The Perfect Smile For Less

The fear of a hefty bill as much as a fear of the drill keeps Americans away from U.S. dental clinics.

But now many are finding clinics in Mexican border cities better known for violent crime and drug cartels for cheap dental treatment.

U.S. dental treatment costs up to four times as much as in Mexico, making it tough for uninsured Americans to treat common problems such as abscessed teeth or pay for dentures.

A dental crown in the United States costs upward of $600 per tooth, compared to $190 or less in Mexico.

Aspiring Mexican dentists are moving to border cities in droves and are luring American patients away from farther flung discount destinations such as Hungary and Thailand.

Americans have long crossed the border for cheap medicines, flu vaccines, eye surgery or specialist doctors, but dentists are now in highest demand.

Dental clinics are on almost every block in central Ciudad Juarez, ranging from dingy dives to clinics that look more like posh hair salons. Getting there involves dodging prostitutes, drug pushers and cowboy-boot sellers.

BARGAIN-HUNTING

"We've gone from a handful of patients when we started 2-1/2 years ago to 150 new patients a month," said Joe Andel, an American who owns the Rio Dental clinic in Ciudad Juarez with his Mexican dentist wife, Jessica.

Rio Dental, which uses U.S. labs to make its crowns, picks patients up at the airport in El Paso, Texas, across the border and has treated people from as far away as Alaska and Hawaii.

"The Internet makes this possible. It allows patients to find us and research us and shows we can do dental work of equal or superior quality to the United States," Andel said.

Internet bloggers swap stories and compare notes about Mexican dentists, but it always comes down to money.

Dentistry in the United States has become prohibitively expensive for some patients, with bills that can run to tens of thousands of dollars. Malpractice insurance premiums, operating costs that are much higher than in Mexico and dentists seeking to claw back the rising cost of their tuition all weigh.

Even among Americans who have medical insurance, many find they are not covered for treatment other than the basics, and paying on credit means high interest payments.

Cosmetic dentistry, which insurers do not cover and which can be paid in dollars in many Mexican border clinics, is also popular, Ciudad Juarez dentist Luis Garza said.

"If you want a perfect smile, you have to pay for it, and we can do it cheaper, that's all," he grinned.