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.
A full arch of fixed teeth on Straumann implants, placed by Dr. Erick Rivera in San José. One price agreed before you fly – implants, IV sedation, six nights hotel and airport transfers included.
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.
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.
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.
Understanding the parts makes every quote easier to read – and makes it obvious what a cheaper offer has left out.
The visible tooth, matched to the shade and shape of your face.
The connector that joins the crown to the implant below the gum.
A titanium root that fuses to your jawbone and carries the bite.
Dr. Rivera's own patients describing their treatment – plus the television segments where he explains the surgery behind it.
Patients of the clinic
Dr. Rivera on television
Pulled live from the clinic's Google Business Profile and refreshed automatically – we do not edit or curate them.
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.
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.
Photos of your smile, and a panoramic X-ray if you have one. WhatsApp is easiest – someone answers around the clock.
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.
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.
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.
You fly home with fixed teeth. We check in remotely while the implants integrate, and plan the short second visit for your final prosthesis.
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.
These are his own patients – before, and after the arch was rebuilt. Nothing here is a stock photograph.
Real patients of Dr. Erick Rivera. Every mouth is different and results vary from case to case.
For patients travelling from the USA and Canada we quote the arch as one package – not as a list of surprises added later.
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.
Implants, sedation, the prosthesis, your medication, six nights of hotel and airport transfers are inside the figure. No surprises from the chair.
A confident smile in one trip. Full upper or lower arch on four Swiss implants.
Maximum support and the strongest bite. Six implants spread the load across the jaw.
Porcelain crowns and veneers – a total smile transformation in seven days.
Prices are per arch in USD and confirmed in writing after Dr. Rivera reviews your scan. Complex cases needing bone grafting are quoted individually.
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.
Dr. Erick Rivera plans and performs your case himself – not a rotating team.
Bilingual coordinators in English and Spanish, from the first message to the follow-ups.
A CBCT scan and guided implant surgery, so the plan is made before you are in the chair.
A partner hotel in Sabana Sur, booked around your treatment dates by your coordinator.
You get the plan, the number of days and the full price before you book a flight.
The same WhatsApp thread stays open while the implants integrate.
Message us on WhatsApp, call, or send an email – whichever suits you. Someone answers around the clock, in English or Spanish.
The map is loaded from Google. Allow it to see the clinic on the map.
Or open it on Google MapsTell 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.
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.
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.