[dropcap]I[/dropcap]n our second bedroom is a bookshelf with quite a nice collection of books. The problem is: I haven’t read them all. One of those unread or partially read books is The E-Myth by Michael Gerber. I bought that book decades ago, opened it, read a few pages and put it back on the shelf. It just didn’t resonate with me. Maybe I was too young to get the message, or maybe I was just too darn dumb to pay attention. I never got rid of it however.
A few months ago my wife, Andrea, and I met Michael Gerber’s wife Luz Delia. She understands The E-Myth very well, so well in fact that it took her about 90 seconds to explain the nittty-gritty of it and how it definitely related to my practice. She gave us a gift: a new book entitled, The E-Myth Chiropractor. That book also sat around, but not for very long.
[dropcap]C[/dropcap]hristmas in Cusco: My wife, Andrea, and I flew to Lima, Peru on Christmas Eve and then on to Cusco on our way to hike the Salkantay Trail to Machu Picchu. On the flight to Lima I leafed through LAN’s inflight magazine and saw plenty of ads catering to the dental tourist. Can they beat the heck out of US fees on implants and implant restorations should the patient elect to fly south? You bet.
A single titanium implant can be placed for under $500 and the implant restoration placed for about the same fee. So, single implant and restoration for less than $1,000. It appears that the “all on four” approach to the full arch implant restoration has not caught on in this part of the world just yet. I saw ads for 12 implants and crowns per arch.
Are they providing the precision of excellent 3D conebeam guided implant placement? At those discounted fees, I doubt it. This past weekend, I attended a course on the latest in 3D imaging and how that technology relates to implant placement. I asked one of the presenters, Dr. Jay Reznick, a Los Angeles oral surgeon, if he had seen any of the implant cases done at low cost South American clinics. He said he had. While not all such cases are poor quality, those done at bargain basement fees would hardly qualify as a temporary in the States: Final implant restorations done with thin aluminum shell crowns, chairside fabricated acrylic, etc. And the implants themselves were of low quality and none were from reputable manufacturers. The lesson as always is, read the fine print and beware of unbelievable bargains.