to see a radiologist in order to get the X-rays,” says fellow agent Sheriff. 

Buyer beware

In the meantime, for patients who do decide to go overseas for treatment, the one thing all parties agree on is that if you do, you will be going it alone. 

It’s unlikely you’ll be able to get travel insurance, and with no clear avenues to complain if you aren’t happy with the work, there are risks. 

Furthermore, the agencies that organise your treatment and travel make it clear they’re only providing the tools and information to allow the customer to make the final choice. 

Global Health Travel’s website clearly states: “We will not encourage, advise, advocate or underwrite any of the doctors or healthcare facilities in our network. The final choice is completely yours.”


In the Australian Dentists corner

The ADA says there are many reasons that Australians should avoid dental holidays. In a public document it cites issues including poor training and infection control. Time and continuity of care is another problem where dental treatment overseas is fitted in around a holiday, and should ideally be conducted over a longer period of time. And, of course, there’s the risk of something going wrong. Most travel insurers will not cover medical tourism and it’s unlikely there will be any suitable avenues for complaint.

The ADA states that “Australians must ask themselves [whether] the overseas treatment will remedy dental problems long term. Will it be safe? Can patients be assured they will not be worse off? Are they fully aware of what treatment is actually being provided?”

The Travel Agents have their say

In the other corner, the medical travel agents CHOICE spoke to say they’ve had no complaints from the customers they deal with and that they provide a full estimate of the time required for treatment before their clients even book a flight, as well as a high level of care in quality hospitals. “Our clients’ cases and X-rays are reviewed by the head of dental in The Bangkok Hospital and all the details are put into place meticulously,” says Sheriff. 

While it’s unfair to put all overseas dentists in the same category, Italia says she feels that detractors of medical tourism have a level of ignorance about the countries in question. “A lot of people in Australia have a perception that countries such as Thailand, Vietnam and India would have bad conditions in the hospitals, maybe slack infection control and be very Third World. Certainly from my experience visiting the Bangkok and Bumrungrad hospitals, I didn’t find this the case. Bumrungrad has a surgical site infection rate of only 0.39%, which is well below the worldwide benchmark.” 

Italia believes much of this talk is scaremongering by those wanting to keep their patients. She says many of her clients have been refused access to their dental records or X-rays by local dentists if they want them to take overseas. “We tell people to get a referral from a GP to see a radiologist in order to get the X-rays,” says fellow agent Sheriff. 

Buyer beware

In the meantime, for patients who do decide to go overseas for treatment, the one thing all parties agree on is that if you do, you will be going it alone. It’s unlikely you’ll be able to get travel insurance, and with no clear avenues to complain if you aren’t happy with the work, there are risks. Furthermore, the agencies that organise your treatment and travel make it clear they’re only providing the tools and information to allow the customer to make the final choice. Global Health Travel’s website clearly states: “We will not encourage, advise, advocate or underwrite any of the doctors or healthcare facilities in our network. The final choice is completely yours.” 

In the Australian Dentists corner

The ADA says there are many reasons that Australians should avoid dental holidays. In a public document it cites issues including poor training and infection control. Time and continuity of care is another problem where dental treatment overseas is fitted in around a holiday, and should ideally be conducted over a longer period of time. And, of course, there’s the risk of something going wrong. Most travel insurers will not cover medical tourism and it’s unlikely there will be any suitable avenues for complaint.

The ADA states that “Australians must ask themselves [whether] the overseas treatment will remedy dental problems long term. Will it be safe? Can patients be assured they will not be worse off? Are they fully aware of what treatment is actually being provided?”

The Travel Agents have their say

In the other corner, the medical travel agents CHOICE spoke to say they’ve had no complaints from the customers they deal with and that they provide a full estimate of the time required for treatment before their clients even book a flight, as well as a high level of care in quality hospitals. “Our clients’ cases and X-rays are reviewed by the head of dental in The Bangkok Hospital and all the details are put into place meticulously,” says Sheriff. 

