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We go across the border in the Yuma AZ area, to Los Algodones, which pretty much exists to service the gringo population that streams across the border for dentists, doctors, pharmacies and opticians.
Best defense against malpractice is the same as it is in this country, research your dentist or doctor, pay attention to where he studied, question present and past patients, get recommendations from people you trust, and then..........let it up to the Universe.
We spend so much of our lives worrying about what would happen if something went wrong.....stuff happens, and I doubt it happens any more in Mexico than it does here. It's not a big worry for me. We have used dentists in Algodones, and when we lived in Oaxaca, never had a single problem in over twenty years.
Now, deep into Mexico, you might find conditions a bit funky compared to what you're used to, but disease barrier procedures, etc., are excellent and the same as in the U.S.
I do still remember the endodontist I went to some years ago in Oaxaca for a root canal. He had a small room, open to the street, about 10 x 12 with a dental chair, a small desk and several chairs for waiting patients, and a tv up on the wall. He was alone, no receptionist (low overhead), and he did my root canal with people passing by in the street, taking appointments on a cordless phone that he held in the crook of his neck and shoulder while watching a game show on tv. The root canal was fine, never gave me a minutes trouble and cost about 20% of the price in the states.
But, most Americans would have run screaming from the place, as they might have from a dentist I went to in Pochutla, down on the Pacific, who when I had an absessed tooth, sent me up the street to another dentist, with bib attached around my neck, to get an x-ray, because her machine was broken. So I walked up the street, wearing my bib, went to the other dentist, got my xray and carried it back to my dentist, who proceeded to treat me.
Of course, the offices along the border are MUCH more "Americanized", since their clientele is gringos and they have learned how much appearances matter to them. But down in the interior, especially in places where tourists and expatriates do not abound, it's quite different. Still excellent work, though.
Actually, the only bad dental work I've had in my life was right here in the good ole U.S.A. Go figure.
LooseChickens
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