ADVANCED · NOW ACCEPTING APPLICATIONS
Elite Smile Implant Institute — Costa Rica
For the patients other dentists turn away.
CAD/CAM subperiosteal implants.
A live-patient training program for severely atrophic ridges — where bone grafting isn’t an option.
The Opportunity
Some patients have no bone left. Most dentists have no answer.
23%
Of seniors globally have lost all their teeth.
Source: WHO
Division D
Severe ridge atrophy renders most implant solutions impossible — until now.
Source: Misch-Judy bone classification
“The answer for patients with severely atrophic ridges — where bone grafting isn’t an option.”
The Curriculum
Subperiosteal implant placement, from scan to seat.
Day 1 — Patient Selection & Framework Design
Misch-Judy Division D candidates, CAD/CAM framework workflow.
Day 2 — Periosteal Elevation & Site Preparation
Full-thickness elevation, ridge surface preparation on live patients.
Day 3 — Framework Placement
Seat pre-fabricated titanium framework. Fixation screw torque protocol.
Day 4 — Tissue Closure & Recovery
Primary closure, post-op wound management, full surgical log.
The Team
Every role. Every case. End to end.
Dr. Andrew W. Kelly
Course Director
Diplomate, ABOI/ID · Honored Fellow, AAID
Founding Director, Jacksonville University Implantology Residency.
Dr. Rajiv Patel
Co-Director
Diplomate, ABOI/ID · AAID Fellow · ICOI Fellow
Past President, AAID Southern District.
Dr. Alex Wong Fernández
Head Professor, Oral Surgery
CCDCR Licensed · Board-Certified Implantologist
Co-owner, Top Dental Care CR.
Dr. Pilar Collado
Head Professor, Prosthodontics
CCDCR Licensed · Board-Certified Prosthodontist
MBA, Universidad Católica de Murcia.
Dr. Adrián Wong
Implant Specialist
Master’s, European University of Madrid
Clinical instructor, All on Xperts program.
Dr. Marco Vega
CCDCR Board Liaison
Board of Directors, CCDCR
Specialist in Advanced General Dentistry.
Eugenio Mendoza
International Patients Coordinator
BA in Law · MBA · Top Dental Care CR
Logistics, hospitality, transfers — everything between your flight and the operatory.
Shirley Kelly
CE Provider
Dental Office Solutions, LLC
CE Program Compliance Director. CE Administration & compliance with ADA CERP/AGD PACE standards.
Tired of saying no to complex cases? Now you have an answer.
Who This Is For
The Implant Dentist with Complex Cases
You’re experienced. You’re tired of telling patients with severe bone loss they have no options.
The Specialist
You want to expand your case selection criteria.
Where & How
San José, Costa Rica.
Top Dental Care CR — a CCDCR-authorized training facility. You arrive at SJO; we take it from there.
CCDCR Authorized. Written authorization from Costa Rica’s national dental board.
Direct flights from 25+ US cities. SJO is a hub.
English widely spoken. Costa Rica’s medical and tourism sectors operate fluently in English.
5 nights’ hotel included. All meals, airport transfers, daily clinic transport.
Curridabat, San José. Centro Comercial Plaza Carpintera — a modern, premium commercial district.
What’s Included
Everything but your flight.
Clinical
- 32 Participation CE Hours (8:30 AM – 5:30 PM)
- All live-patient surgical case materials
- IV sedation
- Surgical instrument kit (yours to keep)
- AAID case logs signed by the CCDCR Head Professor, Dr. Patel, and Dr. Kelly
- Post-course Zoom case review with Dr. Kelly and Dr. Rajiv Patel
Experience
- 5 nights’ hotel
- Daily breakfast, refreshments, working lunch
- Welcome + graduation dinners
- Airport transfers
- Daily ground transport
Investment
$20,000
Tuition
Deposit to secure seat: $1,500
Balance due: 30 days prior to arrival
Registration processed through Dental Office Solutions, LLC (Provider #315447)
Apply NowAuthorization & Accreditation
The receipts.
- CCDCR
Colegio de Cirujanos Dentistas de Costa Rica
Written authorization from Costa Rica's national dental licensing board. All clinical training is conducted under their regulatory authority.
ADA Continuing Education Recognition Program
Dental Office Solutions, LLC is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider or to the Commission for Continuing Education Provider Recognition at CCEPR.ada.org.
Academy of General Dentistry PACE
Dental Office Solutions, LLC is a Nationally Approved PACE Program Provider for FAGD/MAGD credit. Approval does not imply acceptance by any regulatory authority or AGD endorsement. June 1, 2024 to May 31, 2028. Provider #315447.
- AAID
American Academy of Implant Dentistry
Cases completed during this course are documented toward AAID Associate Fellowship and Diplomate credentialing pathways.
FAQ
Questions, answered.
Who is this course for?
Tired of saying no to complex cases? Now you have an answer. The Implant Dentist with Complex Cases: You’re experienced. You’re tired of telling patients with severe bone loss they have no options. The Specialist: You want to expand your case selection criteria.
Will I operate on live patients?
Yes — this is a live-patient course. You perform supervised implant procedures on real patients, and all clinical training is conducted under the authorization and regulatory authority of the Colegio de Cirujanos Dentistas de Costa Rica (CCDCR) at an authorized facility.
What will I do each day?
Subperiosteal implant placement, from scan to seat. Day 1 — Patient Selection & Framework Design — Misch-Judy Division D candidates, CAD/CAM framework workflow. Day 2 — Periosteal Elevation & Site Preparation — Full-thickness elevation, ridge surface preparation on live patients. Day 3 — Framework Placement — Seat pre-fabricated titanium framework. Fixation screw torque protocol. Day 4 — Tissue Closure & Recovery — Primary closure, post-op wound management, full surgical log.
How many CE credits will I earn, and how are they structured?
You earn 32 Participation CE Hours (8:30 AM – 5:30 PM). Continuing education is provided by Dental Office Solutions, LLC — an ADA CERP Recognized Provider and AGD PACE Provider #315447.
What’s included in the tuition?
Tuition covers everything but your flight. Clinical: 32 Participation CE Hours (8:30 AM – 5:30 PM); All live-patient surgical case materials; IV sedation; Surgical instrument kit (yours to keep); AAID case logs signed by the CCDCR Head Professor, Dr. Patel, and Dr. Kelly; Post-course Zoom case review with Dr. Kelly and Dr. Rajiv Patel. Your stay: 5 nights’ hotel; Daily breakfast, refreshments, working lunch; Welcome + graduation dinners; Airport transfers; Daily ground transport.
Where is the training held, and is travel included?
Training is held in San José, Costa Rica. at Top Dental Care CR — a CCDCR-authorized training facility. You arrive at SJO; we take it from there. Included with tuition: 5 nights’ hotel; Daily breakfast, refreshments, working lunch; Welcome + graduation dinners; Airport transfers; Daily ground transport. Your airfare is not included.
Who teaches the course?
The course is led by two ABOI/ID Diplomates — Dr. Andrew W. Kelly (Course Director) and Dr. Rajiv Patel (Co-Director) — alongside CCDCR-licensed professors at Top Dental Care CR. After the course you’ll have a Zoom case review with Dr. Kelly and Dr. Patel.
How much is tuition, and how do I reserve a seat?
Tuition is $20,000. Deposit to secure seat: $1,500; Balance due: 30 days prior to arrival. Registration processed through Dental Office Solutions, LLC (Provider #315447).
How big are the cohorts?
Cohorts are kept small so every dentist operates.
Apply
Reserve your seat.
Registration is processed through Dental Office Solutions, LLC. Click below to open the secure application form.
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