While it’s unfair to put all overseas dentists in the same category, Italia says she feels that detractors of medical tourism have a level of ignorance about the countries in question. “A lot of people in Australia have a perception that countries such as Thailand, Vietnam and India would have bad conditions in the hospitals, maybe slack infection control and be very Third World. Certainly from my experience visiting the Bangkok and Bumrungrad hospitals, I didn’t find this the case. Bumrungrad has a surgical site infection rate of only 0.39%, which is well below the worldwide benchmark.” 

Italia believes much of this talk is scaremongering by those wanting to keep their patients. She says many of her clients have been refused access to their dental records or X-rays by local dentists if they want them to take overseas. “We tell people to get a referral from a GP to see a radiologist in order to get the X-rays,” says fellow agent Sheriff. 

Buyer beware

In the meantime, for patients who do decide to go overseas for treatment, the one thing all parties agree on is that if you do, you will be going it alone. It’s unlikely you’ll be able to get travel insurance, and with no clear avenues to complain if you aren’t happy with the work, there are risks. Furthermore, the agencies that organise your treatment and travel make it clear they’re only providing the tools and information to allow the customer to make the final choice. Global Health Travel’s website clearly states: “We will not encourage, advise, advocate or underwrite any of the doctors or healthcare facilities in our network. The final choice is completely yours.” 

In the Australian Dentists corner

The ADA says there are many reasons that Australians should avoid dental holidays. In a public document it cites issues including poor training and infection control. Time and continuity of care is another problem where dental treatment overseas is fitted in around a holiday, and should ideally be conducted over a longer period of time. And, of course, there’s the risk of something going wrong. Most travel insurers will not cover medical tourism and it’s unlikely there will be any suitable avenues for complaint.

The ADA states that “Australians must ask themselves [whether] the overseas treatment will remedy dental problems long term. Will it be safe? Can patients be assured they will not be worse off? Are they fully aware of what treatment is actually being provided?”

The Travel Agents have their say

In the other corner, the medical travel agents CHOICE spoke to say they’ve had no complaints from the customers they deal with and that they provide a full estimate of the time required for treatment before their clients even book a flight, as well as a high level of care in quality hospitals. “Our clients’ cases and X-rays are reviewed by the head of dental in The Bangkok Hospital and all the details are put into place meticulously,” says Sheriff. 

While it’s unfair to put all overseas dentists in the same category, Italia says she feels that detractors of medical tourism have a level of ignorance about the countries in question. “A lot of people in Australia have a perception that countries such as Thailand, Vietnam and India would have bad conditions in the hospitals, maybe slack infection control and be very Third World. Certainly from my experience visiting the Bangkok and Bumrungrad hospitals, I didn’t find this the case. Bumrungrad has a surgical site infection rate of only 0.39%, which is well below the worldwide benchmark.” 

Italia believes much of this talk is scaremongering by those wanting to keep their patients. She says many of her clients have been refused access to their dental records or X-rays by local dentists if they want them to take overseas. “We tell people to get a referral from a GP to see a radiologist in order to get the X-rays,” says fellow agent Sheriff. 

Buyer beware

In the meantime, for patients who do decide to go overseas for treatment, the one thing all parties agree on is that if you do, you will be going it alone. It’s unlikely you’ll be able to get travel insurance, and with no clear avenues to complain if you aren’t happy with the work, there are risks. Furthermore, the agencies that organise your treatment and travel make it clear they’re only providing the tools and information to allow the customer to make the final choice. Global Health Travel’s website clearly states: “We will not encourage, advise, advocate or underwrite any of the doctors or healthcare facilities in our network. The final choice is completely yours.” 

In the Australian Dentists corner

The ADA says there are many reasons that Australians should avoid dental holidays. In a public document it cites issues including poor training and infection control. Time and continuity of care is another problem where dental treatment overseas is fitted in around a holiday, and should ideally be conducted over a longer period of time. And, of course, there’s the risk of something going wrong. Most travel insurers will not cover medical tourism and it’s unlikely there will be any suitable avenues for complaint.

The ADA states that “Australians must ask themselves [whether] the overseas treatment will remedy dental problems long term. Will it be safe? Can patients be assured they will not be worse off? Are they fully aware of what treatment is actually being provided?”

The Travel Agents have their say

In the other corner, the medical travel agents CHOICE spoke to say they’ve had no complaints from the customers they deal with and that they provide a full estimate of the time required for treatment before their clients even book a flight, as well as a high level of care in quality hospitals. “Our clients’ cases and X-rays are reviewed by the head of dental in The Bangkok Hospital and all the details are put into place meticulously,” says Sheriff. 

While it’s unfair to put all overseas dentists in the same category, Italia says she feels that detractors of medical tourism have a level of ignorance about the countries in question. “A lot of people in Australia have a perception that countries such as Thailand, Vietnam and India would have bad conditions in the hospitals, maybe slack infection control and be very Third World. Certainly from my experience visiting the Bangkok and Bumrungrad hospitals, I didn’t find this the case. Bumrungrad has a surgical site infection rate of only 0.39%, which is well below the worldwide benchmark.” 

Italia believes much of this talk is scaremongering by those wanting to keep their patients. She says many of her clients have been refused access to their dental records or X-rays by local dentists if they want them to take overseas. “We tell people to get a referral from a GP to see a radiologist in order to get the X-rays,” says fellow agent Sheriff. 

Buyer beware

In the meantime, for patients who do decide to go overseas for treatment, the one thing all parties agree on is that if you do, you will be going it alone. It’s unlikely you’ll be able to get travel insurance, and with no clear avenues to complain if you aren’t happy with the work, there are risks. Furthermore, the agencies that organise your treatment and travel make it clear they’re only providing the tools and information to allow the customer to make the final choice. Global Health Travel’s website clearly states: “We will not encourage, advise, advocate or underwrite any of the doctors or healthcare facilities in our network. The final choice is completely yours.” 

In the Australian Dentists corner

The ADA says there are many reasons that Australians should avoid dental holidays. In a public document it cites issues including poor training and infection control. Time and continuity of care is another problem where dental treatment overseas is fitted in around a holiday, and should ideally be conducted over a longer period of time. And, of course, there’s the risk of something going wrong. Most travel insurers will not cover medical tourism and it’s unlikely there will be any suitable avenues for complaint.

The ADA states that “Australians must ask themselves [whether] the overseas treatment will remedy dental problems long term. Will it be safe? Can patients be assured they will not be worse off? Are they fully aware of what treatment is actually being provided?”

The Travel Agents have their say

In the other corner, the medical travel agents CHOICE spoke to say they’ve had no complaints from the customers they deal with and that they provide a full estimate of the time required for treatment before their clients even book a flight, as well as a high level of care in quality hospitals. “Our clients’ cases and X-rays are reviewed by the head of dental in The Bangkok Hospital and all the details are put into place meticulously,” says Sheriff. 

While it’s unfair to put all overseas dentists in the same category, Italia says she feels that detractors of medical tourism have a level of ignorance about the countries in question. “A lot of people in Australia have a perception that countries such as Thailand, Vietnam and India would have bad conditions in the hospitals, maybe slack infection control and be very Third World. Certainly from my experience visiting the Bangkok and Bumrungrad hospitals, I didn’t find this the case. Bumrungrad has a surgical site infection rate of only 0.39%, which is well below the worldwide benchmark.” 

Italia believes much of this talk is scaremongering by those wanting to keep their patients. She says many of her clients have been refused access to their dental records or X-rays by local dentists if they want them to take overseas. “We tell people to get a referral from a GP to see a radiologist in order to get the X-rays,” says fellow agent Sheriff. 

Buyer beware

In the meantime, for patients who do decide to go overseas for treatment, the one thing all parties agree on is that if you do, you will be going it alone. It’s unlikely you’ll be able to get travel insurance, and with no clear avenues to complain if you aren’t happy with the work, there are risks. Furthermore, the agencies that organise your treatment and travel make it clear they’re only providing the tools and information to allow the customer to make the final choice. Global Health Travel’s website clearly states: “We will not encourage, advise, advocate or underwrite any of the doctors or healthcare facilities in our network. The final choice is completely yours.” 
Dentist-xray

Dental care in Australia is certainly not a pretty picture. At last count, up to 650,000 Australians were on public dental waiting lists. And of those who can supposedly afford it, plenty are struggling.

A recent report by IPSOS Australia revealed that:

  • Almost two million people who needed to go the dentist in the past two years had put it off because they couldn’t afford it. 
  • Fifteen per cent of those with private health cover said they couldn’t afford the out-of-pocket expenses.
  • The report projects more than 3.5 million Australians have not visited a dentist in the past four years.
  • Cost issues are impacting those in middle income households and starting to impact high-earning households as well.

Unfortunately, putting off treatment isn’t the answer. In the long term, untreated dental problems can result in infections, abscesses and gum disease. 

Serious dental problems can also lead to: 

  • Malnutrition
  • Mouth infections can spread to lungs, blood and arteries. 
  • And then there’s the social stigma of having missing or rotten teeth.

Several years ago, the National Health and Hospitals Reform Commission recommended a universal dental health scheme, Denticare. 

But with an estimated cost of at least $5 billion, which was proposed to be raised largely by increasing the Medicare Levy, it will not be easy to get support for this.

The Greens are continuing to push for universal dental care, but both major parties have largely kept the issue off the agenda so far. “The high cost of dental care means that many Australians simply don’t go to the dentist,” says Greens senator and former GP Richard Di Natale. 

“Price is one of the biggest barriers, and the current situation cannot be allowed to continue. We need a health system in this country that looks after all Australians from tooth to toe.”

What to look out for if you consider going overseas

  • Research online or try and visit the hospital beforehand. Look for a review or for places recommended by expatriates living in that country. Many hospitals provide background details on their dentists, including qualifications and where they trained. 
  • Ask questions Ask for a full treatment plan and about the time frame as well as the total costs. 
  • Make time Don’t book an inflexible airfare or limited annual leave as you may need to stay longer than expected. 
  • Accept that you may need to go back for more work and you may lose the savings you made initially. 

If you stay at home...

  • Extras insurance will help pay for some dental costs, but it won’t pay for everything. 
  • Set up a fund if extras insurance is too costly, consider putting aside money each month for future dental costs. It takes discipline, but the alternative is far worse. 
  • Check the details Serious oral and maxillofacial surgery may fall under your hospital insurance. 
  • Look after your teeth Good preventative dental care will help avoid problems in the first place. 

Dental surgery in Australia

A check-up with my dentist left my head spinning and it wasn’t from the gas. Just 18 months after my last visit, the prognosis wasn’t good. 

A pregnancy with severe morning sickness had taken its toll. It turns out that vomiting everyday is not only revolting but isn’t great for your teeth either. The result? Acid damage and cavities, which required nine new fillings. To make matters worse, I also needed root canal work and a crown.

The estimated out-of-pocket cost after my private health cover was more than $6000. In a family of four with just one working member (I was on maternity leave) an unexpected $6000 isn’t welcome. 

Having travelled to Thailand before I researched it as an option. A return fare to Bangkok at the time was about $869, accommodation in a basic hotel was $378 for three weeks and the same dental work at a well-known international hospital was estimated at $1800. 

Throw in a little spending money and time in one of my favourite cities and I would’ve still been almost $3000 better off.

The only thing that stopped me from jumping on a plane was my toddler, baby and a husband who might not forgive me for leaving him with the kids while I flew halfway around the world for about a month. 

As a result I reluctantly took the local option, and while the work was excellent, several months later I am still paying off the bill.

Dental treatment in Thailand

David Sanderson from Sydney recently travelled to Thailand for major dental surgery, including implants and a replacement crown. 

He says the prices quoted by his Australian dentist were so high he had no choice but to consider overseas options. 

“I’d used up my lifetime insurance limits for periodontic work and faced paying the entire amount.”

David did his research before making a decision, going online for names of dentists and surgeries. He then trawled online discussion forums for recommendations, particularly those where expatriates discussed the best places.

He settled on a dental clinic in Chiang mai in northern Thailand, where he stayed for four weeks to have the work completed. 

David is happy with the work, the standards at the clinic and the entire cost, which was less than half of what he was quoted in Australia. 

“I also believe my Thai dentists were more expert and knowledgeable than my Australian dentist. My Australian dentist recommended getting crowns on all my upper teeth, but my Thai one convinced me that was not advisable and also replaced my broken crown with a type that was likely to be more durable.” 

However, David says it’s important to research before choosing a clinic. “There were other clinics I saw that I wouldn’t recommend. Find out if the clinic you’ve chosen has a good reputation and be prepared to pay more for higher quality – you’ll still be getting a bargain.”


David Sanderson from Sydney recently travelled to Thailand for major dental surgery, including implants and a replacement crown. he says the prices quoted by his australian dentist were so high he had no choice but to consider overseas options. “i’d used up my lifetime insurance limits for periodontic work and faced paying the entire amount.”

David did his research before making a decision, going online for names of dentists and surgeries. he then trawled online discussion forums for recommendations, particularly those where expatriates discussed the best places. he settled on a dental clinic in Chiang mai in northern Thailand, where he stayed for four weeks to have the work completed. 

David is happy with the work, the standards at the clinic and the entire cost, which was less than half of what he was quoted in australia. “i also believe my Thai dentists were more expert and knowledgeable than my australian dentist. my australian dentist recommended getting crowns on all my upper teeth, but my Thai one convinced me that was not advisable and also replaced my broken crown with a type that was likely to be more durable.” however, David says it’s important to research before choosing a clinic. “There were other clinics i saw that i wouldn’t recommend. Find out if the clinic you’ve chosen has a good reputation and be prepared to pay more for higher quality – you’ll still be getting a bargain.”

David Sanderson from Sydney recently travelled to Thailand for major dental surgery, including implants and a replacement crown. he says the prices quoted by his australian dentist were so high he had no choice but to consider overseas options. “i’d used up my lifetime insurance limits for periodontic work and faced paying the entire amount.”

David did his research before making a decision, going online for names of dentists and surgeries. he then trawled online discussion forums for recommendations, particularly those where expatriates discussed the best places. he settled on a dental clinic in Chiang mai in northern Thailand, where he stayed for four weeks to have the work completed. 

David is happy with the work, the standards at the clinic and the entire cost, which was less than half of what he was quoted in australia. “i also believe my Thai dentists were more expert and knowledgeable than my australian dentist. my australian dentist recommended getting crowns on all my upper teeth, but my Thai one convinced me that was not advisable and also replaced my broken crown with a type that was likely to be more durable.” however, David says it’s important to research before choosing a clinic. “There were other clinics i saw that i wouldn’t recommend. Find out if the clinic you’ve chosen has a good reputation and be prepared to pay more for higher quality – you’ll still be getting a bargain.”

David Sanderson from Sydney recently travelled to Thailand for major dental surgery, including implants and a replacement crown. he says the prices quoted by his australian dentist were so high he had no choice but to consider overseas options. “i’d used up my lifetime insurance limits for periodontic work and faced paying the entire amount.”

David did his research before making a decision, going online for names of dentists and surgeries. he then trawled online discussion forums for recommendations, particularly those where expatriates discussed the best places. he settled on a dental clinic in Chiang mai in northern Thailand, where he stayed for four weeks to have the work completed. 

David is happy with the work, the standards at the clinic and the entire cost, which was less than half of what he was quoted in australia. “i also believe my Thai dentists were more expert and knowledgeable than my australian dentist. my australian dentist recommended getting crowns on all my upper teeth, but my Thai one convinced me that was not advisable and also replaced my broken crown with a type that was likely to be more durable.” however, David says it’s important to research before choosing a clinic. “There were other clinics i saw that i wouldn’t recommend. Find out if the clinic you’ve chosen has a good reputation and be prepared to pay more for higher quality – you’ll still be getting a bargain.”

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